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アリイズミ シユンイチ
ARIIZUMI Shunichi
有泉 俊一 所属 医学部 医学科（東京女子医科大学病院） 職種 准教授 |
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| 論文種別 | 原著 |
| 言語種別 | 英語 |
| 査読の有無 | 査読なし |
| 表題 | A nationwide certification system to increase the safety of highly advanced hepatobiliary-pancreatic surgery. |
| 掲載誌名 | 正式名：Journal of hepato-biliary-pancreatic sciences 略 称：J Hepatobiliary Pancreat Sci ISSNコード：18686982/18686974 |
| 掲載区分 | 国内 |
| 巻・号・頁 | 30(1),pp.60-71 |
| 著者・共著者 | OTSUBO Takehito, KOBAYASHI Shinjiro, SANO Keiji, MISAWA Takeyuki, KATAGIRI Satoshi, NAKAYAMA Hisashi, SUZUKI Shuji, WATANABE Manabu, ARIIZUMI Shunichi, UNNO Michiaki, TANABE Minoru, NAGANO Hiroaki, KOKUDO Norihiro, HIRANO Satoshi, NAKAMURA Masafumi, SHIRABE Ken, SUZUKI Yasuyuki, YOSHIA Masahiro, TAKADA Yasutsugu, NAKAGOHRI Toshio, HORIGUCHI Akihiko, OHDAN Hideki, EGUCHI Susumu, OHTSUKA Masayuki, SHO Masayuki, RIKIYAMA Toshiki, HATANO Etsuro, TAKETOMI Akinobu, FUJII Tsutomu, YAMAUE Hiroki, MIYAZAKI Masaru, YAMAMOTO Masakazu, TAKADA Tadahiro, ENDO Itaru |
| 発行年月 | 2023/01 |
| 概要 | BACKGROUND:To ensure that highly advanced hepatobiliary-pancreatic surgery (HBPS) is performed safely, the Japanese Society of Hepato-Biliary-Pancreatic Surgery (JSHBPS) board certification system for expert surgeons established a safety committee to monitor surgical safety.METHODS:We investigated postoperative mortality rates based on summary reports of numbers and outcomes of highly advanced HBPS submitted annually by the board-certified training institutions from 2012 to 2019. We also analyzed summary reports on mortality cases submitted by institutions with high 90-day post-HBPS mortality rates and recommended site visits and surveys as necessary.RESULTS:Highly advanced HBPS was performed in 121 518 patients during the 8-year period. Thirty-day mortality rates from 2012 to 2019 were 0.92%, 0.8%, 0.61%, 0.63%, 0.70%, 0.59%, 0.48%, and 0.52%, respectively (P < .001). Ninety-day mortality rates were 2.1%, 1.82%, 1.62%, 1.28%, 1.46%, 1.22%, 1.19%, and 0.98%, respectively (P < .001). Summary reports were submitted by 20 hospitals between 2015 and 2019. Mortality rates before and after the start of report submission and audit were 5.72% and 2.79%, respectively (odds ratio 0.690, 95% confidence interval 0.487-0.977; P = .037).CONCLUSIONS:Development of a system for designation of board-certified expert surgeons and safety management improved the mortality rate associated with highly advanced HBPS. |
| DOI | 10.1002/jhbp.1186 |
| PMID | 35611453 |