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Review
. 2019 Apr 22;3(4):343-351.
doi: 10.1002/ags3.12250. eCollection 2019 Jul.

Surgical quality improvement programs in Japan and USA: Report from the collaborative projects between Japanese Society of Gastroenterological Surgery and American College of Surgeons National Surgical Quality Improvement Program

Shigeru Marubashi  1 , Jessica Y Liu  2 , Hiroaki Miyata  3 , Mark E Cohen  2 , Clifford Y Ko  2 , Yasuyuki Seto  1 , Mitsukazu Gotoh  1
Affiliations
Review

Surgical quality improvement programs in Japan and USA: Report from the collaborative projects between Japanese Society of Gastroenterological Surgery and American College of Surgeons National Surgical Quality Improvement Program

Shigeru Marubashi et al. Ann Gastroenterol Surg. .

Abstract

The Japanese Society of Gastroenterological Surgery (JSGS) and the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) have collaboratively developed several clinical projects since 2011 using two nationwide clinical registries with the goal of achieving further improvement of surgical quality in both countries. In this review, the historical viewpoints and the collaboration between JSGS and ACS and their use of nationwide registries [National Clinical Database (NCD) and NSQIP] for research are reviewed. We have carried out a joint project, the 30-day Mortality Risk Model Study and, currently, we are working on several joint projects such as the Morbidity-Mortality Study, Japan-USA Calibration Study, Geriatric Study, and Safety Culture Study as well as Auditing in JSGS/NCD with reference to the NSQIP method. These joint projects will continue to provide us with important information and data to drive improvements in surgical care in both countries. This will also help us to identify any unknown weaknesses in the health-care systems of the USA and Japan.

Keywords: big data; gastroenterological surgery; surgical outcome.

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Conflict of interest statement

Funding: This work was supported with a grant from the Health Labour Sciences Research Grant (201119010B, 201221064A, 201708014A), and Grant‐in‐Aid for Scientific Research (C) (16K10437). Conflicts of Interest: Authors declare no conflicts of interest for this article.

Figures

Figure 1
Figure 1
Database structures in Japan and the USA: Mutual Collaboration of Japanese Society of Gastroenterological Surgery (JSGS) and National Surgical Quality Improvement Program (NSQIP). A database structure in the National Clinical Database (NCD) has been built as stair‐like expert‐related complexity of each surgical society. NSQIP is part of the American College of Surgeons (ACS) registry. Collaboration projects between JSGS and ACS‐NSQIP are currently undertaken to further improve surgical quality in both countries. JSHBPS, Japanese Society of Hepato‐Biliary‐Pancreatic Surgery; NSQIP peds, National Surgical Quality Improvement Program pediatric; NCDB, National Cancer Database; TQIP, Trauma Quality Improvement Program; SSR, Surgeon Specific Registry; MBSAQIP, Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program. Other specialty societies*1 include The Japan Neurosurgical Society, The Japanese Urological Association, and Japan Society of Plastic and Reconstructive Surgery. Other subspecialty societies*2 include The Japanese Society for Cardiovascular Surgery, The Japanese Society for Vascular Surgery, The Japanese Society of Pediatric Surgeons, The Japanese Association for Thoracic Surgery, The Japanese Association for Chest Surgery, Japanese Breast Cancer Society, and Japanese Society of Thyroid Surgery. Other societies*3 include Japanese Gastric Cancer Association, The Japan Esophageal Society, and The Japan Society for Endoscopic Surgery
Figure 2
Figure 2
Basic concept of our risk model analyses. Association between preoperative and operative variables and postoperative morbidities and mortality. The risk models in each country will be compared
See this image and copyright information in PMC

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