The first detailed annual record on the National Clinical Database Urology Division in Japan: A report on five surgical procedures.

IF 1.8 3区医学 Q3 UROLOGY & NEPHROLOGY

International Journal of Urology Pub Date : 2024-08-18 DOI:10.1111/iju.15561

Eiji Kikuchi, Hiroyuki Yamamoto, Takahiro Yasui, Shingo Hatakeyama, Ryuichi Mizuno, Shinichi Sakamoto, Kentaro Mizuno, Shuichi Morizane, Nozomi Hayakawa, Takashi Kobayashi, Toshiyuki Kamoto, Masatoshi Eto

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引用次数: 0

Abstract

Objectives: The National Clinical Database (NCD) Urology Division commenced registration in April 2018 in Japan. This is the first report to focus on five surgeries for which detailed information is registered.

Methods: We herein describe annual trends in and the complication grades of the following five surgeries: partial nephrectomy, radical nephrectomy, radical cystectomy, radical prostatectomy, and pyeloplasty, using the NCD. A total of 149 417 patients treated with the five types of surgeries based on NCD data were enrolled in this report.

Results: The number of patients was 55 630 for partial/radical nephrectomy from April 2018 to December 2021, 83 653 for radical prostatectomy from April 2018 to December 2021, and 9342 for radical cystectomy from January 2020 to December 2021. In 2021, partial nephrectomy was performed on 7416 cases, radical nephrectomy on 7739 cases, radical prostatectomy on 22 692 cases, radical cystectomy on 4677 cases, and pyeloplasty on 792 cases.

Conclusions: The results obtained showed that a robot-assisted or laparoscopic procedure has replaced open surgery as the common approach for all five surgeries. An analysis of NCD data may be useful for understanding trends in surgical procedures across the major field of urology.

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日本首个国家临床数据库泌尿科年度详细记录：关于五项外科手术的报告

目标：日本国家临床数据库（NCD）泌尿科于 2018 年 4 月开始注册。这是第一份报告，主要针对登记了详细信息的五种手术：我们在此利用 NCD 描述以下五种手术的年度趋势和并发症等级：肾部分切除术、根治性肾切除术、根治性膀胱切除术、根治性前列腺切除术和肾盂成形术。本报告共纳入了 149 417 名根据 NCD 数据接受这五种手术治疗的患者：2018年4月至2021年12月，接受肾部分/根治性切除术的患者人数为55 630人；2018年4月至2021年12月，接受根治性前列腺切除术的患者人数为83 653人；2020年1月至2021年12月，接受根治性膀胱切除术的患者人数为9342人。2021年，7416例进行了肾部分切除术，7739例进行了根治性肾切除术，22 692例进行了根治性前列腺切除术，4677例进行了根治性膀胱切除术，792例进行了肾盂成形术：结果显示，机器人辅助或腹腔镜手术已取代开腹手术，成为所有五种手术的常用方法。对 NCD 数据进行分析可能有助于了解整个泌尿外科主要领域的手术趋势。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Urology 医学-泌尿学与肾脏学

CiteScore

4.70

自引率

11.50%

发文量

340

审稿时长

3 months

期刊介绍： International Journal of Urology is the official English language journal of the Japanese Urological Association, publishing articles of scientific excellence in urology. Submissions of papers from all countries are considered for publication. All manuscripts are subject to peer review and are judged on the basis of their contribution of original data and ideas or interpretation.