Impact of certification status of the institute and surgeon on short-term outcomes after surgery for thoracic esophageal cancer: evaluation using data on 16,752 patients from the National Clinical Database in Japan

• DOI: 10.1007/s10388-019-00694-9
• Publication Date: 2019-10-03T06:03:31Z
• Authors: Satoru Motoyama; Hiroyuki Yamamoto; Hiroaki Miyata; Masahiko Yano; Takushi Yasuda; Masaichi Ohira; Yoshiaki Kajiyama; Yasushi Toh; Masayuki Watanabe; Yoshihiro Kakeji; Yasuyuki Seto; Yuichiro Doki; Hisahiro Matsubara
• Keywords: Esophagectomy; Cardiothoracic surgery; Surgical oncology; Board certification

Abstract Background In 2009, the Japan Esophageal Society (JES) established a system for certification of qualified surgeons as “Board Certified Surgeons” (BCESs) or institutes “Authorized Institutes Board (AIBCESs). We examined short-term outcomes after esophagectomy, taking into consideration certifications statuses and surgeons. Methods This study investigated patients who underwent esophagectomy thoracic esophageal cancer were registered in Japanese National Clinical Database (NCD) between 2015 2017. Using hierarchical multivariable logistic regression analysis adjusted patient-level risk factors, we determined whether institute’s surgeon’s status had greater influence on surgery-related mortality postoperative complications. Results Enrolled 16,752 operated at 854 by 1879 There significant differences backgrounds incidences complications rates 11,162 treated AIBCESs 5590 Non–AIBCESs (surgery-related rates: 1.6% vs 2.8%). also 6854 BCES 9898 Non-BCES (1.7% 2.2%). Hierarchical revealed that was significantly lower among AIBCESs. The surgical than operating certification. Conclusions JES appears to be appropriate, indicated improved rate. It contributes more appropriate medical delivery Japan.