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Innovative EBM method by benchmarking; using analysis of clinical database

Research Project

Project/Area Number 26460856
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Medical and hospital managemen
Research InstitutionThe University of Tokyo

Principal Investigator

Miyata Hiroaki  東京大学, 医学部附属病院, 特任教授 (70409704)

Research Collaborator FUKUCHI Eriko  東京大学, 医学部付属病院, 特任研究員 (30775648)
IWANAKA Tadashi  National Clinical Database, 代表理事 (90193755)
TAKAMOTO Shinichi  三井記念病院, 病院長 (60137833)
UEDA Yuichi  奈良県総合医療センター, 総長 (80314011)
TANEMOTO Kazuo  川崎医科大学, 心臓血管外科学教室, 教授 (90330547)
KOHSAKA Shun  慶應義塾大学, 循環器内科, 特任講師 (30528659)
Project Period (FY) 2014-04-01 – 2017-03-31
Project Status Completed (Fiscal Year 2016)
Budget Amount *help
¥5,070,000 (Direct Cost: ¥3,900,000、Indirect Cost: ¥1,170,000)
Fiscal Year 2016: ¥390,000 (Direct Cost: ¥300,000、Indirect Cost: ¥90,000)
Fiscal Year 2015: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2014: ¥2,990,000 (Direct Cost: ¥2,300,000、Indirect Cost: ¥690,000)
Keywords臨床データベース / EBM / 医療の質 / ベンチマーキング / ビッグデータ / 医療政策
Outline of Final Research Achievements

The aim of this research is to create an innovative benchmarking method to improve quality of medicine. First year, we analyzed the effectiveness and proceeding frequencies of several clinical procedures which recommendation criteria are on discussion by questionnaire and statistical analysis. We have also visited some facilities which operative performance were either extremely good or bad according to benchmarking. Taking the result of first year, we built a new web system to enable each medical facility set their own task to improve their performance using benchmarked result. Several hospitals have used the system with assistance of clinical experts in the final year.

Report

(4 results)
  • 2016 Annual Research Report   Final Research Report ( PDF )
  • 2015 Research-status Report
  • 2014 Research-status Report
  • Research Products

    (27 results)

All 2017 2016 2015 2014

All Journal Article (18 results) (of which Peer Reviewed: 18 results,  Open Access: 4 results) Presentation (9 results) (of which Invited: 9 results)

  • [Journal Article] Off-pump versus on-pump coronary artery bypass grafting in patients with left ventricular dysfunction2016

    • Author(s)
      Ueki C, Miyata H, Motomura N, Sakaguchi G, Akimoto T, Takamoto S.
    • Journal Title

      J Thorac Cardiovasc Surg

      Volume: 151 Issue: 4 Pages: 1092-8

    • DOI

      10.1016/j.jtcvs.2015.11.023

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed
  • [Journal Article] National Clinical Database feedback implementation for quality improvement of cancer treatment in Japan: from good to great through transparency2016

    • Author(s)
      Gotoh M, Miyata H, Hashimoto H, Wakabayashi G, Konno H, Miyakawa S, Sugihara K, Mori M, Satomi S, Kokudo N, Iwanaka T.
    • Journal Title

      Surg Today

      Volume: 46 Pages: 38-47

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Models predicting the risks of six life-threatening morbidities and bile leakage in 14,970 hepatectomy patients registered in the National Clinical Database of Japan.2016

    • Author(s)
      Yokoo H, Miyata H, Konno H, Taketomi A, Kakisaka T, Hirahara N, Wakabayashi G, Gotoh M, Mori M.
    • Journal Title

      Medicine (Baltimore)

      Volume: 95

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Risk model of aortic valve replacement after cardiovascular surgery based on a National Japanese Database.2016

    • Author(s)
      Ohira S, Miyata H, Doi K, Motomura N, Takamoto S, Yaku H.
    • Journal Title

      Eur J Cardiothorac Surg

      Volume: 51 Pages: 347-353

    • DOI

      10.1093/ejcts/ezw247

    • Related Report
      2016 Annual Research Report
    • Peer Reviewed
  • [Journal Article] National Clinical Database feedback implementation for quality improvement of cancer treatment in Japan: from good to great through transparency2015

    • Author(s)
      Gotoh M, Miyata H, Hashimoto H, Wakabayashi G, Konno H, Miyakawa S, Sugihara K, Mori M, Satomi S, Kokudo N, Iwanaka T
    • Journal Title

      Surg Today

      Volume: 46 Pages: 38-47

    • Related Report
      2015 Research-status Report
    • Peer Reviewed
  • [Journal Article] Effects of Preoperative β-Blocker Use on Clinical Outcomes after Coronary Artery Bypass Grafting.A Report from the Japanese Cardiovascular Surgery Database2015

    • Author(s)
      Kohsaka S, Miyata H, Motomura N, Imanaka K, Fukuda K, Kyo S, Takamoto S
    • Journal Title

      Anesthesiology

      Volume: 124 Issue: 1 Pages: 45-55

    • DOI

      10.1097/aln.0000000000000901

    • Related Report
      2015 Research-status Report
    • Peer Reviewed
  • [Journal Article] Operative mortality and complication risk model for all major cardiovascular operations in Japan2015

    • Author(s)
      Miyata H, Tomotaki A, Motomura N, Takamoto S
    • Journal Title

      AnnThorac Surg

      Volume: 99 Pages: 130-9

    • Related Report
      2015 Research-status Report
    • Peer Reviewed
  • [Journal Article] Gender Differences in In-Hospital Clinical Outcomes after Percutaneous Coronary Interventions: An Insight from a Japanese Multicenter Registry2015

    • Author(s)
      Numasawa Y, Kohsaka S, Miyata H, Noma S, Suzuki M, Ishikawa S, Nakamura I, Nishi Y, Ohki T, Negishi K, Takahashi T, Fukuda K
    • Journal Title

      PLoS One

      Volume: 10 Pages: 1-1

    • Related Report
      2015 Research-status Report
    • Peer Reviewed
  • [Journal Article] Operative Mortality and Complication Risk model for all major cardiovascular surgery in Japan.2014

    • Author(s)
      Hiroaki Miyata, Ai Tomotaki, Noboru Motomura, Shinichi Takamoto.
    • Journal Title

      The Annals of Thoracic Surgery

      Volume: 07 Pages: 038-038

    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] The national clinical database as an initiative for quality improvement in Japan.2014

    • Author(s)
      Murakami A, Hirata Y, Motomura N, Miyata H, Iwanaka T, Takamoto S.
    • Journal Title

      Korean J Thorac Cardiovasc Surg.

      Volume: 47(5) Pages: 437-443

    • Related Report
      2014 Research-status Report
    • Peer Reviewed
  • [Journal Article] Nomogram prediction of metachronous colorectal neoplasms in patients with colorectal cancer.2014

    • Author(s)
      Kawai K, Ishihara S, Yamaguchi H, Sunami E, Kitayama J, Miyata H, Watanabe T
    • Journal Title

      Annals of Surgery

      Volume: Epub ahead of print Pages: 1-1

    • Related Report
      2014 Research-status Report
    • Peer Reviewed
  • [Journal Article] The Appropriateness Ratings of Percutaneous Coronary Intervention in Japan and its Association with the Trend of Non-Invasive Testings.2014

    • Author(s)
      Inohara T, Kohsaka S, Miyata H, Ueda I, Ishikawa S, Ohki T, Nishi Y, Hayashida K, Maekawa Y, Kawamura A, Higashi T, Fukuda K
    • Journal Title

      Journal of the American College of Cardiology.

      Volume: 7(9) Pages: 1000-9

    • Related Report
      2014 Research-status Report
    • Peer Reviewed
  • [Journal Article] Mortality after common rectal surgery in Japan: a study on low anterior resection from a newly established nationwide large-scale clinical database.2014

    • Author(s)
      Matsubara N, Miyata H, Gotoh M, Tomita N, Baba H, Kimura W, Nakagoe T, Simada M, Kitagawa Y, Sugihara K, Mori M
    • Journal Title

      Dis Colon Rectum

      Volume: 57(9) Pages: 1075-81

    • Related Report
      2014 Research-status Report
    • Peer Reviewed
  • [Journal Article] Prognostic Impact of Primary Tumor Resection and Lymph Node Dissection in Stage IV Colorectal Cancer with Unresectable Metastasis: A Propensity Score Analysis in a Multicenter Retrospective Study2014

    • Author(s)
      Ishihara S, Hayama T, Yamada H, Nozawa K, Matsuda K, Miyata H, Yoneyama S, Tanaka T, Tanaka J, Kiyomatsu T, Kawai K, Nozawa H, Kanazawa T, Kazama S, Yamaguchi H, Sunami E, Kitayama J, Hashiguchi Y, Sugihara K, Watanabe T
    • Journal Title

      Ann Surg Oncol

      Volume: 21(9) Pages: 2949-55

    • Related Report
      2014 Research-status Report
    • Peer Reviewed
  • [Journal Article] Surgical results of reoperative tricuspid surgery: analysis from the Japan Cardiovascular Surgery Database.2014

    • Author(s)
      Umehara N, Miyata H, Motomura N, Saito S, Yamazaki K
    • Journal Title

      Interact Cardiovasc Thorac Surg

      Volume: 19(1) Pages: 82-7

    • Related Report
      2014 Research-status Report
    • Peer Reviewed
  • [Journal Article] Radial coronary interventions and post-procedural complication rates in the real world: a report from a Japanese multicenter percutaneous coronary intervention registry.2014

    • Author(s)
      Mizuno A, Kohsaka S, Miyata H, Koide K, Asano T, Ohki T, Negishi K, Fukuda K, Nishi Y
    • Journal Title

      Int J Cardiol

      Volume: 172(1). Pages: 226-7

    • Related Report
      2014 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] A Risk Model for Esophagectomy Using Data of 5354 Patients Included in a Japanese Nationwide Web-Based Database.2014

    • Author(s)
      Takeuchi H, Miyata H, Gotoh M, Kitagawa Y, Baba H, Kimura W, Tomita N, Nakagoe T, Shimada M, Sugihara K, Mori M
    • Journal Title

      Ann Surg

      Volume: Epub ahead of print Pages: 1-1

    • Related Report
      2014 Research-status Report
    • Peer Reviewed
  • [Journal Article] Results of data verification of the Japan congenital cardiovascular database, 2008 to 2009.2014

    • Author(s)
      Tomotaki A, Miyata H, Hashimoto H, Murakami A, Ono M
    • Journal Title

      World J Pediatr Congenit Heart Surg

      Volume: 5(1) Pages: 47-53

    • Related Report
      2014 Research-status Report
    • Peer Reviewed
  • [Presentation] JCVSDによる医療の質向上プロジェクト2017

    • Author(s)
      宮田裕章
    • Organizer
      第47回日本心臓血管外科学会学術総会
    • Place of Presentation
      グランドニッコー東京 台場
    • Year and Date
      2017-02-27
    • Related Report
      2016 Annual Research Report
    • Invited
  • [Presentation] シンポジウム Ⅲ 医療ビッグデータがもたらす社会変革 患者視点に基づく医療を実現する医療ビッグデータ2014

    • Author(s)
      宮田裕章
    • Organizer
      ASIAN AGING SUMMIT
    • Place of Presentation
      東京
    • Year and Date
      2014-11-11 – 2014-11-13
    • Related Report
      2014 Research-status Report
    • Invited
  • [Presentation] 特別企画 日本発信の膵切データ2014

    • Author(s)
      宮田裕章,木村理
    • Organizer
      第41回日本膵切研究会
    • Place of Presentation
      東京
    • Year and Date
      2014-08-22 – 2014-08-23
    • Related Report
      2014 Research-status Report
    • Invited
  • [Presentation] シンポジウム03.消化器外科領域における内視鏡外科手術のさらなる発展に向けた課題とその克服 NCD報告: 大規模臨床データベースを用いた内視鏡外科手術の効果・適応評価の有用性と方法論的課題2014

    • Author(s)
      宮田裕章
    • Organizer
      第69回日本消化器外科学会総会
    • Place of Presentation
      福島
    • Year and Date
      2014-07-16 – 2014-07-18
    • Related Report
      2014 Research-status Report
    • Invited
  • [Presentation] 特別企画 2)外科治療データベースの国際間比較とその連携へのステップ Evaluating procedure details of Japanese and U.S.Gastroenterological surgery patients2014

    • Author(s)
      宮田裕章
    • Organizer
      第69回日本消化器外科学会総会
    • Place of Presentation
      福島
    • Year and Date
      2014-07-16 – 2014-07-18
    • Related Report
      2014 Research-status Report
    • Invited
  • [Presentation] 乳癌ビックデータの現状と展望(NCD- 乳癌登録):乳癌ビックデータの現状と展望(NCD-乳癌登録):NCD登録を用いた研究の現状と乳癌領域への応用2014

    • Author(s)
      宮田裕章,友滝愛,平原憲道,新倉直樹,徳田裕,岩中督
    • Organizer
      第22回日本乳癌学会学術総会
    • Place of Presentation
      大阪
    • Year and Date
      2014-07-10 – 2014-07-12
    • Related Report
      2014 Research-status Report
    • Invited
  • [Presentation] 科学的な安全対策に転換するために何が必要か、我々が明日からでもできることは何か―アカデミアの立場から2014

    • Author(s)
      宮田裕章
    • Organizer
      第 160回レギュラトリーサイエンス エキスパート研修会
    • Place of Presentation
      東京
    • Year and Date
      2014-07-09
    • Related Report
      2014 Research-status Report
    • Invited
  • [Presentation] SL2 特別講演2 NCD の今後の展開. SL2-1 呼吸器外科領域におけるNational Clinical Database の可能性.2014

    • Author(s)
      宮田裕章
    • Organizer
      第31回日本呼吸器外科学会総会
    • Place of Presentation
      東京
    • Year and Date
      2014-05-28 – 2014-05-30
    • Related Report
      2014 Research-status Report
    • Invited
  • [Presentation] 特別企画(3)「NCD の利活用―専門医制度,医療水準評価のこれから―」SP-3-6 National Clinical Database における2014 年の現状と課題2014

    • Author(s)
      宮田裕章
    • Organizer
      第114回日本外科学定期学術集会
    • Place of Presentation
      京都
    • Year and Date
      2014-04-03 – 2014-04-05
    • Related Report
      2014 Research-status Report
    • Invited

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Published: 2014-04-04   Modified: 2018-03-22  

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