Clinical epidemiological studies using the DPC database

2012 Fiscal Year Final Research Report

• Project/Area Number: 22390131
• Research Category: Grant-in-Aid for Scientific Research (B)
• Allocation Type: Single-year Grants
• Section: 一般
• Research Field: Public health/Health science
• Research Institution: The University of Tokyo
• Principal Investigator: YASUNAGA Hideo 東京大学, 医学部附属病院, 特任准教授 (90361485)
• Co-Investigator(Kenkyū-buntansha): HORIGUCHI Hiromasa 東京大学, 医学部附属病院, 特任准教授 (50401104)
• Project Period (FY): 2010 – 2012
• Keywords: 疫学 / 臨床疫学

Research Abstract

We collected the Diagnosis Procedure Combination (DPC) data from approximately 1000 hospitals across Japan and established the DPC database. We utilized the database for clinical epidemiological studies that investigated volume-outcome relationship for surgical procedures, risk of postoperative Clostridium-difficile associated diseases, mortality prediction and effectiveness evaluation of drugs for acute pancreatitis, epidemiology of vertebral osteomyelitis and postoperative outcomes following malignant bone tumors and femoral neck fractures

Research Products

• [Journal Article] Japanese Severity Score for Acute Pancreatitis Well Predicts In-hospital Mortality: A Nationwide Survey of 17,901 Cases (2013)
  • Author(s): Hamada T, Yasunaga H, Nakai Y, IsayamaH, Horiguchi H, Fushimi K, Ohe K, KoikeK
  • Journal Title: Journal of Gastroenterology
• [Journal Article] Rarity of severe bleeding and perforation in endoscopic ultrasound-guided fine needle aspiration for submucosal tumors (2013)
  • Author(s): Hamada T, Yasunaga H, Nakai Y, IsayamaH, Horiguchi H, Matsuda S, Fushimi K, Koike K.
  • Journal Title: Digestive Diseases Science
  • DOI: doi:10.1007/s10620-013-2717-7
• [Journal Article] Incidence and Risk Factors for Mortality of Vertebral Osteomyelitis: A Retrospective Analysis Using the Japanese Diagnosis Procedure Combination Database (2013)
  • Author(s): Akiyama T, Chikuda H, Yasunaga H, Horiguchi H, Fushimi K, Saita K
  • Journal Title: BMJ Open Volume: 3 Pages: e002412
• [Journal Article] Does Mechanical Bowel Preparation Improve Quality of Laparoscopic Nephrectomy? Propensity Score-matched Analysis in Japanese Series (2013)
  • Author(s): Sugihara T, Yasunaga H, Horiguchi H, Fujimura T, Nishimatsu H, Ohe K, Matsuda S, Fushimi K, Kattan MW, Homma Y
  • Journal Title: Urology Volume: 81(1) Pages: 74-9
• [Journal Article] A Nomogram Predicting Severe Adverse Events after Ureteroscopic Lithotripsy:12,372 Patients in Japanese NationalSeries (2013)
  • Author(s): Sugihara T, Yasunaga H, Horiguchi H,Nishimatsu H, Kume H, Ohe K, Matsuda S, Fushimi K, Homma Y.
  • Journal Title: BJU Int Volume: 111(3) Pages: 459-66
• [Journal Article] Relationship between hospital volume and operative mortality for liver resection: data from the Japanese Diagnosis Procedure Combination database (2012)
  • Author(s): Yasunaga H, Horiguchi H, Matsuda S, Fushimi K, Hashimoto H, Ohe K, Kokudo N
  • Journal Title: Hepatol Res Volume: 42(11) Pages: 1073-1080
• [Journal Article] The Burden of Clostridium difficile-Associated Disease following Digestive Tract Surgery in Japan (2012)
  • Author(s): Yasunaga H, Horiguchi H, Hashimoto H, Matsuda S, Fushimi K
  • Journal Title: J Hosp Infect Volume: 82(3) Pages: 175-80
• [Journal Article] Effect and Cost of Treatment for Acute Pancreatitis With or Without Gabexate Mesylate: A Propensity Score Analysis Using a Nationwide Administrative Database (2012)
  • Author(s): Yasunaga H, Horiguchi H, Hashimoto H, Matsuda S, Fushimi K
  • Journal Title: Pancreas
• [Journal Article] Risk factors affecting in-hospital mortality after hip fracture: retrospective analysis using the Japanese Diagnosis Procedure Combination database (2012)
  • Author(s): Shoda N, Yasunaga H, Horiguchi H, Kadono Y, Matsuda S, Tanaka S
  • Journal Title: BMJ Open Volume: 2(3) Pages: e000416
• [Journal Article] Renal haemorrhage risk after extracorporeal shockwave lithotripsy: results from the Japanese Diagnosis Procedure Combination Database (2012)
  • Author(s): Sugihara T, Yasunaga H, Horiguchi H, Nishimatsu H, Hirano Y, Matsuda S, Homma Y.
  • Journal Title: BJU Int Volume: 110(8 Pt B) Pages: E332-8
• [Journal Article] In-hospital outcomes and cost assessment between bipolar versus monopolar transurethral resection of the prostate (2012)
  • Author(s): Sugihara T, Yasunaga H, Horiguchi H, Nakamura M, Nishimatsu H, Kume H, Ohe K, Matsuda S, Homma Y
  • Journal Title: Journal of Endourology Volume: 26 Pages: 1053-8
• [Journal Article] Regional, institutional and individual factors affecting selection of minimally invasive nephroureterectomy in Japan: A national database analysis (2012)
  • Author(s): Sugihara T, Yasunaga H, Horiguchi H, Fujimura T, Nishimatsu H, Tsuru N, Kazuo S, Ohe K, Fushimi K, Homma Y
  • Journal Title: Int J Urol
  • DOI: DOI:10.1111/iju.12031
• [Journal Article] Wide Range and Variations in Minimally Invasive Surgery For Renal Malignancy in Japan: A Population Based Analysis (2012)
  • Author(s): Sugihara T, Yasunaga H, Horiguchi H, Tsuru N, Fujimura T, Nishimatsu H, Kume H, Ohe K, Matsuda S, Fushimi K, Homma Y
  • Journal Title: International Journal of Clinical Oncology
  • DOI: doi:10.1007/s10147-012-0500-y
• [Journal Article] A User-friendly Tool to Transform Large Scale Administrative Data into Wide Table Format using a MapReduce Program with a Pig Latin based Script (2012)
  • Author(s): Horiguchi H, Yasunaga H, Hashimoto H, Ohe K
  • Journal Title: BMC Medical Informaticsand Decision Making Volume: 12 Pages: 151
• [Journal Article] Incidence and risk factors for postoperative pulmonary embolism following primary musculoskeletal tumor surgery: Analysis of a national administrative database.
  • Author(s): Ogura K, Yasunaga H, Horiguchi H, Ohe K, Shinoda Y, Tanaka S, Kawano H
  • Journal Title: CORR 2013
  • DOI: doi:10.1007/s11999-013-3073-9