Trends in the Outcomes of Advanced Hepatobiliary-Pancreatic Surgery: The Impact of a Nationwide Clinical Database and Surgeon Certification System.

ABSTRACT:

Background

The Japanese Society of Hepatobiliary and Pancreatic Surgery has established a certification system for experienced surgeons. Evaluating its efficacy requires accounting for patient risk variations. The National Clinical Database (NCD) facilitates this using risk-adjusted outcome measures to validate and compare surgical performance.

Methods

We analyzed the NCD from 2014 to 2020 to examine trends in adjusted odds ratios (AORs) for mortality and morbidity following pancreaticoduodenectomy using 2014 as the reference. Primary outcomes were surgical and 30-day postoperative mortality. Secondary outcomes included severe complications and grade C pancreatic fistula. Subgroup analyses considered surgeon and institutional certification.

Results

Analysis of 78 972

SUBMITTER: Anazawa T 

PROVIDER: S-EPMC12380033 | biostudies-literature | 2025 Aug

REPOSITORIES: biostudies-literature