The National Registry and Assessment of the Cardiac Surgery.

Accession number;00A0222249
Title;The National Registry and Assessment of the Cardiac Surgery.
Author; OTA SATOMI (National Sanatorium Sapporo Minami Hospital)
Journal Title;Japanese Journal of National Medical Services
Journal Code:F0707A
ISSN:0021-1699
VOL.54;NO.1;PAGE.3-7(2000)
Figure&Table&Reference;FIG.2, REF.13
Pub. Country;Japan
Language;Japanese
Abstract;Histories of the development of the national registry of the cardiac surgery in the United States and the United Kingdom who were preceders in this field were reviewed, and the points at issue in Japan were discussed. In the circumstances of continuous rising fee for medical treatment, both governments released only the raw motality data for coronary artery bypass grafting to deal with the on-going social problem of this operation whether it was mandatory or not. These governmental actions stimulated to develop the project of the national database registry by the society of thoracic surgeons of these countries. This registry was sufficient enough to collect data to identify factors that affected operative motality and longterm results based on the preoperative risk stratification. Consequently, the propagation of this national database caused the improvement of the surgical results in these countries. Although the national registry of the cardiac surgery was not performed in Japan, the Consigned Cooperative Cardiovascural Research of the Public Welfare in this field were begun in 1996, the abstract of the Research was described here, and the points at issue in Japan were discussed. (author abst.)