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Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China

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[Japan Cardiovascular Surgery Database: past and future].

Noboru Motomura¹

¹Department of Cardiac Surgery, University of Tokyo, Tokyo, Japan.

Nihon Geka Gakkai Zasshi

|March 7, 2014

Summary

The Japan Cardiovascular Surgery Database (JCVSD) enhances cardiovascular surgery quality through extensive data collection and risk assessment tools like JapanSCORE. This initiative supports clinical decision-making and advances research, improving patient outcomes nationwide.

Area of Science:

Cardiovascular Surgery
Health Informatics
Quality Improvement

Context:

Established in 2000, the Japan Cardiovascular Surgery Database (JCVSD) aims to improve national cardiovascular surgery quality.
It utilizes internet-based data entry and incorporates variables from the Society of Thoracic Surgeons National Database.
Currently, over 500 hospitals participate, with more than 220,000 cumulative data entries.

Purpose:

To establish a comprehensive national database for cardiovascular surgery in Japan.
To develop and implement a validated risk model (JapanSCORE) for predicting patient mortality.
To facilitate data analysis for research and support clinical decision-making.

Summary:

The JCVSD collects extensive data from over 500 hospitals, exceeding 220,000 entries.

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The JapanSCORE risk calculator, derived from this data, provides instant mortality risk assessment for patients.

The database is supported by committees for variable specification, site visits, and data access, ensuring data integrity and usability.

Impact:

Over 20 highly cited papers have been published based on JCVSD data analyses.
JapanSCORE aids surgeons, cardiologists, and physicians in risk stratification.
The JCVSD is integrated with the cardiovascular medicine board certification system, enhancing professional standards.