Feasibility of the standardized clinical pathway for gastrectomy conducted from multi-centric study
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- NOZAKI Isao
- Department of Surgery, Shikoku Cancer Center
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- GOTOHDA Naoto
- Department of Surgery, National Cancer Center Hospital East
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- FUJIYA Tsuneaki
- Department of Surgery, Miyagi Cancer Center
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- FUKUSHIMA Norimasa
- Department of Surgery, Yamagata Prefectural Central Hospital
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- FUJITA Junya
- Department of Surgery, Toyonaka Municipal Hospital
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- ITO Seiji
- Department of Gastroenterological Surgery, Aichi Cancer Center Hospital
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- OSHITA Hiroo
- Department of Surgery, Gifu Municipal Hospital
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- KAWAMURA Susumu
- Department of Plastic Surgery, Shikoku Cancer Center
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- WAKAO Fumihiko
- Center for Cancer Control and Information Services, National Cancer Center
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- KURITA Akira
- Department of Surgery, Shikoku Cancer Center
Bibliographic Information
- Other Title
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- 多施設で利用可能な胃切除クリニカルパスの作成と安全性の検証
- タシセツ デ リヨウ カノウ ナ イ セツジョ クリニカルパス ノ サクセイ ト アンゼンセイ ノ ケンショウ
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Description
Clinical pathway use in gastric cancer surgery has been widely accepted as a tool to guide evidence-based treatment. However, no standardized pathway has been accepted for nationwide use. If one could be developed and used safely, it will provide the same quality of perioperative treatment and may promote an earlier hospital discharge to all patients in Japan. Here we conducted a multi-centric study to develop and verify the new standardized clinical pathway for distal gastrectomy (DG-path) and for total gastrectomy (TG-path). We first developed a DG-path restarting solid food on postoperative day 3, while the TG-path started on day 4. Then, these pathways were followed by 415 DG patients and 163 TG patients. The clinical outcomes and clinical pathway variance of each group were analyzed. The median postoperative hospital stay was 12 days in the DG-path and 14 days in the TG-path. The discharge delay was observed to be 14.5% in the DG-path and 25.8% in the TG-path. However, the incidences of severe complications were relatively low at 3.9% in the DG-path and 6.7% in the TG-path. Our data suggests these pathways can be used with relative safety. These two pathways can be models for standardized clinical pathway for use nationwide.
Journal
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- Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)
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Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 74 (2), 331-338, 2013
Japan Surgical Association
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Details 詳細情報について
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- CRID
- 1390001204852968064
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- NII Article ID
- 10031165564
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- NII Book ID
- AA11189709
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- ISSN
- 18825133
- 13452843
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- NDL BIB ID
- 030742403
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- Crossref
- CiNii Articles
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- Abstract License Flag
- Disallowed