Surgical quality improvement programs in Japan and USA: Report from the collaborative projects between Japanese Society of Gastroenterological Surgery and American College of Surgeons National Surgical Quality Improvement Program

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  Figure 1. Database structures in Japan and the USA: Mutual Collaboration of Japanese Society of Gastroenterological Surgery (JSGS) and National Surgical Quality Improvement Program (NSQIP). A database structure in the National Clinical Database (NCD) has been built as stair‐like expert‐related complexity of each surgical society. NSQIP is part of the American College of Surgeons (ACS) registry. Collaboration projects between JSGS and ACS‐NSQIP are currently undertaken to further improve surgical quality in both countries. JSHBPS, Japanese Society of Hepato‐Biliary‐Pancreatic Surgery; NSQIP peds, National Surgical Quality Improvement Program pediatric; NCDB, National Cancer Database; TQIP, Trauma Quality Improvement Program; SSR, Surgeon Specific Registry; MBSAQIP, Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program. Other specialty societies*1 include The Japan Neurosurgical Society, The Japanese Urological Association, and Japan Society of Plastic and Reconstructive Surgery. Other subspecialty societies*2 include The Japanese Society for Cardiovascular Surgery, The Japanese Society for Vascular Surgery, The Japanese Society of Pediatric Surgeons, The Japanese…

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  Figure 2. Basic concept of our risk model analyses. Association between preoperative and operative variables and postoperative morbidities and mortality. The risk models in each country will be compared