山本 博之 (ヤマモト ヒロユキ)

Yamamoto, Hiroyuki

写真a

所属(所属キャンパス)

医学部 医療政策・管理学教室 (信濃町)

職名

専任講師(有期)

HP

 

研究分野 【 表示 / 非表示

  • 疫学・予防医学 (臨床疫学)

  • 生命・健康・医療情報学

  • 病院・医療管理学

  • 腎臓内科学

 

論文 【 表示 / 非表示

  • Contemporary Outcomes of Surgical Aortic Valve Replacement in Japan

    Yoshiyuki Tokuda, Hiroyuki Yamamoto, Hiroaki Miyata, Akihiko Usui, Noboru Motomura, and The Japan Cardiovascular Surgery Database Organization

    Circ J 2019年12月

    共著, 査読有り,  ISSN  1346-9843

  • Response to Comment on "Can Minimally Invasive Esophagectomy Replace Open Esophagectomy for Esophageal Cancer? Latest Analysis of 24,233 Esophagectomies From the Japanese National Clinical Database".

    Yoshida N, Yamamoto H, Miyata H, Baba H

    Annals of surgery 270 ( 6 ) e110 - e111 2019年12月

    共著, 査読有り,  ISSN  0003-4932

  • Patient trends and outcomes of surgery for type A acute aortic dissection in Japan: an analysis of more than 10 000 patients from the Japan Cardiovascular Surgery Database.

    Abe T, Yamamoto H, Miyata H, Motomura N, Tokuda Y, Tanemoto K, Usui A, Takamoto S

    European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery 2019年12月

    共著, 査読有り,  ISSN  1010-7940

  • Quality improvement in cardiovascular surgery: results of a surgical quality improvement programme using a nationwide clinical database and database-driven site visits in Japan.

    Yamamoto H, Miyata H, Tanemoto K, Saiki Y, Yokoyama H, Fukuchi E, Motomura N, Ueda Y, Takamoto S.

    BMJ Qual Saf. [in press] 2019年11月

    共著, 査読有り,  ISSN  2044-5415

  • Significance of the board-certified surgeon systems and clinical practice guideline adherence to surgical treatment of esophageal cancer in Japan: a questionnaire survey of departments registered in the National Clinical Database

    Toh Y., Yamamoto H., Miyata H., Gotoh M., Watanabe M., Matsubara H., Kakeji Y., Seto Y.

    Esophagus (Esophagus)  16 ( 4 ) 362 - 370 2019年10月

    共著, 査読有り,  ISSN  16129059

     概要を見る

    © 2019, The Author(s). Background: It remains unknown how much institutional medical structure and process of implementation of clinical practice guidelines for esophageal cancers can improve quality of surgical outcome in Japan. Methods: A web-based questionnaire survey was performed for departments registered in the National Clinical Database in Japan from October 2014 to January 2015. Quality indicators (QIs) including structure and process indicators (clinical practice guideline adherence) were evaluated on the risk-adjusted odds ratio for operative mortality (AOR) of the patients using registered cases in the database who underwent esophagectomy and reconstruction in 2013 and 2014. Results: Among 916 departments which registered at least one esophagectomy case during the study period, 454 departments (49.6%) responded to the questionnaire. Analyses of 6661 cases revealed that two structure QIs (certification of training hospitals by Japan Esophageal Society and presence of board-certified esophageal surgeons) were associated with significantly lower AOR (p < 0.001 and p = 0.005, respectively). One highly recommended process QI regarding preoperative chemotherapy had strong tendency to associate with lower AOR (p = 0.053). In two process QIs, the answer “performed at the doctor’s discretion” showed a significant negative impact on prognosis, suggesting importance of institutional uniformity. Conclusions: The medical institutional structure of board-certified training sites for esophageal surgeons and of participation of board-certified esophageal surgeons improves surgical outcome in Japan. Establishment of appropriate QIs and their uniform implementation would be crucial for future quality improvement of medical care in esophagectomy.

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KOARA(リポジトリ)収録論文等 【 表示 / 非表示

競争的資金等の研究課題 【 表示 / 非表示

  • 大規模データベースを用いた慢性腎臓病・透析症例の周術期リスクと管理戦略の検討

    2019年04月
    -
    2021年03月

    文部科学省・日本学術振興会, 科学研究費助成事業, 山本 博之, 若手研究, 補助金,  代表