Nihon Geka Gakkai zasshi
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Nihon Geka Gakkai zasshi · Jan 2014
[A paradigm shift in pediatric surgery created by the National Clinical Database].
The use of data from the National Clinical Database (NCD) is becoming more important in pediatric surgery. First, it is possible to review all surgical data in the NCD. Although pediatric surgeons treat a wide variety of conditions, with the exceptions of common ones such as appendicitis or inguinal hernia, rare anomalies with an incidence of only one in 1,000 births account for most cases. ⋯ However, until the creation of the NCD it was not clear which types of medical care were given at which institutions. Analysis of the reasonable placement of specialists or the ideal system of pediatric surgical emergency care can now be conducted based on scientific grounds by analyzing data from the NCD provided by all surgeons. For those performing pediatric surgery, the true value of the NCD will be determined in the future based on how they cope with this paradigm shift.