{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T16:21:48Z","timestamp":1787502108165,"version":"build-2736575974"},"reference-count":21,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2021,5,1]],"date-time":"2021-05-01T00:00:00Z","timestamp":1619827200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["World J Pediatr Congenit Heart Surg"],"published-print":{"date-parts":[[2021,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>The Japan Cardiovascular Surgery Database\u2013Congenital section (JCVSD-Congenital) and the European Congenital Heart Surgeons Association (ECHSA) Congenital Heart Surgery Database (CHSD) share the same nomenclature. We aimed at comparing congenital cardiac surgical patterns of practice and outcomes in Japan and Europe using the JCVSD-Congenital and ECHSA-CHSD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and Results:<\/jats:title>\n                    <jats:p>We examined Japanese (120 units, 63,365 operations) and European (96 units, 90,098 operations) data in JCVSD-Congenital and ECHSA-CHSD from 2011 to 2017. Patients\u2019 age and weight, periprocedural times, mortality at hospital discharge, and postoperative length of stay were calculated for ten benchmark operations. There was a significantly higher proportion of ventricular septal defect closures and Glenn operations and a significantly lower proportion of coarctation repairs, tetralogy of Fallot repairs, atrioventricular septal defect repairs, arterial switch operations, truncus repairs, Norwood operations, and Fontan operations in JCVSD-Congenital compared to ECHSA-CHSD. Postoperative length of stay was significantly longer following all benchmark operations in JCVSD-Congenital compared to ECHSA-CHSD. Mean STAT mortality score (Society of Thoracic Surgeons European Association for Cardio-Thoracic Surgery mortality score) was significantly higher in JCVSD-Congenital (0.78) compared to ECHSA-CHSD (0.71). Mortality at hospital discharge was significantly lower in JCVSD-Congenital (4.2%) compared to ECHSA-CHSD (6.0%, P &lt; .001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The distribution of the benchmark procedures and age at the time of surgery differ between Japan and Europe. Postoperative length of stay is longer, and the mean complexity is higher in Japan compared to European data. These comparisons of patterns of practice and outcomes demonstrate opportunities for continuing bidirectional transcontinental collaboration and quality improvement.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/2150135120988634","type":"journal-article","created":{"date-parts":[[2021,5,4]],"date-time":"2021-05-04T06:12:19Z","timestamp":1620108739000},"page":"312-319","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":13,"title":["Pediatric Cardiac Surgical Patterns of Practice and Outcomes in Japan and Europe"],"prefix":"10.1177","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0814-3474","authenticated-orcid":false,"given":"J\u00fcrgen","family":"H\u00f6rer","sequence":"first","affiliation":[{"name":"Department of Congenital and Pediatric Heart Surgery, German Heart Center Munich, Technische Universit\u00e4t M\u00fcnchen, Munich, Germany"},{"name":"Division of Congenital and Pediatric Heart Surgery, University Hospital of Munich, Ludwig-Maximilians-Universit\u00e4t, Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasutaka","family":"Hirata","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, The University of Tokyo Hospital, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hisateru","family":"Tachimori","sequence":"additional","affiliation":[{"name":"Department of Healthcare Quality Assessment, Graduate School of Medicine, The University of Tokyo, Japan"},{"name":"Translational Medical Center, National Center of Neurology and Psychiatry, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masamichi","family":"Ono","sequence":"additional","affiliation":[{"name":"Department of Congenital and Pediatric Heart Surgery, German Heart Center Munich, Technische Universit\u00e4t M\u00fcnchen, Munich, Germany"},{"name":"Division of Congenital and Pediatric Heart Surgery, University Hospital of Munich, Ludwig-Maximilians-Universit\u00e4t, Munich, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vladimiro","family":"Vida","sequence":"additional","affiliation":[{"name":"Pediatric and Congenital Cardiac Surgery Unit, University of Padua, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"Herbst","sequence":"additional","affiliation":[{"name":"Department of Surgery, Division of Cardiac Surgery and Pediatric Heart Center, Medical University Vienna, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrzej","family":"Kansy","sequence":"additional","affiliation":[{"name":"Pediatric Cardiothoracic Surgery, Children\u2019s Memorial Health Institute, Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9916-929X","authenticated-orcid":false,"given":"Jeffrey P.","family":"Jacobs","sequence":"additional","affiliation":[{"name":"Congenital Heart Center, Division of Thoracic and Cardiovascular Surgery, Department of Surgery, University of Florida, Gainesville, FL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zdzislaw","family":"Tobota","sequence":"additional","affiliation":[{"name":"Pediatric Cardiothoracic Surgery, Children\u2019s Memorial Health Institute, Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kisaburo","family":"Sakamoto","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Mt Fuji Shizuoka Children\u2019s Hospital, Shizuoka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tjark","family":"Ebels","sequence":"additional","affiliation":[{"name":"Department Cardiothoracic Surgery, University Medical Center Groningen, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bohdan","family":"Maruszewski","sequence":"additional","affiliation":[{"name":"Pediatric Cardiothoracic Surgery, Children\u2019s Memorial Health Institute, Warsaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,5,4]]},"reference":[{"key":"bibr1-2150135120988634","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2011.08.025"},{"key":"bibr2-2150135120988634","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0178963"},{"key":"bibr3-2150135120988634","unstructured":"Japanese Ministry of Health Labor and Welfare. 2019. Accessed January 12, 2021. https:\/\/www.nippon.com\/en\/japan-data\/h00472\/japanese-population-decline-accelerates-as-annual-births-dip-below-920-000-in-2018.html"},{"key":"bibr4-2150135120988634","unstructured":"World Health Organization Regional Office for Europe. 2020. Accessed January 21, 2020. https:\/\/gateway.euro.who.int\/en\/hfa-explorer\/#ffpF5yxfL0"},{"key":"bibr5-2150135120988634","doi-asserted-by":"publisher","DOI":"10.1007\/s11748-017-0843-4"},{"key":"bibr6-2150135120988634","unstructured":"European Congenital Heart Surgeons Association Congenital Database. 2020. 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