2018 Volume 45 Issue 1 Pages 8-14
In response to activities of the International Consortium for Evidence-Based Perfusion, the Japanese Society of Extra-Corporeal Technology in Medicine started planning the preparation of scientific evidence-based guidelines for extracorporeal circulation in Japan in 2008, and after an about 6-year preparation period, registration of extracorporeal circulation cases was initiated in 2014. This project consists of cooperation between ’case registration’ by participant institutions in which each case is input following the definitions of registration items without error and ’case database’ in which registered cases are collected, managed, tabulated, and analyzed. The numbers of participant institutions and registered cases including those which participated in an open input test performed in 2013 reached 30 institutions and 7,443 cases by the end of 2016. Institutions participating in this project account for all Japan Adult Cardiovascular Surgery Database (JACVSD)-participant institutions. When registration of pediatric cases of extracorporeal circulation starts, a cohort study using the extracorporeal circulation case database will progress, and its achievement, scientific evidence, may lead to stability and improvement of clinical extracorporeal circulation techniques and development of the guidelines.