UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000060877
Receipt number R000069661
Scientific Title Seasonal variation and meteorological determinants of surgical site infection after orthopedic surgery: a nationwide retrospective cohort study using the JANIS database
Date of disclosure of the study information 2026/03/09
Last modified on 2026/03/09 18:52:32

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Basic information

Public title

Seasonal Variation and Meteorological Determinants of Surgical Site Infection After Orthopedic Surgery: A Nationwide Cohort Study in Japan

Acronym

ORTHO-SSI Season Study

Scientific Title

Seasonal variation and meteorological determinants of surgical site infection after orthopedic surgery: a nationwide retrospective cohort study using the JANIS database

Scientific Title:Acronym

JANIS-SSI Season Study

Region

Japan


Condition

Condition

Orthopedic surgery

Classification by specialty

Orthopedics

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

The aim of this study is to investigate nationwide seasonal variation in surgical site infection (SSI) after orthopedic surgery in Japan and to evaluate the association between early postoperative meteorological conditions, particularly absolute humidity and temperature, and the risk of SSI using the Japan Nosocomial Infections Surveillance (JANIS) database.

Basic objectives2

Others

Basic objectives -Others

This study is a retrospective observational epidemiological study using the Japan Nosocomial Infections Surveillance (JANIS) database to evaluate seasonal variation in surgical site infection (SSI) after orthopedic surgery and its association with meteorological factors.

Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Occurrence of surgical site infection (SSI) after orthopedic surgery as recorded in the Japan Nosocomial Infections Surveillance (JANIS) database. Superficial incisional SSI occurring within 30 days after surgery and deep incisional or organ/space SSI occurring within 30 days (without implant) or within 1 year (with implant) were included according to standard surveillance definitions.

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

Orthopedic surgical procedures recorded in the Japan Nosocomial Infections Surveillance (JANIS) database between January 2012 and April 2025 will be included.

Key exclusion criteria

Procedures with missing data for variables required in the primary multivariable analysis, including age, sex, surgery type, operative time, wound class, ASA classification, emergency surgery status, implant use, hospital identifier, or surgery date, will be excluded.

Target sample size

920000


Research contact person

Name of lead principal investigator

1st name Tetsuhiko
Middle name
Last name Mimura

Organization

Shinshu University School of Medicine

Division name

Department of Orthopaedic Surgery

Zip code

390-8621

Address

3-1-1 Asahi Matsumoto Nagano 390-8621 Japan

TEL

0263-37-2659

Email

tettim3@yahoo.co.jp


Public contact

Name of contact person

1st name Tetsuhiko
Middle name
Last name Mimura

Organization

Shinshu University School of Medicine

Division name

Department of Orthopaedic Surgery

Zip code

390-8621

Address

3-1-1 Asahi Matsumoto Nagano 390-8621 Japan

TEL

0263-37-2659

Homepage URL


Email

tettim3@yahoo.co.jp


Sponsor or person

Institute

Shinshu University

Institute

Department

Personal name

Tetsuhiko Mimura


Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Shinshu University School of Medicine

Address

3-1-1 Asahi Matsumoto Nagano 390-8621 Japan

Tel

0263-37-3099

Email

mdrinri@shinshu-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2026 Year 03 Month 09 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled

919763

Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

No longer recruiting

Date of protocol fixation

2025 Year 08 Month 06 Day

Date of IRB

2025 Year 08 Month 06 Day

Anticipated trial start date

2025 Year 08 Month 06 Day

Last follow-up date

2025 Year 08 Month 06 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

This study is a nationwide retrospective observational study using the Japan Nosocomial Infections Surveillance (JANIS) database. Orthopedic surgical procedures recorded between January 2012 and April 2025 will be analyzed to evaluate seasonal variation in surgical site infection (SSI) and its association with early postoperative meteorological conditions, particularly absolute humidity and temperature. Multivariable models adjusted for patient and surgical characteristics will be used.


Management information

Registered date

2026 Year 03 Month 09 Day

Last modified on

2026 Year 03 Month 09 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000069661