| Unique ID issued by UMIN | UMIN000062964 |
|---|---|
| Receipt number | R000072092 |
| Scientific Title | Temporal Validation of Prediction Models for Prolonged Postoperative Stay After Gastrectomy: Impact of DPC-Based Outcome Definitions |
| Date of disclosure of the study information | 2026/09/17 |
| Last modified on | 2026/09/17 16:10:10 |
Validation of prediction models for prolonged hospital stay after gastrectomy
Gastrectomy Stay Prediction Study
Temporal Validation of Prediction Models for Prolonged Postoperative Stay After Gastrectomy: Impact of DPC-Based Outcome Definitions
Temporal Validation of Stay Prediction
| Japan |
Gastric cancer
| Gastrointestinal surgery |
Malignancy
NO
To develop machine learning models predicting prolonged postoperative stay after gastrectomy for gastric cancer, and to evaluate their discrimination, calibration, and clinical utility using internal cross-validation and temporal validation (development cohort 1996-2015, test cohort 2016-2026). To additionally examine how DPC (Diagnosis Procedure Combination)-based outcome definitions affect model performance.
Others
Development and validation of a prediction model (observational study)
Discharge on or after postoperative day 14 (day of surgery defined as postoperative day 0)
Observational
| 20 | years-old | <= |
| 100 | years-old | >= |
Male and Female
Patients who underwent distal gastrectomy, proximal gastrectomy, or total gastrectomy for gastric cancer at Kameda Medical Center between April 1996 and March 2026, with recorded postoperative length of stay
Patients with postoperative length of stay exceeding 300 days
2663
| 1st name | Goshi |
| Middle name | |
| Last name | Fujimoto |
Kameda Medical center
Gastroenterological Surgery
296-0041
929 Higashi-cho, Kamogawa City, Chiba Prefecture 296-8602, Japan
0470922211
g_chimera_7@yahoo.co.jp
| 1st name | Goshi |
| Middle name | |
| Last name | Fujimoto |
Kameda Medical Center
Gastroenterological Surgery
296-0041
929, Higashi-Cho, Kamogawa, Chiba
0470922211
g_chimera_7@yahoo.co.jp
Kameda Medical Center
None
Other
Kameda Medical Center
929, Higashi-Cho, Kamogawa, Chiba
0470922211
g_chimera_7@yahoo.co.jp
NO
| 2026 | Year | 09 | Month | 17 | Day |
Unpublished
2663
No longer recruiting
| 2026 | Year | 08 | Month | 04 | Day |
| 2026 | Year | 08 | Month | 04 | Day |
| 2026 | Year | 08 | Month | 04 | Day |
| 2026 | Year | 09 | Month | 30 | Day |
This study includes a long-term cohort spanning periods before and after DPC (Diagnosis Procedure Combination) implementation, and incorporates a sensitivity analysis using a patient-specific outcome based on DPC Period II thresholds, in addition to the primary fixed outcome (discharge on or after postoperative day 14).
| 2026 | Year | 09 | Month | 17 | Day |
| 2026 | Year | 09 | Month | 17 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000072092