Reference-04

Surgery Trend Ranking in MDV Data (2019)

1. What Kind of Information is Included in MDV Database?

MDV database contains medical treatment, disease, and partial blood test results information allowing different analysis from pharmaceutical companies, medical device manufacturers, academia, research institution, and health insurance providers.
For surgery or any other medical treatment other than medication, Japan utilized a unique category and code system. For example, surgeries are all referred as “K code” category. These codes can be utilized to pin-point number of patients as well as volume of surgeries.

2. Surgery Trend Ranking in MDV Data (January 2019 - December 2019)

From MDV Database containing over 400 hospitals with more that 30 million patient data

Health Claim Category Code	Health Claim Category Code	Number of Patients
K721	Endoscopic colon polypectomy/membrane resection	165,218
K282	Lens reconstruction surgery	129,106
K936	Autosuture device add-on fee	68,180
K046	Invasive fracture surgery	56,880
K549	Percutaneous coronary artery stenting	44,709
K898	Caesarean delivery	37,774
K476	Malignant breast tumor surgery	35,291
K688	Endoscopic biliary stenting	31,315
K783-2	Transurethral stenting of ureteral stent	30,394
K142	Spinal fusion, laminectomy, laminoplasty (including multiple intervertebral or multiple vertebral arch surgery)	30,325
K082	Artificial joint replacement	25,391
K595	Percutaneous catheter ablation	25,234
K672-2	Laparoscopic cholecystectomy	24,699
K654	Endoscopic digestive tract hemostasis	23,493
K803	Malignant bladder tumor surgery	19,903
K601	Artificial heart and lung (per one day)	19,035
K687	Endoscopic papilla incision	17,316
K888	Surgical procedure of the uterine appendage to the uterus (bilateral)	16,778
K653	Endoscopic gastric, duodenal polyp/membrane resection	16,775
K276	Retinal photocoagulation	16,673
K616-4	Percutaneous shunt dilation/thrombectomy	16,673
K611	Implantable catheter placement for continuous intraarterial, intravenous or intraabdominal injection of antitumor agents	16,083
K600	Aorta balloon-bumping method (IABP method) (per one day)	16,080
K615	Vascular embolization (blood vessels in head, thoracic cavity, abdominal cavity and others)	14,313
K081	Artificial femoral head insertion	12,740

Various surgeries for different disease can be seen due to MDV database consisting hospitals which have capabilities to treat acute and chronic disease.
There are also diseases and blood test results and by combining these information, it will allow more comprehensive analysis.