scholarly journals 14 Evaluation of the american college of surgeons national surgical quality improvement program risk calculator to predict outcomes for hysterectomies performed by gynecologic surgeons

2021 ◽  
Vol 224 (6) ◽  
pp. S752
Author(s):  
S. Hamade ◽  
S.A. Shobeiri ◽  
F. McLeod ◽  
J. Alshiek ◽  
P. Javadian ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Quality Improvement Program ◽  
Risk Calculator ◽  
Improvement Program ◽  
Surgical Quality ◽  
American College Of Surgeons

Can the American College of Surgeons National Surgical Quality Improvement Program Risk Calculator Predict Outcomes for Urgent Colectomies?

2020 ◽  
pp. 000313482097339
Author(s):  
Matthew A. Ziegler ◽  
John C. Bauman ◽  
Robert J. Welsh ◽  
Harry J. Wasvary
Keyword(s):  
Quality Improvement ◽  
Predictive Value ◽  
Statistical Power ◽  
Quality Improvement Program ◽  
Postoperative Outcomes ◽  
Risk Calculator ◽  
Improvement Program ◽  
Surgical Quality ◽  
Rehabilitation Facility ◽  
American College Of Surgeons

Background The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) Risk Calculator (RC) predicts postoperative outcomes using 19 risk factors, including operative acuity. Acuity is defined by the calculator as emergent or elective only. The objective of this study is to evaluate the RC’s accuracy in urgent (nonelective/nonemergent) cases. Methods This is a retrospective review of the NSQIP data for patients who underwent urgent colectomies at a single tertiary care center over a 4-year period. Each urgent case was entered into the RC as both elective and emergent, and predicted outcomes were compared to actual postoperative outcomes. Receiver operating characteristic (ROC) curves were used when sufficient statistical power was present and the area under the curve (AUC) was calculated. Results A total of 301 urgent colectomy patients were evaluated, representing 19% of all colectomies performed at our institution during the study period. Of the 15 possible postoperative outcomes, the RC showed high predictive value only for mortality (AUC elective .8467; emergent .8451) and discharge to a nursing/rehabilitation facility (AUC elective .8089; emergent .8105). The RC showed no predictive value for 6 outcomes and the remainder lacked statistical power to draw conclusions. Discussion While the calculator predicted mortality and discharge to a nursing/rehabilitation facility, it did not accurately predict complications for urgent colectomies. Future versions of the calculator should focus on improving the predictive value by including urgent cases as a separate category.

scholarly journals Use of the American College of Surgeons National Surgical Quality Improvement Program Surgical Risk Calculator During Preoperative Risk Discussion

2019 ◽  
Vol 128 (4) ◽  
pp. 643-650 ◽  
Author(s):  
Britany L. Raymond ◽  
Jonathan P. Wanderer ◽  
Alexander T. Hawkins ◽  
Timothy M. Geiger ◽  
Jesse M. Ehrenfeld ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Quality Improvement Program ◽  
Risk Calculator ◽  
Preoperative Risk ◽  
Improvement Program ◽  
Surgical Quality ◽  
Surgical Risk ◽  
American College Of Surgeons

Accuracy of the ACS NSQIP Online Risk Calculator Depends on How You Look at It: Results from the United States Gastric Cancer Collaborative

2018 ◽  
Vol 84 (3) ◽  
pp. 358-364 ◽  
Author(s):  
Eliza W. Beal ◽  
Neil D. Saunders ◽  
Joseph F. Kearney ◽  
Ezra Lyon ◽  
Lai Wei ◽  
...  
Keyword(s):  
United States ◽  
Gastric Cancer ◽  
Quality Improvement ◽  
The United States ◽  
Quality Improvement Program ◽  
Risk Calculator ◽  
Improvement Program ◽  
Surgical Quality ◽  
Online Risk ◽  
American College Of Surgeons

The objective of this study is to assess the accuracy of the American College of Surgeons National Surgical Quality Improvement Program online risk calculator for estimating risk after operation for gastric cancer using the United States Gastric Cancer Collaborative. Nine hundred and sixty-five patients who underwent resection of gastric adenocarcinoma between January 2000 and December 2012 at seven academic medical centers were included. Actual complication rates and outcomes for patients were compared. Most of the patients underwent total gastrectomy with Roux-en-Y reconstruction (404, 41.9%) and partial gastrectomy with gastrojejunostomy (239, 24.8%) or Roux-en-Y reconstruction (284, 29.4%). The C-statistic was highest for venous throm-boembolism (0.690) and lowest for renal failure at (0.540). All C-statistics were less than 0.7. Brier scores ranged from 0.010 for venous thromboembolism to 0.238 for any complication. General estimates of risk for the cohort were variable in terms of accuracy. Improving the ability of surgeons to estimate preoperative risk for patients is critically important so that efforts at risk reduction can be personalized to each patient. The American College of Surgeons National Surgical Quality Improvement Program risk calculator is a rapid and easy-to-use tool and validation of the calculator is important as its use becomes more common.

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