116 Evaluation of Complication Rates Related to Surgical Management of Concurrent Erectile Dysfunction and Peyronie’s Disease: National Multi-institutional Analysis of the National Surgical Quality Improvement Program (NSQIP) Database

2019 ◽  
Vol 16 (4) ◽  
pp. S58-S59
Author(s):  
O. Raheem ◽  
M. Khalil
Keyword(s):  
Quality Improvement ◽  
Erectile Dysfunction ◽  
Surgical Management ◽  
Institutional Analysis ◽  
Peyronie’S Disease ◽  
Quality Improvement Program ◽  
Complication Rates ◽  
Improvement Program ◽  
Surgical Quality ◽  
Peyronie's Disease

Economic impact of the use of the National Surgical Quality Improvement Program

2021 ◽  
Vol 37 (1) ◽  
Author(s):  
Alvine Fansi ◽  
Angela Ly ◽  
Julie Mayrand ◽  
Maggy Wassef ◽  
Aldanie Rho ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Cost Analysis ◽  
Economic Impact ◽  
Quality Improvement Program ◽  
Economic Evaluations ◽  
Complication Rates ◽  
Improvement Program ◽  
Surgical Quality ◽  
Acs Nsqip ◽  
The Cost

Objectives The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP®) is a validated, risk-adjusted database for improving the quality and security of surgical care. ACS NSQIP can help participating hospitals target areas that need improvement. The aim of this study was to systematically review the literature analyzing the economic impact of using NSQIP. This paper also provides an estimation of annual cost savings following the implementation of NSQIP and quality improvement (QI) activities in two hospitals in Quebec. Methods In June 2018, we searched in seven databases, including PubMed, Embase, and NHSEED for economic evaluations based on NSQIP data. Contextual NSQIP databases from two hospitals were collected and analyzed. A cost analysis was conducted from the hospital care perspective, comparing complication costs before and after 1 year of the implementation of NSQIP and QI activities. The number and the cost of complications are measured. Costs are presented in 2018 Canadian dollars. Results Out of 1,612 studies, 11 were selected. The level of overall evidence was judged to be of moderate to high quality. In general, data showed that, following the implementation of NSQIP and QI activities, a significant decrease in complications and associated costs was observed, which improved with time. In the cost analysis of contextual data, the reduction in complication costs outweighed the cost of implementing NSQIP. However, this cost analysis did not take into account the costs of QI activities. Conclusions NSQIP improves complication rates and associated costs when QI activities are implemented.

Short-term Complication Rates Following Anterior Urethroplasty: An Analysis of National Surgical Quality Improvement Program Data

Urology ◽  
2018 ◽  
Vol 111 ◽  
pp. 197-202 ◽  
Author(s):  
John M. Lacy ◽  
Ramiro J. Madden-Fuentes ◽  
Adam Dugan ◽  
Andrew C. Peterson ◽  
Shubham Gupta
Keyword(s):  
Quality Improvement ◽  
Quality Improvement Program ◽  
Complication Rates ◽  
Short Term ◽  
Improvement Program ◽  
Surgical Quality ◽  
Program Data

scholarly journals Impact of resident involvement in neurosurgery: an analysis of 8748 patients from the 2011 American College of Surgeons National Surgical Quality Improvement Program database

2015 ◽  
Vol 122 (4) ◽  
pp. 962-970 ◽  
Author(s):  
Seokchun Lim ◽  
Andrew T. Parsa ◽  
Bobby D. Kim ◽  
Joshua M. Rosenow ◽  
John Y. S. Kim
Keyword(s):  
Quality Improvement ◽  
Postoperative Complications ◽  
Operating Room ◽  
Quality Improvement Program ◽  
Independent Effect ◽  
Complication Rates ◽  
Improvement Program ◽  
Surgical Quality ◽  
Resident Involvement ◽  
American College Of Surgeons

OBJECT This study evaluates the impact of resident presence in the operating room on postoperative outcomes in neurosurgery. METHODS The authors retrospectively reviewed the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) and identified all cases treated in a neurosurgery service in 2011. Propensity scoring analysis and multiple logistic regression models were used to reduce patient bias and to assess independent effect of resident involvement. RESULTS Of the 8748 neurosurgery cases identified, residents were present in 4529 cases. Residents were more likely to be involved in complex procedures with longer operative duration. The multivariate analysis found that resident involvement was not a statistically significant factor for overall complications (OR 1.116, 95% CI 0.961–1.297), surgical complications (OR 1.132, 95% CI 0.825–1.554), medical complications (OR 1.146, 95% CI 0.979–1.343), reoperation (OR 1.250, 95% CI 0.984–1.589), mortality (OR 1.164, 95% CI 0.780–1.737), or unplanned readmission (OR 1.148, 95% CI 0.946–1.393). CONCLUSIONS In this multicenter study, the authors demonstrated that resident involvement in the operating room was not a significant factor for postoperative complications in neurosurgery service. This analysis also showed that much of the observed difference in postoperative complication rates was attributable to other confounding factors. This is a quality indicator for resident trainees and current medical education. Maintaining high standards in postgraduate training is imperative in enhancing patient care and reducing postoperative complications.

scholarly journals Acute Complications in Total Wrist Arthroplasty: A National Surgical Quality Improvement Program Review

2019 ◽  
Vol 09 (02) ◽  
pp. 124-128 ◽  
Author(s):  
Michael D. Eckhoff ◽  
Julia M. Bader ◽  
Leon J. Nesti ◽  
John C. Dunn
Keyword(s):  
Quality Improvement ◽  
Postoperative Period ◽  
Quality Improvement Program ◽  
Complication Rates ◽  
Safe Procedure ◽  
Improvement Program ◽  
Level Of Evidence ◽  
Surgical Quality ◽  
Total Wrist Arthroplasty ◽  
Wrist Arthroplasty

Abstract Background The study sought to assess the patient-based variables, surgical risk factors, and postoperative conditions associated with readmission after total wrist arthroplasty (TWA). Materials and Methods All patients undergoing TWA were identified from the National Surgical Quality Improvement Program dataset from 2005 to 2016. Patient demographics, medical comorbidities, surgical characteristics, and outcomes were examined to isolate predictors for readmission within 30 days postoperatively. Results A total of 57 patients were identified to have undergone TWA. The average patients were 62.3 (13.8) years old, female (57.7%), and most were treated in the outpatient setting (67.3%). Comorbid conditions included smoking (17.3%), diabetes (15.4%), and chronic steroid therapy (15.4%). No complications were identified in the 30-day postoperative period. There was a trend for increasing utilization of TWA over the years included. Conclusion TWA is a safe procedure with low complication rates in the acute postoperative period. Increasing utilization is likely a result of improved outcomes and cost-effectiveness of TWA. Level of Evidence This is a Level II, prognostic study.

scholarly journals National Surgical Quality Improvement Program Data Indicate Blood Transfusion After Lower Extremity Bypass Increases Complication Rates

2018 ◽  
Vol 68 (3) ◽  
pp. e54
Author(s):  
Mustafa B. Baldawi ◽  
Jared Bobulski ◽  
Mohanad B. Baldawi ◽  
Stephen F. Markowiak ◽  
Weikai Qu ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Blood Transfusion ◽  
Lower Extremity ◽  
Quality Improvement Program ◽  
Complication Rates ◽  
Improvement Program ◽  
Surgical Quality ◽  
Program Data

Appendectomy at the time of ovarian cancer staging increases infectious complications: a National Surgical Quality Improvement Program (NSQIP) propensity score-stratified analysis

2020 ◽  
Vol 30 (10) ◽  
pp. 1542-1547
Author(s):  
Laurence Bernard ◽  
Innie Chen ◽  
Tien Le
Keyword(s):  
Ovarian Cancer ◽  
Quality Improvement ◽  
Propensity Score ◽  
Early Stage ◽  
Quality Improvement Program ◽  
Complication Rates ◽  
Improvement Program ◽  
Surgical Quality ◽  
Time Of Surgery ◽  
Propensity Score Stratification

ObjectiveDespite evidence that routine elective appendectomy at the time of staging surgery for ovarian cancer is not warranted, it remains common practice in gynecology oncology. The objective of this study was to compare the surgical complication rates of women undergoing surgery for suspected early-stage ovarian malignancy with concurrent appendectomy to those who did not undergo appendectomy.MethodsThe American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) 2010–2017 data were used to analyze the patient characteristics and outcomes of women undergoing staging surgeries for suspected early ovarian cancer. Women with pre-operative ascites, disseminated cancer, concurrent bowel surgery, or cytoreductive surgery were excluded. Multivariate logistic regression and propensity score stratification were used to assess 30-day post-operative outcomes.ResultsThree hundred and fifty-one of 2100 women (16.7%) underwent concurrent appendectomy at time of surgery, and the post-operative infection rate was 7.8%. Women with concurrent appendectomy had twice the odds of post-operative infection (OR 2.03, 95% CI 1.26 to 3.27) after controlling for clinically important risk factors. The increased odds of infection remained significant after propensity score stratification (OR 2.04, 95% CI 1.27 to 3.3). No association was observed with length of hospital stay, readmission, return to the operating room, or post-operative death.ConclusionsAppendectomy at time of surgery for suspected early-stage ovarian cancer is associated with significantly elevated odds of post-operative infection. Unless there is clinical suspicion for involvement, routine appendectomy should be abandoned in clinical practice.

scholarly journals Perioperative outcomes following radical prostatectomy for patients with disseminated cancer: An analysis of the National Surgical Quality Improvement Program database

2016 ◽  
Vol 10 (11-12) ◽  
pp. 423 ◽  
Author(s):  
Raj Satkunasivam ◽  
Christopher J.D. Wallis ◽  
James Byrne ◽  
Azik Hoffman ◽  
Douglas C. Cheung ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Radical Prostatectomy ◽  
Length Of Stay ◽  
Quality Improvement Program ◽  
Bleeding Complications ◽  
Perioperative Outcomes ◽  
Complication Rates ◽  
Improvement Program ◽  
Surgical Quality ◽  
Venous Thromboembolic

Introduction: We sought to determine whether patients undergoing radical prostatectomy (RP) in the context of disseminated cancer have higher 30-day complications.Methods: We conducted a retrospective cohort study of the National Surgical Quality Improvement Program (NSQIP) database. Men undergoing RP (from January 1, 2005 to December 31, 2014) for prostate cancer were identified and stratified by presence (n=97) or absence (n=27 868) of disseminated cancer. The primary outcome was major complications (death, re-operation, cardiac or neurologic events) within 30 days of surgery. Secondary outcomes included pulmonary, infectious, venous thromboembolic, and bleeding complications; prolonged length of stay; and concomitant procedures (bowel-related, cystectomy, urinary diversion, and major ureteric reconstruction). Odds ratios (OR) for each complication were calculated using univariable logistic regression.Results: We did not identify a difference in major complication rates (OR 2.26, 95% confidence interval [CI] 0.71‒7.16). Patients with disseminated cancer had increased risk of venous thromboembolic events (OR 3.30, 95% CI 1.04‒10.48) and transfusion (OR 2.45, 95% CI 1.18‒5.05), but similar odds of pulmonary and infectious complications and length of stay. Bowel procedures were rare, however, a significantly higher proportion of patients with disseminated cancer required bowel procedures (2.1% vs. 0.3%; p=0.03). Patients with disseminated cancer undergoing RP had greater comorbidities and higher predicted probability of morbidity and mortality. This study is limited by its retrospective design, lack of cancer-specific variables, and prostatectomyspecific complications.Conclusions: RP in the context of disseminated cancer may be associated with increased perioperative complications. Caution should be exercised in embarking on this practice outside of clinical trials.

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