Evaluating the American College of Surgeons National Surgical Quality Improvement project risk calculator: results from the US Extrahepatic Biliary Malignancy Consortium

被引：29

作者：

Beal, Eliza W. ^{[1
,2
,3
]}

Lyon, Ezra ^{[1
,2
,3
]}

Kearney, Joe ^{[1
,2
,3
]}

Wei, Lai ^{[1
,2
,3
]}

Ethun, Cecilia G. ^{[4
]}

Black, Sylvester M. ^{[1
,2
,3
]}

Dillhoff, Mary ^{[1
,2
,3
]}

Salem, Ahmed ^{[5
]}

Weber, Sharon M. ^{[5
]}

Tran, Thuy B. ^{[6
]}

Poultsides, George ^{[6
]}

Shenoy, Rivfka ^{[7
]}

Hatzaras, Ioannis ^{[7
]}

Krasnick, Bradley ^{[7
]}

Fields, Ryan C. ^{[8
]}

Buttner, Stefan ^{[9
]}

Scoggins, Charles R. ^{[10
]}

Martin, Robert C. G. ^{[10
]}

Isom, Chelsea A. ^{[11
]}

Idrees, Kamron ^{[11
]}

Mogal, Harveshp D. ^{[12
]}

Shen, Perry ^{[12
]}

Maithel, Shishir K. ^{[4
]}

Pawlik, Timothy M. ^{[1
,2
,3
]}

Schmidt, Carl R. ^{[1
,2
,3
]}

机构：

[1] Ohio State Univ, Wexner Med Ctr, Div Surg Oncol, Columbus, OH 43210 USA

[2] James Canc Hosp, Columbus, OH USA

[3] Solove Res Inst, Columbus, OH USA

[4] Emory Univ, Winship Canc Inst, Dept Surg, Div Surg Oncol, Atlanta, GA 30322 USA

[5] Univ Wisconsin, Dept Surg, Sch Med & Publ Hlth, Madison, WI USA

[6] Stanford Univ, Med Ctr, Dept Surg, Stanford, CA 94305 USA

[7] NYU, Dept Surg, New York, NY 10016 USA

[8] Washington Univ, Sch Med, Dept Surg, St Louis, MO 63110 USA

[9] Johns Hopkins Univ Hosp, Dept Surg, Div Surg Oncol, Baltimore, MD 21287 USA

[10] Univ Louisville, Dept Surg, Div Surg Oncol, Louisville, KY 40292 USA

[11] Vanderbilt Univ, Dept Surg, Med Ctr, Div Surg Oncol, Nashville, TN 37240 USA

[12] Wake Forest Univ, Dept Surg, Winston Salem, NC 27109 USA

来源：

HPB | 2017年 / 19卷 / 12期

关键词：

LONG-TERM OUTCOMES; POSTOPERATIVE COMPLICATIONS; PANCREATIC FISTULA; HEPATIC RESECTION; SITE INFECTIONS; PANCREATICODUODENECTOMY; ADJUSTMENT; MORBIDITY; MORTALITY; MODELS;

D O I：

10.1016/j.hpb.2017.08.009

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Background: The objective of this study is to evaluate use of the American College of Surgeons (ACS) National Surgical Quality Improvement Program (NSQIP) online risk calculator for estimating common outcomes after operations for gallbladder cancer and extrahepatic cholangiocarcinoma. Methods: Subjects from the United States Extrahepatic Biliary Malignancy Consortium (USE-BMC) who underwent operation between January 1, 2000 and December 31, 2014 at 10 academic medical centers were included in this study. Calculator estimates of risk were compared to actual outcomes. Results: The majority of patients underwent partial or major hepatectomy, Whipple procedures or extrahepatic bile duct resection. For the entire cohort, c-statistics for surgical site infection (0.635), reoperation (0.680) and readmission (0.565) were less than 0.7. The c-statistic for death was 0.740. For all outcomes the actual proportion of patients experiencing an event was much higher than the median predicted risk of that event. Similarly, the group of patients who experienced an outcome did have higher median predicted risk than those who did not. Conclusions: The ACS NSQIP risk calculator is easy to use but requires further modifications to more accurately estimate outcomes for some patient populations and operations for which validation studies show suboptimal performance.

引用

页码：1104 / 1111

页数：8

共 22 条

[1] Development and Evaluation of the Universal ACS NSQIP Surgical Risk Calculator: A Decision Aid and Informed Consent Tool for Patients and Surgeons [J].

Bilimoria, Karl Y. ;

Liu, Yaoming ;

Paruch, Jennifer L. ;

Zhou, Lynn ;

Kmiecik, Thomas E. ;

Ko, Clifford Y. ;

Cohen, Mark E. .

JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, 2013, 217 (05) :833-+

[2] Reducing surgical site infections in hepatopancreatobiliary surgery [J].

Ceppa, Eugene P. ;

Pitt, Henry A. ;

House, Michael G. ;

Kilbane, E. Molly ;

Nakeeb, Attila ;

Schmidt, C. Max ;

Zyromski, Nicholas J. ;

Lillemoe, Keith D. .

HPB, 2013, 15 (05) :384-391

[3] Optimizing ACS NSQIP Modeling for Evaluation of Surgical Quality and Risk: Patient Risk Adjustment, Procedure Mix Adjustment, Shrinkage Adjustment, and Surgical Focus [J].

Cohen, Mark E. ;

Ko, Clifford Y. ;

Bilimoria, Karl Y. ;

Zhou, Lynn ;

Huffman, Kristopher ;

Wang, Xue ;

Liu, Yaoming ;

Kraemer, Kari ;

Meng, Xiangju ;

Merkow, Ryan ;

Chow, Warren ;

Matel, Brian ;

Richards, Karen ;

Hart, Amy J. ;

Dimick, Justin B. ;

Hall, Bruce L. .

JOURNAL OF THE AMERICAN COLLEGE OF SURGEONS, 2013, 217 (02) :336-+

[4] Whipple-specific complications result in prolonged length of stay not accounted for in ACS-NSQIP Surgical Risk Calculator [J].

Cusworth, Brian M. ;

Krasnick, Bradley A. ;

Nywening, Timothy M. ;

Woolsey, Cheryl A. ;

Fields, Ryan C. ;

Doyle, Maria M. ;

Liu, Jingxia ;

Hawkins, William G. .

HPB, 2017, 19 (02) :147-153

[5] Nonalcoholic fatty liver disease: Predictors of nonalcoholic steatohepatitis and liver fibrosis in the severely obese [J].

Dixon, JB ;

Bhathal, PS ;

O'Brien, PE .

GASTROENTEROLOGY, 2001, 121 (01) :91-100

[6] Evaluation and management of intrahepatic and extrahepatic cholangiocarcinoma [J].

Esnaola, Nestor F. ;

Meyer, Joshua E. ;

Karachristos, Andreas ;

Maranki, Jennifer L. ;

Camp, E. Ramsay ;

Denlinger, Crystal S. .

CANCER, 2016, 122 (09) :1349-1369

[7] Correlation Between Postoperative Infective Complications and Long-Term Outcomes After Hepatic Resection for Colorectal Liver Metastasis [J].

Farid, Shahid G. ;

Aldouri, Amer ;

Morris-Stiff, Gareth ;

Khan, Aamir Z. ;

Toogood, Giles J. ;

Lodge, J. Peter A. ;

Prasad, K. Rajendra .

ANNALS OF SURGERY, 2010, 251 (01) :91-100

[8] Patient Characteristics and the Occurrence of Never Events [J].

Fry, Donald E. ;

Pine, Michael ;

Jones, Barbara L. ;

Meimban, Roger J. .

ARCHIVES OF SURGERY, 2010, 145 (02) :148-151

[9] WHipple-ABACUS, a simple, validated risk score for 30-day mortality after pancreaticoduodenectomy developed using the ACS-NSQIP database [J].

Gleeson, Elizabeth M. ;

Shaikh, Mohammad F. ;

Shewokis, Patricia A. ;

Clarke, John R. ;

Meyers, William C. ;

Pitt, Henry A. ;

Bowne, Wilbur B. .

SURGERY, 2016, 160 (05) :1279-1287

[10]

Haruki K, 2013, ANTICANCER RES, V33, P1697

← 1 2 3 →