scholarly journals Retroperitoneal sarcoma perioperative risk stratification: A United States Sarcoma Collaborative evaluation of the ACS‐NSQIP risk calculator

2020 ◽  
Vol 122 (4) ◽  
pp. 795-802
Author(s):  
Patrick B. Schwartz ◽  
Christopher C. Stahl ◽  
Cecilia Ethun ◽  
Nicholas Marka ◽  
George A. Poultsides ◽  
...  
Keyword(s):  
United States ◽  
Risk Stratification ◽  
Perioperative Risk ◽  
Retroperitoneal Sarcoma ◽  
Risk Calculator ◽  
Acs Nsqip ◽  
Collaborative Evaluation

Correlation of perioperative risk scores with hospital costs in neurosurgical patients

2020 ◽  
Vol 132 (3) ◽  
pp. 818-824
Author(s):  
Sasha Vaziri ◽  
Joseph M. Abbatematteo ◽  
Max S. Fleisher ◽  
Alexander B. Dru ◽  
Dennis T. Lockney ◽  
...  
Keyword(s):  
Surgical Site Infection ◽  
Hospital Costs ◽  
Patient Characteristics ◽  
Risk Scores ◽  
Site Infection ◽  
Risk Calculator ◽  
Surgical Risk ◽  
Acs Nsqip ◽  
Neurosurgical Patients ◽  
Predicted Risk

OBJECTIVEThe American College of Surgeons (ACS) National Surgical Quality Improvement Program (NSQIP) online surgical risk calculator uses inherent patient characteristics to provide predictive risk scores for adverse postoperative events. The purpose of this study was to determine if predicted perioperative risk scores correlate with actual hospital costs.METHODSA single-center retrospective review of 1005 neurosurgical patients treated between September 1, 2011, and December 31, 2014, was performed. Individual patient characteristics were entered into the NSQIP calculator. Predicted risk scores were compared with actual in-hospital costs obtained from a billing database. Correlational statistics were used to determine if patients with higher risk scores were associated with increased in-hospital costs.RESULTSThe Pearson correlation coefficient (R) was used to assess the correlation between 11 types of predicted complication risk scores and 5 types of encounter costs from 1005 health encounters involving neurosurgical procedures. Risk scores in categories such as any complication, serious complication, pneumonia, cardiac complication, surgical site infection, urinary tract infection, venous thromboembolism, renal failure, return to operating room, death, and discharge to nursing home or rehabilitation facility were obtained. Patients with higher predicted risk scores in all measures except surgical site infection were found to have a statistically significant association with increased actual in-hospital costs (p < 0.0005).CONCLUSIONSPrevious work has demonstrated that the ACS NSQIP surgical risk calculator can accurately predict mortality after neurosurgery but is poorly predictive of other potential adverse events and clinical outcomes. However, this study demonstrates that predicted high-risk patients identified by the ACS NSQIP surgical risk calculator have a statistically significant moderate correlation to increased actual in-hospital costs. The NSQIP calculator may not accurately predict the occurrence of surgical complications (as demonstrated previously), but future iterations of the ACS universal risk calculator may be effective in predicting actual in-hospital costs, which could be advantageous in the current value-based healthcare environment.

Perioperative risk stratification using the timed up and go test

2021 ◽  
Vol 162 ◽  
pp. S234
Author(s):  
Mary Katherine Montes de Oca ◽  
Hadley Reid ◽  
Daniel Spinosa ◽  
Catherine Watson ◽  
Leah McNally
Keyword(s):  
Risk Stratification ◽  
Perioperative Risk ◽  
Timed Up And Go

scholarly journals Perioperative risk calculator for distal gastrectomy predicts overall survival in patients with gastric cancer

2018 ◽  
Vol 22 (3) ◽  
pp. 624-631 ◽  
Author(s):  
Masashi Takeuchi ◽  
Hirofumi Kawakubo ◽  
Shuhei Mayanagi ◽  
Yoshiyuki Suzuki ◽  
Koji Okabayashi ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Overall Survival ◽  
Distal Gastrectomy ◽  
Perioperative Risk ◽  
Risk Calculator

scholarly journals Pancreatectomy risk calculator: an ACS-NSQIP resource

HPB ◽  
2010 ◽  
Vol 12 (7) ◽  
pp. 488-497 ◽  
Author(s):  
Purvi Parikh ◽  
Mira Shiloach ◽  
Mark E. Cohen ◽  
Karl Y. Bilimoria ◽  
Clifford Y. Ko ◽  
...  
Keyword(s):  
Risk Calculator ◽  
Acs Nsqip

scholarly journals Histology-based Classification Predicts Pattern of Recurrence and Improves Risk Stratification in Primary Retroperitoneal Sarcoma

2016 ◽  
Vol 263 (3) ◽  
pp. 593-600 ◽  
Author(s):  
Marcus C. B. Tan ◽  
Murray F. Brennan ◽  
Deborah Kuk ◽  
Narasimhan P. Agaram ◽  
Cristina R. Antonescu ◽  
...  
Keyword(s):  
Risk Stratification ◽  
Retroperitoneal Sarcoma ◽  
Primary Retroperitoneal ◽  
Pattern Of Recurrence

Validation of the ACS NSQIP Surgical Risk Calculator in older patients with colorectal cancer undergoing elective surgery

2021 ◽  
Vol 12 (8) ◽  
pp. S67
Author(s):  
H. Van der Hulst ◽  
J.W.T. Dekker ◽  
E. Bastiaannet ◽  
J. van der Bol ◽  
F. van den Bos ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Older Patients ◽  
Elective Surgery ◽  
Risk Calculator ◽  
Surgical Risk ◽  
Acs Nsqip
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