ArticleWorld journal of surgery2007
Accuracy of the surgeons' clinical prediction of perioperative complications using a visual analog scale.
Article in World journal of surgery, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.
- Systematic review and narrative synthesis of surgeons' perception of postoperative outcomes and risk.BJS open · 2020Pooled it
- Intraoperative left-sided colorectal anastomotic testing in clinical practice: a multi-treatment machine-learning analysis of the iCral3 prospective cohort.Updates in surgery · 2024Article
- Comment on: "Integrating Human Intuition into Prediction Algorithms for Improved Surgical Risk Stratification".Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2024Article
- Preoperative Risk Stratification in Esophageal Cancer Surgery: Comparing Risk Models with the Clinical Judgment of the Surgeon.Annals of surgical oncology · 2023Article
- Quantifying Surgeon Intuition Using a Judgment Analysis Model: Surgeon Accuracy of Predicting Patient-Reported Outcomes in Patients Undergoing Hip Arthroscopy for Femoroacetabular Impingement Is Moderate at Best.Arthroscopy, sports medicine, and rehabilitation · 2023Article
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- Evaluation of metabolic equivalents of task (METs) in the preoperative assessment in aortic repair.BMC surgery · 2021Observational
- Assessment of Surgical Complications With Respect to the Surgical Indication: Proposal for a Novel Index.Frontiers in surgery · 2021Article
- Assessment of isokinetic trunk muscle strength and its association with health-related quality of life in patients with degenerative spinal deformity.BMC musculoskeletal disorders · 2020Article
- Assessment of the association between paraspinal muscle degeneration and quality of life in patients with degenerative lumbar scoliosis.Experimental and therapeutic medicine · 2020Article
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- Predicting morbidity of liver resection.Langenbeck's archives of surgery · 2018Article
- A simple web-based risk calculator (www.anastomoticleak.com) is superior to the surgeon's estimate of anastomotic leak after colon cancer resection.Techniques in coloproctology · 2017Article
- Multiple preoperative and intraoperative factors predict early fistula thrombosis in the Hemodialysis Fistula Maturation Study.Journal of vascular surgery · 2016Observational
- Article
- Development and evaluation of the universal ACS NSQIP surgical risk calculator: a decision aid and informed consent tool for patients and surgeons.Journal of the American College of Surgeons · 2013Article
- Surgeon perception is not a good predictor of peri-operative outcomes in robot-assisted radical prostatectomy.Journal of robotic surgery · 2011Article
- Sociodemographics and comorbidities influence decisions to undergo pancreatic resection for neoplastic lesions.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2010Article
- What is a surgical complication?World journal of surgery · 2008Article
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe ability to predict who will develop perioperative complications remains difficult because the etiology of adverse events is multifactorial. This study examines the preoperative and postoperative ability of the surgeon to predict complications and assesses the significance of a change in prediction.
methodsThis was a prospective study of 1013 patients. The surgeon assessed the risk of a major complication on a 100-mm visual analog scale (VAS) immediately before and after surgery. When the VAS score was changed, the surgeon was asked to document why. Patients were assessed up to 30 days postoperatively.
resultsSurgeons made a meaningful preoperative prediction of major complications (median score = 27 mm vs. 19 mm, p < 0.01), with an area under the receiver operating characteristic curve of 0.74 for mortality, 0.67 for major complications, and 0.63 for all complications. A change in the VAS score postoperatively was due to technical reasons in 74% of stated cases. An increased VAS score identified significantly more complications, but the improvement in the discrimination was small. When included in a multivariate model for predicting postoperative complications, the surgeon's VAS score functioned as an independent predictive variable and improved the predictive ability, goodness of fit, and discrimination of the model.
conclusionsClinical assessment of risk by the surgeon using a VAS score independently improves the prediction of perioperative complications. Including the unique contribution of the surgeon's clinical assessment should be considered in models designed to predict the risk of surgery.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.