ArticleThe Permanente journal2014
Accuracy of national surgery quality improvement program models in predicting postoperative morbidity in patients undergoing colectomy.
Article in The Permanente journal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Disparities in utilization of robotic surgery for colon cancer: an evaluation of the U.S. National Cancer Database.Journal of robotic surgery · 2022Article
- Article
- Laparoscopic wedge resection as an alternative to laparoscopic oncological colon resection for benign endoscopically unresectable colon polyps.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2021Article
- The association of preoperative blood markers with postoperative readmissions following arthroplasty.Bone & joint open · 2021Article
- Using the National Surgical Quality Improvement Project (NSQIP) to Perform Clinical Research in Colon and Rectal Surgery.Clinics in colon and rectal surgery · 2019Review
- Risk assessment of morbidities after right hemicolectomy based on the National Clinical Database in Japan.Annals of gastroenterological surgery · 2018Article
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Authors and funding
6 authors.
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Abstract
backgroundThe National Surgery Quality Improvement Program (NSQIP) is the standard for assessment of acuity-adjusted outcomes in surgery. The validity of NSQIP has not been well established in colorectal surgery. Technical and process variables, which NSQIP may not consider, affect morbidity rate.
objectiveA retrospective observational study was undertaken to determine the accuracy of NSQIP models in predicting morbidity for patients undergoing laparoscopic or open colectomy.
methodsNSQIP participant use files for 2005 to 2008 were obtained. Data were selected using Current Procedural Terminology coding for open or laparoscopic colectomy. NSQIP-generated predicted morbidities were used to create area under the receiver operator curves (AUROCs).
resultsAUROCs demonstrated an accurate predictive model if the value was above 0.8 and indicated a marginal predictor mode if below 0.7. The AUROC for the general NSQIP model was 0.817 (confidence interval [CI] = 0.815-0.819, p < 0.001). AUROC for the combined laparoscopic and open colectomy group was 0.703 (CI = 0.698-0.709, p value < 0.001). AUROCs for the individual laparoscopic and open colectomy groups were 0.627 (CI = 0.615-0.640, p < 0.001) and 0.701 (CI = 0.695-0.707, p < 0.001).
conclusionThis study demonstrates that although NSQIP-generated morbidities used to create AUROCs are accurate for patients in an overall surgical model, predictive models for morbidity are marginal for laparoscopic and open abdominal colectomies. NSQIP risk models tend to emphasize comorbidities rather than intraoperative details or technical aspects of colonic resections.
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