ArticleJournal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale2018
Predicting complications of major head and neck oncological surgery: an evaluation of the ACS NSQIP surgical risk calculator.
Article in Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed.
- Surgical cancellation and changes in postoperative level of care among high and moderate risk surgical patients in the UK.Journal of the Intensive Care Society · 2026Article
- Feasibility of a Physiatry Assessment Clinic to Address Physical Impairment in Head and Neck Cancer Patients Following Neck Resection and Free Flap Reconstruction.Current oncology (Toronto, Ont.) · 2025Article
- Predicting Postoperative Complications in Older Patients Undergoing Head and Neck Microvascular Reconstruction Using the National Quality Improvement Program Risk Calculator.Plastic and reconstructive surgery. Global open · 2025Article
- Major Perioperative Cardiac Risk Assessment: A Review for Cardio-Oncologists and Perioperative Physicians.Clinics and practice · 2024Review
- A meta-analysis of the American college of surgeons risk calculator's predictive accuracy among different surgical sub-specialties.Surgery in practice and science · 2024Article
- How surgeons use risk calculators and non-clinical factors for informed consent and shared decision making: A qualitative study.American journal of surgery · 2023Article
- Above and Beyond Age: Prediction of Major Postoperative Adverse Events in Head and Neck Surgery.The Annals of otology, rhinology, and laryngology · 2022Article
- Effective Communication of Personalized Risks and Patient Preferences During Surgical Informed Consent Using Data Visualization: Qualitative Semistructured Interview Study With Patients After Surgery.JMIR human factors · 2022Article
- Standardization for oncologic head and neck surgery.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2021Review
- Inaccurate Risk Assessment by the ACS NSQIP Risk Calculator in Aortic Surgery.Journal of clinical medicine · 2021Article
- A non-linear ensemble model-based surgical risk calculator for mixed data from multiple surgical fields.BMC medical informatics and decision making · 2021Article
- Circulating hybrid cells predict presence of occult nodal metastases in oral cavity carcinoma.Head & neck · 2021Article
- Optimizing classical risk scores to predict complications in head and neck surgery: a new approach.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2021Article
- A model to predict postoperative complications for otorhinolaryngology and maxillofacial surgery procedures in elderly patients.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2020Article
- Performance of the American College of Surgeons NSQIP Surgical Risk Calculator for Total Gastrectomy.Journal of the American College of Surgeons · 2020Article
- Evaluation of the ACS NSQIP surgical risk calculator in patients undergoing pelvic organ prolapse surgery.International urogynecology journal · 2020Article
- Impact of preoperative risk factors on outcome after gastrectomy.World journal of surgical oncology · 2020Article
- Best Practice in Surgical Treatment of Malignant Head and Neck Tumors.Frontiers in oncology · 2020Article
- Preoperative Risk Index Among Patients Undergoing Thyroid or Parathyroid Surgery.JAMA otolaryngology-- head & neck surgery · 2020Article
- Evaluating the ACS NSQIP Risk Calculator in Primary Pancreatic Neuroendocrine Tumor: Results from the US Neuroendocrine Tumor Study Group.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2019Article
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Authors and funding
4 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundThe American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) universal surgical risk calculator is an online tool intended to improve the informed consent process and surgical decision-making. The risk calculator uses a database of information from 585 hospitals to predict a patient's risk of developing specific postoperative outcomes.
methodsPatient records at a major Canadian tertiary care referral center between July 2015 and March 2017 were reviewed for surgical cases including one of six major head and neck oncologic surgeries: total thyroidectomy, total laryngectomy, hemiglossectomy, partial glossectomy, laryngopharyngectomy, and composite resection. Preoperative information for 107 patients was entered into the risk calculator and compared to observed postoperative outcomes. Statistical analysis of the risk calculator was completed for the entire study population, for stratification by procedure, and by utilization of microvascular reconstruction. Accuracy was assessed using the ratio of predicted to observed outcomes, Receiver Operating Characteristics (ROC), Brier score, and the Wilcoxon signed-ranked test.
resultsThe risk calculator accurately predicted the incidences for 11 of 12 outcomes for patients that did not undergo free flap reconstruction (NFF group), but was less accurate for patients that underwent free flap reconstruction (FF group). Length of stay (LOS) analysis showed similar results, with predicted and observed LOS statistically different in the overall population and FF group analyses (p = 0.001 for both), but not for the NFF group analysis (p = 0.764). All outcomes in the NFF group, when analyzed for calibration, met the threshold value (Brier scores < 0.09). Risk predictions for 8 of 12, and 10 of 12 outcomes were adequately calibrated in the FF group and the overall study population, respectively. Analyses by procedure were excellent, with the risk calculator showing adequate calibration for 7 of 8 procedural categories and adequate discrimination for all calculable categories (6 of 6).
conclusionThe NSQIP-RC demonstrated efficacy for predicting postoperative complications in head and neck oncology surgeries that do not require microvascular reconstruction. The predictive value of the metric can be improved by inclusion of several factors important for risk stratification in head and neck oncology.
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