Evidence map›Paper›PMID 32724336›Full record

ArticlePatient safety in surgery2020

The value of the "Surgical Risk Preoperative Assessment System" (SURPAS) in preoperative consultation for elective surgery: a pilot study.

Michael R Bronsert, Anne Lambert-Kerzner, William G Henderson, Karl E Hammermeister, Chisom Atuanya, Davis M Aasen, Abhinav B Singh, Robert A Meguid

Open access · goldAbstract read
In one paragraph

Article in Patient safety in surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.0field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 33 citations in OpenAlex.

  1. Balancing Objectivity and Humanity: Ethical Challenges and Considerations in Surgical Candidacy Decisions.HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues · 2026
    Article
  2. Review
  3. Article
  4. Review
  5. Observational
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Michael R Bronsert *Surgical Outcomes and Applied Research, University of Colorado School of Medicine, Aurora, CO USA.
Anne Lambert-Kerzner *Surgical Outcomes and Applied Research, University of Colorado School of Medicine, Aurora, CO USA.
William G HendersonSurgical Outcomes and Applied Research, University of Colorado School of Medicine, Aurora, CO USA.
Karl E HammermeisterSurgical Outcomes and Applied Research, University of Colorado School of Medicine, Aurora, CO USA.
Chisom AtuanyaSurgical Outcomes and Applied Research, University of Colorado School of Medicine, Aurora, CO USA.
Davis M AasenSurgical Outcomes and Applied Research, University of Colorado School of Medicine, Aurora, CO USA.
Abhinav B SinghSurgical Outcomes and Applied Research, University of Colorado School of Medicine, Aurora, CO USA.
Robert A MeguidSurgical Outcomes and Applied Research, University of Colorado School of Medicine, Aurora, CO USA.ORCID 0000-0003-2646-4252
Outcomes Research Consortium · USColorado School of Public Health · US

Funding

AHRQ HHS R21 HS024124
6 · The paper itself

Abstract

backgroundRisk assessment is essential to informed decision making in surgery. Preoperative use of the Surgical Risk Preoperative Assessment System (SURPAS) providing individualized risk assessment, may enhance informed consent. We assessed patient and provider perceptions of SURPAS as a risk assessment tool.

methodsA convergent mixed-methods study assessed SURPAS's trial implementation, concurrently collecting quantitative and qualitative data, separately analyzing it, and integrating the results. Patients and providers were surveyed and interviewed on their opinion of how SURPAS impacted the preoperative encounter. Relationships between patient risk and patient and provider assessment of SURPAS were examined.

resultsA total of 197 patients were provided their SURPAS postoperative risk estimates in nine surgeon's clinics. Of the total patients, 98.8% reported they understood their surgical risks very or quite well after exposure to SURPAS; 92.7% reported SURPAS was very helpful or helpful. Providers shared that 83.4% of the time they reported SURPAS was very or somewhat helpful; 44.7% of the time the providers reported it changed their interaction with the patient and this change was beneficial 94.3% of the time. As patient risk increased, providers reported that SURPAS was increasingly helpful (

conclusionsPatients and providers reported the use of SURPAS helpful and informative during the preoperative risk assessment of patients, thus improving the surgical decision making process. Patients thought that SURPAS was helpful regardless of their risk level, whereas providers thought that SURPAS was more helpful in higher risk patients.

Indexed as

Mixed methodsSurgical risk predictionSURPAS

Identifiers

PMID32724336
PMCPMC7382083
OpenAlexW3043945904

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.