Evidence map›Paper›PMID 38703240›Full record

ArticleLangenbeck's archives of surgery2024

Evaluation of the American College of Surgeons risk calculator in hepatectomy for metastatic colorectal cancer in a Southeast Asian population.

Ye Xin Koh, Ivan En-Howe Tan, Yun Zhao, Hui Min Chong, Boon Hwee Ang, Hwee Leong Tan, Darren Weiquan Chua, Wei-Liang Loh, Ek Khoon Tan, Jin Yao Teo and 2 more

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Article in Langenbeck's archives of surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

12 authors.

Ye Xin KohDepartment of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital and National Cancer Centre Singapore, Academia, 20 College Road, Singapore, 169856, Singapore. koh.ye.xin@outlook.com.ORCID http://orcid.org/0000-0001-5006-4174
Ivan En-Howe TanGroup Finance Analytics, Singapore Health Services, Singapore, 168582, Singapore.ORCID http://orcid.org/0000-0002-0000-1367
Yun ZhaoGroup Finance Analytics, Singapore Health Services, Singapore, 168582, Singapore.ORCID http://orcid.org/0000-0003-4093-4695
Hui Min ChongGroup Finance Analytics, Singapore Health Services, Singapore, 168582, Singapore.ORCID http://orcid.org/0009-0004-4766-2842
Boon Hwee AngGroup Finance Analytics, Singapore Health Services, Singapore, 168582, Singapore.ORCID http://orcid.org/0009-0009-4144-1762
Hwee Leong TanDepartment of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital and National Cancer Centre Singapore, Academia, 20 College Road, Singapore, 169856, Singapore.ORCID http://orcid.org/0000-0002-5988-0132
Darren Weiquan ChuaDepartment of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital and National Cancer Centre Singapore, Academia, 20 College Road, Singapore, 169856, Singapore.
Wei-Liang LohDepartment of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital and National Cancer Centre Singapore, Academia, 20 College Road, Singapore, 169856, Singapore.
Ek Khoon TanDepartment of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital and National Cancer Centre Singapore, Academia, 20 College Road, Singapore, 169856, Singapore.ORCID http://orcid.org/0000-0002-5949-4741
Jin Yao TeoDepartment of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital and National Cancer Centre Singapore, Academia, 20 College Road, Singapore, 169856, Singapore.
Marianne Kit Har AuGroup Finance Analytics, Singapore Health Services, Singapore, 168582, Singapore.ORCID http://orcid.org/0000-0003-3653-0962
Brian Kim Poh GohDepartment of Hepatopancreatobiliary and Transplant Surgery, Singapore General Hospital and National Cancer Centre Singapore, Academia, 20 College Road, Singapore, 169856, Singapore.ORCID http://orcid.org/0000-0001-8218-4576

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study evaluated the accuracy of the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) calculator in predicting outcomes after hepatectomy for colorectal cancer (CRC) liver metastasis in a Southeast Asian population.

methodsPredicted and actual outcomes were compared for 166 patients undergoing hepatectomy for CRC liver metastasis identified between 2017 and 2022, using receiver operating characteristic curves with area under the curve (AUC) and Brier score.

resultsThe ACS-NSQIP calculator accurately predicted most postoperative complications (AUC > 0.70), except for surgical site infection (AUC = 0.678, Brier score = 0.045). It also exhibited satisfactory performance for readmission (AUC = 0.818, Brier score = 0.011), reoperation (AUC = 0.945, Brier score = 0.002), and length of stay (LOS, AUC = 0.909). The predicted LOS was close to the actual LOS (5.9 vs. 5.0 days, P = 0.985).

conclusionThe ACS-NSQIP calculator demonstrated generally accurate predictions for 30-day postoperative outcomes after hepatectomy for CRC liver metastasis in our patient population.

Indexed as

Colorectal NeoplasmsHepatectomyLiver NeoplasmsPostoperative ComplicationsAdultAgedAsia, SoutheasternFemaleHumansLength of StayMaleMiddle AgedRetrospective StudiesRisk AssessmentSoutheast Asian PeopleACS-NSQIPHepatectomyMetastasisPredictionRisk calculator

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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.