Introduction
Surgeon perception of surgical risk varies. The American College of Surgeons (ACS) National Surgical Quality Improvement Program (NSQIP®) Surgical Risk Calculator (SRC) estimates risk of postoperative outcomes and can assist with communicating risks to patients preoperatively. We compared surgeon risk estimates with calculations of risk from the SRC.
Methods
In this project in 2 medical centers, 10 surgeons completed a tool in which they estimated the risk of complications for patients undergoing elective surgical procedures. A NSQIP-trained reviewer determined SRC estimates for the same patients. Agreement was determined using Bland-Altman and Lin’s concordance statistics.
Results
In the evaluation of 74 patients, agreement was present between surgeons and the SRC for only “serious complication”. For the remaining outcomes, surgeons tended to estimate higher risk than the SRC.
Conclusions
For general surgical procedures, use of the SRC may add value to the surgeon-patient shared decision-making processes.
","abstract_html":"<p>Introduction</p> <p>Surgeon perception of surgical risk varies. The American College of Surgeons (ACS) National Surgical Quality Improvement Program (NSQIP®) Surgical Risk Calculator (SRC) estimates risk of postoperative outcomes and can assist with communicating risks to patients preoperatively. We compared surgeon risk estimates with calculations of risk from the SRC.</p> <p>Methods</p> <p>In this project in 2 medical centers, 10 surgeons completed a tool in which they estimated the risk of complications for patients undergoing elective surgical procedures. A NSQIP-trained reviewer determined SRC estimates for the same patients. Agreement was determined using Bland-Altman and Lin’s concordance statistics.</p> <p>Results</p> <p>In the evaluation of 74 patients, agreement was present between surgeons and the SRC for only “serious complication”. For the remaining outcomes, surgeons tended to estimate higher risk than the SRC.</p> <p>Conclusions</p> <p>For general surgical procedures, use of the SRC may add value to the surgeon-patient shared decision-making processes.</p>","abstract_has_math":false,"creators":["Cudd, Jeffrey Scott"],"institution":null,"degree_name":"Doctor of Nursing Practice (DNP)","degree_level":"Open Access Thesis","degree_discipline":"Yale University School of Nursing","degree_department":null,"school":null,"contributors":["Marjorie Funk","Ruth McCorkle"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2019,"date_issued":"2019-01-01T08:00:00Z","date_published":"2019-01-01T08:00:00Z","updated_at":"2026-07-24T06:16:00Z","subjects":["NSQIP","Perception","Postoperative complication","Risk"],"languages":[],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://elischolar.library.yale.edu/ysndt/1091","outbound_label":"Repository record","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Marjorie Funk","Ruth McCorkle"]},{"key":"dc:creator","label":"Author","values":["Cudd, Jeffrey Scott"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"thesis:degree_discipline","label":"Discipline","values":["Yale University School of Nursing"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Open Access Thesis"]},{"key":"thesis:degree_name","label":"Degree Name","values":["Doctor of Nursing Practice (DNP)"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["NSQIP","Perception","Postoperative complication","Risk"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["https://elischolar.library.yale.edu/ysndt/1091"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["Introduction
Surgeon perception of surgical risk varies. The American College of Surgeons (ACS) National Surgical Quality Improvement Program (NSQIP®) Surgical Risk Calculator (SRC) estimates risk of postoperative outcomes and can assist with communicating risks to patients preoperatively. We compared surgeon risk estimates with calculations of risk from the SRC.
Methods
In this project in 2 medical centers, 10 surgeons completed a tool in which they estimated the risk of complications for patients undergoing elective surgical procedures. A NSQIP-trained reviewer determined SRC estimates for the same patients. Agreement was determined using Bland-Altman and Lin’s concordance statistics.
Results
In the evaluation of 74 patients, agreement was present between surgeons and the SRC for only “serious complication”. For the remaining outcomes, surgeons tended to estimate higher risk than the SRC.
Conclusions
For general surgical procedures, use of the SRC may add value to the surgeon-patient shared decision-making processes.
"]},{"key":"dc:title","label":"Title","values":["Comparison Of Surgeon Perception Of Preoperative Patient Risk With The Acs Nsqip® Surgical Risk Calculator"]}]}],"canonical_facts":{"dc:contributor":["Marjorie Funk","Ruth McCorkle"],"dc:creator":["Cudd, Jeffrey Scott"],"dc:description.abstract":["Introduction
Surgeon perception of surgical risk varies. The American College of Surgeons (ACS) National Surgical Quality Improvement Program (NSQIP®) Surgical Risk Calculator (SRC) estimates risk of postoperative outcomes and can assist with communicating risks to patients preoperatively. We compared surgeon risk estimates with calculations of risk from the SRC.
Methods
In this project in 2 medical centers, 10 surgeons completed a tool in which they estimated the risk of complications for patients undergoing elective surgical procedures. A NSQIP-trained reviewer determined SRC estimates for the same patients. Agreement was determined using Bland-Altman and Lin’s concordance statistics.
Results
In the evaluation of 74 patients, agreement was present between surgeons and the SRC for only “serious complication”. For the remaining outcomes, surgeons tended to estimate higher risk than the SRC.
Conclusions
For general surgical procedures, use of the SRC may add value to the surgeon-patient shared decision-making processes.
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