Comparison Of Surgeon Perception Of Preoperative Patient Risk With The Acs Nsqip® Surgical Risk Calculator

<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>

Name thesis:degree_name

Doctor of Nursing Practice (DNP)

Level thesis:degree_level

Open Access Thesis

Discipline thesis:degree_discipline

Yale University School of Nursing

Year

2019

Author dc:creator

• Cudd, Jeffrey Scott

Contributors dc:contributor

• Marjorie Funk
• Ruth McCorkle

• NSQIP
• Perception
• Postoperative complication
• Risk

Repository record dc:identifier

https://elischolar.library.yale.edu/ysndt/1091

OAI identifier oai:identifier

oai:elischolar.library.yale.edu:ysndt-1090