1. Evaluation of the American College of Surgeons risk calculator in hepatectomy for metastatic colorectal cancer in a Southeast Asian population.
- Author
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Koh YX, Tan IE, Zhao Y, Chong HM, Ang BH, Tan HL, Chua DW, Loh WL, Tan EK, Teo JY, Au MKH, and Goh BKP
- Subjects
- Adult, Aged, Female, Humans, Male, Middle Aged, Asia, Southeastern, Length of Stay, Retrospective Studies, Risk Assessment, Southeast Asian People, Colorectal Neoplasms pathology, Colorectal Neoplasms surgery, Hepatectomy, Liver Neoplasms surgery, Liver Neoplasms secondary, Postoperative Complications epidemiology
- Abstract
Purpose: This 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., Methods: Predicted 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., Results: The 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)., Conclusion: The ACS-NSQIP calculator demonstrated generally accurate predictions for 30-day postoperative outcomes after hepatectomy for CRC liver metastasis in our patient population., (© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)
- Published
- 2024
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