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Comparison of Preoperative Surgical Risk Estimated by Thoracic Surgeons vs a Standardized Surgical Risk Prediction Tool
- Source :
- Seminars in Thoracic and Cardiovascular Surgery. 34:1378-1385
- Publication Year :
- 2022
- Publisher :
- Elsevier BV, 2022.
-
Abstract
- Considerable variability exists between surgeons' assessments of a patient's individual pre-operative surgical risk. Surgical risk calculators are not routinely used despite their validation. We sought to compare thoracic surgeons' prediction of patients' risk of postoperative adverse outcomes versus a surgical risk calculator, the Surgical Risk Preoperative Assessment System (SURPAS). We developed vignettes from 30 randomly selected patients who underwent thoracic surgery in the American College of Surgeons' National Surgical Quality Improvement Program (NSQIP) database. Twelve thoracic surgeons estimated patients' preoperative risks of postoperative morbidity and mortality. These were compared to SURPAS estimates of the same vignettes. C-indices and Brier scores were calculated for the surgeons' and SURPAS estimates. Agreement between surgeon estimates was examined using intraclass correlation coefficients (ICCs). Surgeons estimated higher morbidity risk compared to SURPAS for low-risk patients (ASA classes 1-2, 11.5% vs. 5.1%, p=
- Subjects :
- Surgeons
Pulmonary and Respiratory Medicine
medicine.medical_specialty
business.industry
Intraclass correlation
General surgery
General Medicine
Rate ratio
Risk Assessment
Quality Improvement
Confidence interval
Postoperative Complications
Treatment Outcome
Risk Factors
Interquartile range
Cardiothoracic surgery
Humans
Current Procedural Terminology
Medicine
Surgery
Cardiology and Cardiovascular Medicine
Risk assessment
business
Retrospective Studies
Relative value unit
Subjects
Details
- ISSN :
- 10430679
- Volume :
- 34
- Database :
- OpenAIRE
- Journal :
- Seminars in Thoracic and Cardiovascular Surgery
- Accession number :
- edsair.doi.dedup.....55bec243fe717f8bae30bb9662e87c5f