@article{APM8026,
author = {Roberto J. Vidri and Andrew M. Blakely and Shreyus S. Kulkarni and Raj G. Vaghjiani and Daithi S. Heffernan and David T. Harrington and William G. Cioffi and Thomas J. Miner},
title = {American College of Surgeons National Surgical Quality Improvement Program as a quality-measurement tool for advanced cancer patients},
journal = {Annals of Palliative Medicine},
volume = {4},
number = {4},
year = {2015},
keywords = {},
abstract = {Background: Multiple studies have shown the significantly increased post-operative morbidity and mortality of patients undergoing palliative operations. It has been proposed by some authors that the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database can be used reliably to develop risk-calculators or as an aid for clinical decision-making in advanced cancer patients. ACS-NSQIP is a population-based database that by design only captures outcomes data for the first 30-day following an operation. We considered the suitability of these data as a tool for decision-making in the advanced cancer patient.
Methods: Six-year retrospective review of a single institution’s ACS-NSQIP database for cases identified as “Disseminated Cancer”. Procedures performed with palliative intent were identified and analyzed.
Results: Of 7,763 patients within the ACS-NSQIP database, 138 (1.8%) were identified as having “Disseminated Cancer”. Of the remaining 7,625 entries only 4,486 contained complete survival data for analysis. Thirty-day mortality within the “Disseminated Cancer” group was higher when compared to all other surgical patients (7.9% vs. 0.9%, P},
issn = {2224-5839}, url = {https://apm.amegroups.org/article/view/8026}
}