Predicted versus observed 30-day perioperative outcomes using the ACS NSQIP surgical risk calculator in patients undergoing partial nephrectomy for renal cell carcinoma

Purpose The purpose of the study was to evaluate the accuracy of the American College of Surgeons NSQIP Surgical Risk Calculator for predicting risk-adjusted 30-day outcomes for patients undergoing partial nephrectomy (PN) for renal cell carcinoma (RCC). Methods A single institution, multi-surgeon,...

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Veröffentlicht in:	International urology and nephrology 2018-07, Vol.50 (7), p.1249-1256
Hauptverfasser:	Blair, Brian M., Lehman, Erik B., Jafri, Syed M., Kaag, Matthew G., Raman, Jay D.
Format:	Artikel
Sprache:	eng
Schlagworte:	Academic Medical Centers Aged Carcinoma, Renal Cell - mortality Carcinoma, Renal Cell - pathology Carcinoma, Renal Cell - surgery Cohort Studies Computers Databases, Factual Female Follow-Up Studies Humans Kidney cancer Kidney Neoplasms - mortality Kidney Neoplasms - pathology Kidney Neoplasms - surgery Laparoscopy Laparoscopy - methods Laparotomy - methods Length of Stay Male Medicine Medicine & Public Health Middle Aged Nephrectomy Nephrectomy - adverse effects Nephrectomy - methods Nephrology Patients Postoperative Complications - epidemiology Postoperative Complications - physiopathology Predictive Value of Tests Preoperative Care Prospective Studies Renal cell carcinoma Risk Assessment - methods Robotic surgery Robotic Surgical Procedures - methods Surgical outcomes Surgical site infections Time Factors United States Urinary tract Urinary tract infections Urology Urology - Original Paper
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Zusammenfassung:	Purpose The purpose of the study was to evaluate the accuracy of the American College of Surgeons NSQIP Surgical Risk Calculator for predicting risk-adjusted 30-day outcomes for patients undergoing partial nephrectomy (PN) for renal cell carcinoma (RCC). Methods A single institution, multi-surgeon, prospectively maintained database was queried for patients undergoing PN for RCC from 1998 to 2015. 21 preoperative factors were analyzed for each patient with predicted risk for 30-day complications, mortality, and length of stay (LOS) calculated. Differences between the mean predicted risk and observed rate of surgical outcomes were determined using two-sided one-sample t test with significance at p
ISSN:	0301-1623 1573-2584
DOI:	10.1007/s11255-018-1898-6