Performance of the American College of Surgeons NSQIP Surgical Risk Calculator for Total Gastrectomy
Background: To encourage implementation of the American College of Surgeons (ACS) NSQIP Risk Calculator for total gastrectomy for gastric cancer, its predictive performance for this specific procedure should be validated. We assessed its discriminatory accuracy and goodness of fit for predicting 12...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Vos, Elvira L. [verfasserIn] Russo, Ashley E. [verfasserIn] Hohmann, Alexandra [verfasserIn] Yoon, Sam S. [verfasserIn] Coit, Daniel G. [verfasserIn] Ko, Clifford Y. [verfasserIn] Strong, Vivian E. [verfasserIn] |
|---|
| Format: |
E-Artikel |
|---|---|
| Sprache: |
Englisch |
| Erschienen: |
2020 |
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| Übergeordnetes Werk: |
Enthalten in: Journal of the American College of Surgeons - American College of Surgeons ; ID: gnd/5696-0, New York, NY : Elsevier, 1997, 231 |
|---|---|
| Übergeordnetes Werk: |
volume:231 |
| DOI / URN: |
10.1016/j.jamcollsurg.2020.09.023 |
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ELV005057132 |
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| 520 | |a Background: To encourage implementation of the American College of Surgeons (ACS) NSQIP Risk Calculator for total gastrectomy for gastric cancer, its predictive performance for this specific procedure should be validated. We assessed its discriminatory accuracy and goodness of fit for predicting 12 adverse outcomes.Study Design: Data were collected on all patients with gastric cancer who underwent total gastrectomy with curative intent at Memorial Sloan Kettering Cancer Center between 2002 and 2017. Preoperative risk factors from the electronic medical record were manually inserted into the ACS-NSQIP Risk Calculator. Predictions for adverse outcomes were compared with observed outcomes by Brier scores, c-statistics, and Hosmer-Lemeshow p value.Results: In a total of 452 patients, the predicted rate of all complications (29%) was lower than the observed rate (45%). Brier scores varied between 0.017 for death and 0.272 for any complication. C-statistics were moderate (0.7–0.8) for death and renal failure, good (0.8–0.9) for cardiac complication, and excellent (≥0.9) for discharge to nursing or rehabilitation facility. Hosmer-Lemeshow p value found poor goodness of fit for pneumonia only.Conclusions: For adverse outcomes after total gastrectomy with curative intent in gastric cancer patients, performance of the ACS-NSQIP Risk Calculator is variable. Its predictive performance is best for cardiac complications, renal failure, death, and discharge to nursing or rehabilitation facility. | ||
| 700 | 1 | |a Russo, Ashley E. |e verfasserin |4 aut | |
| 700 | 1 | |a Hohmann, Alexandra |e verfasserin |4 aut | |
| 700 | 1 | |a Yoon, Sam S. |e verfasserin |4 aut | |
| 700 | 1 | |a Coit, Daniel G. |e verfasserin |4 aut | |
| 700 | 1 | |a Ko, Clifford Y. |e verfasserin |4 aut | |
| 700 | 1 | |a Strong, Vivian E. |e verfasserin |4 aut | |
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10.1016/j.jamcollsurg.2020.09.023 doi (DE-627)ELV005057132 (ELSEVIER)S1072-7515(20)32384-X DE-627 ger DE-627 rda eng 610 DE-600 44.65 bkl Vos, Elvira L. verfasserin aut Performance of the American College of Surgeons NSQIP Surgical Risk Calculator for Total Gastrectomy 2020 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: To encourage implementation of the American College of Surgeons (ACS) NSQIP Risk Calculator for total gastrectomy for gastric cancer, its predictive performance for this specific procedure should be validated. We assessed its discriminatory accuracy and goodness of fit for predicting 12 adverse outcomes.Study Design: Data were collected on all patients with gastric cancer who underwent total gastrectomy with curative intent at Memorial Sloan Kettering Cancer Center between 2002 and 2017. Preoperative risk factors from the electronic medical record were manually inserted into the ACS-NSQIP Risk Calculator. Predictions for adverse outcomes were compared with observed outcomes by Brier scores, c-statistics, and Hosmer-Lemeshow p value.Results: In a total of 452 patients, the predicted rate of all complications (29%) was lower than the observed rate (45%). Brier scores varied between 0.017 for death and 0.272 for any complication. C-statistics were moderate (0.7–0.8) for death and renal failure, good (0.8–0.9) for cardiac complication, and excellent (≥0.9) for discharge to nursing or rehabilitation facility. Hosmer-Lemeshow p value found poor goodness of fit for pneumonia only.Conclusions: For adverse outcomes after total gastrectomy with curative intent in gastric cancer patients, performance of the ACS-NSQIP Risk Calculator is variable. Its predictive performance is best for cardiac complications, renal failure, death, and discharge to nursing or rehabilitation facility. Russo, Ashley E. verfasserin aut Hohmann, Alexandra verfasserin aut Yoon, Sam S. verfasserin aut Coit, Daniel G. verfasserin aut Ko, Clifford Y. verfasserin aut Strong, Vivian E. verfasserin aut Enthalten in American College of Surgeons ; ID: gnd/5696-0 Journal of the American College of Surgeons New York, NY : Elsevier, 1997 231 Online-Ressource (DE-627)320594459 (DE-600)2019367-1 (DE-576)118488945 1879-1190 nnns volume:231 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_31 GBV_ILN_2004 GBV_ILN_2011 GBV_ILN_2336 44.65 Chirurgie AR 231 |
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10.1016/j.jamcollsurg.2020.09.023 doi (DE-627)ELV005057132 (ELSEVIER)S1072-7515(20)32384-X DE-627 ger DE-627 rda eng 610 DE-600 44.65 bkl Vos, Elvira L. verfasserin aut Performance of the American College of Surgeons NSQIP Surgical Risk Calculator for Total Gastrectomy 2020 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: To encourage implementation of the American College of Surgeons (ACS) NSQIP Risk Calculator for total gastrectomy for gastric cancer, its predictive performance for this specific procedure should be validated. We assessed its discriminatory accuracy and goodness of fit for predicting 12 adverse outcomes.Study Design: Data were collected on all patients with gastric cancer who underwent total gastrectomy with curative intent at Memorial Sloan Kettering Cancer Center between 2002 and 2017. Preoperative risk factors from the electronic medical record were manually inserted into the ACS-NSQIP Risk Calculator. Predictions for adverse outcomes were compared with observed outcomes by Brier scores, c-statistics, and Hosmer-Lemeshow p value.Results: In a total of 452 patients, the predicted rate of all complications (29%) was lower than the observed rate (45%). Brier scores varied between 0.017 for death and 0.272 for any complication. C-statistics were moderate (0.7–0.8) for death and renal failure, good (0.8–0.9) for cardiac complication, and excellent (≥0.9) for discharge to nursing or rehabilitation facility. Hosmer-Lemeshow p value found poor goodness of fit for pneumonia only.Conclusions: For adverse outcomes after total gastrectomy with curative intent in gastric cancer patients, performance of the ACS-NSQIP Risk Calculator is variable. Its predictive performance is best for cardiac complications, renal failure, death, and discharge to nursing or rehabilitation facility. Russo, Ashley E. verfasserin aut Hohmann, Alexandra verfasserin aut Yoon, Sam S. verfasserin aut Coit, Daniel G. verfasserin aut Ko, Clifford Y. verfasserin aut Strong, Vivian E. verfasserin aut Enthalten in American College of Surgeons ; ID: gnd/5696-0 Journal of the American College of Surgeons New York, NY : Elsevier, 1997 231 Online-Ressource (DE-627)320594459 (DE-600)2019367-1 (DE-576)118488945 1879-1190 nnns volume:231 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_31 GBV_ILN_2004 GBV_ILN_2011 GBV_ILN_2336 44.65 Chirurgie AR 231 |
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10.1016/j.jamcollsurg.2020.09.023 doi (DE-627)ELV005057132 (ELSEVIER)S1072-7515(20)32384-X DE-627 ger DE-627 rda eng 610 DE-600 44.65 bkl Vos, Elvira L. verfasserin aut Performance of the American College of Surgeons NSQIP Surgical Risk Calculator for Total Gastrectomy 2020 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: To encourage implementation of the American College of Surgeons (ACS) NSQIP Risk Calculator for total gastrectomy for gastric cancer, its predictive performance for this specific procedure should be validated. We assessed its discriminatory accuracy and goodness of fit for predicting 12 adverse outcomes.Study Design: Data were collected on all patients with gastric cancer who underwent total gastrectomy with curative intent at Memorial Sloan Kettering Cancer Center between 2002 and 2017. Preoperative risk factors from the electronic medical record were manually inserted into the ACS-NSQIP Risk Calculator. Predictions for adverse outcomes were compared with observed outcomes by Brier scores, c-statistics, and Hosmer-Lemeshow p value.Results: In a total of 452 patients, the predicted rate of all complications (29%) was lower than the observed rate (45%). Brier scores varied between 0.017 for death and 0.272 for any complication. C-statistics were moderate (0.7–0.8) for death and renal failure, good (0.8–0.9) for cardiac complication, and excellent (≥0.9) for discharge to nursing or rehabilitation facility. Hosmer-Lemeshow p value found poor goodness of fit for pneumonia only.Conclusions: For adverse outcomes after total gastrectomy with curative intent in gastric cancer patients, performance of the ACS-NSQIP Risk Calculator is variable. Its predictive performance is best for cardiac complications, renal failure, death, and discharge to nursing or rehabilitation facility. Russo, Ashley E. verfasserin aut Hohmann, Alexandra verfasserin aut Yoon, Sam S. verfasserin aut Coit, Daniel G. verfasserin aut Ko, Clifford Y. verfasserin aut Strong, Vivian E. verfasserin aut Enthalten in American College of Surgeons ; ID: gnd/5696-0 Journal of the American College of Surgeons New York, NY : Elsevier, 1997 231 Online-Ressource (DE-627)320594459 (DE-600)2019367-1 (DE-576)118488945 1879-1190 nnns volume:231 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_31 GBV_ILN_2004 GBV_ILN_2011 GBV_ILN_2336 44.65 Chirurgie AR 231 |
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10.1016/j.jamcollsurg.2020.09.023 doi (DE-627)ELV005057132 (ELSEVIER)S1072-7515(20)32384-X DE-627 ger DE-627 rda eng 610 DE-600 44.65 bkl Vos, Elvira L. verfasserin aut Performance of the American College of Surgeons NSQIP Surgical Risk Calculator for Total Gastrectomy 2020 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: To encourage implementation of the American College of Surgeons (ACS) NSQIP Risk Calculator for total gastrectomy for gastric cancer, its predictive performance for this specific procedure should be validated. We assessed its discriminatory accuracy and goodness of fit for predicting 12 adverse outcomes.Study Design: Data were collected on all patients with gastric cancer who underwent total gastrectomy with curative intent at Memorial Sloan Kettering Cancer Center between 2002 and 2017. Preoperative risk factors from the electronic medical record were manually inserted into the ACS-NSQIP Risk Calculator. Predictions for adverse outcomes were compared with observed outcomes by Brier scores, c-statistics, and Hosmer-Lemeshow p value.Results: In a total of 452 patients, the predicted rate of all complications (29%) was lower than the observed rate (45%). Brier scores varied between 0.017 for death and 0.272 for any complication. C-statistics were moderate (0.7–0.8) for death and renal failure, good (0.8–0.9) for cardiac complication, and excellent (≥0.9) for discharge to nursing or rehabilitation facility. Hosmer-Lemeshow p value found poor goodness of fit for pneumonia only.Conclusions: For adverse outcomes after total gastrectomy with curative intent in gastric cancer patients, performance of the ACS-NSQIP Risk Calculator is variable. Its predictive performance is best for cardiac complications, renal failure, death, and discharge to nursing or rehabilitation facility. Russo, Ashley E. verfasserin aut Hohmann, Alexandra verfasserin aut Yoon, Sam S. verfasserin aut Coit, Daniel G. verfasserin aut Ko, Clifford Y. verfasserin aut Strong, Vivian E. verfasserin aut Enthalten in American College of Surgeons ; ID: gnd/5696-0 Journal of the American College of Surgeons New York, NY : Elsevier, 1997 231 Online-Ressource (DE-627)320594459 (DE-600)2019367-1 (DE-576)118488945 1879-1190 nnns volume:231 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_31 GBV_ILN_2004 GBV_ILN_2011 GBV_ILN_2336 44.65 Chirurgie AR 231 |
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10.1016/j.jamcollsurg.2020.09.023 doi (DE-627)ELV005057132 (ELSEVIER)S1072-7515(20)32384-X DE-627 ger DE-627 rda eng 610 DE-600 44.65 bkl Vos, Elvira L. verfasserin aut Performance of the American College of Surgeons NSQIP Surgical Risk Calculator for Total Gastrectomy 2020 nicht spezifiziert zzz rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: To encourage implementation of the American College of Surgeons (ACS) NSQIP Risk Calculator for total gastrectomy for gastric cancer, its predictive performance for this specific procedure should be validated. We assessed its discriminatory accuracy and goodness of fit for predicting 12 adverse outcomes.Study Design: Data were collected on all patients with gastric cancer who underwent total gastrectomy with curative intent at Memorial Sloan Kettering Cancer Center between 2002 and 2017. Preoperative risk factors from the electronic medical record were manually inserted into the ACS-NSQIP Risk Calculator. Predictions for adverse outcomes were compared with observed outcomes by Brier scores, c-statistics, and Hosmer-Lemeshow p value.Results: In a total of 452 patients, the predicted rate of all complications (29%) was lower than the observed rate (45%). Brier scores varied between 0.017 for death and 0.272 for any complication. C-statistics were moderate (0.7–0.8) for death and renal failure, good (0.8–0.9) for cardiac complication, and excellent (≥0.9) for discharge to nursing or rehabilitation facility. Hosmer-Lemeshow p value found poor goodness of fit for pneumonia only.Conclusions: For adverse outcomes after total gastrectomy with curative intent in gastric cancer patients, performance of the ACS-NSQIP Risk Calculator is variable. Its predictive performance is best for cardiac complications, renal failure, death, and discharge to nursing or rehabilitation facility. Russo, Ashley E. verfasserin aut Hohmann, Alexandra verfasserin aut Yoon, Sam S. verfasserin aut Coit, Daniel G. verfasserin aut Ko, Clifford Y. verfasserin aut Strong, Vivian E. verfasserin aut Enthalten in American College of Surgeons ; ID: gnd/5696-0 Journal of the American College of Surgeons New York, NY : Elsevier, 1997 231 Online-Ressource (DE-627)320594459 (DE-600)2019367-1 (DE-576)118488945 1879-1190 nnns volume:231 GBV_USEFLAG_U SYSFLAG_U GBV_ELV SSG-OLC-PHA GBV_ILN_31 GBV_ILN_2004 GBV_ILN_2011 GBV_ILN_2336 44.65 Chirurgie AR 231 |
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performance of the american college of surgeons nsqip surgical risk calculator for total gastrectomy |
| title_auth |
Performance of the American College of Surgeons NSQIP Surgical Risk Calculator for Total Gastrectomy |
| abstract |
Background: To encourage implementation of the American College of Surgeons (ACS) NSQIP Risk Calculator for total gastrectomy for gastric cancer, its predictive performance for this specific procedure should be validated. We assessed its discriminatory accuracy and goodness of fit for predicting 12 adverse outcomes.Study Design: Data were collected on all patients with gastric cancer who underwent total gastrectomy with curative intent at Memorial Sloan Kettering Cancer Center between 2002 and 2017. Preoperative risk factors from the electronic medical record were manually inserted into the ACS-NSQIP Risk Calculator. Predictions for adverse outcomes were compared with observed outcomes by Brier scores, c-statistics, and Hosmer-Lemeshow p value.Results: In a total of 452 patients, the predicted rate of all complications (29%) was lower than the observed rate (45%). Brier scores varied between 0.017 for death and 0.272 for any complication. C-statistics were moderate (0.7–0.8) for death and renal failure, good (0.8–0.9) for cardiac complication, and excellent (≥0.9) for discharge to nursing or rehabilitation facility. Hosmer-Lemeshow p value found poor goodness of fit for pneumonia only.Conclusions: For adverse outcomes after total gastrectomy with curative intent in gastric cancer patients, performance of the ACS-NSQIP Risk Calculator is variable. Its predictive performance is best for cardiac complications, renal failure, death, and discharge to nursing or rehabilitation facility. |
| abstractGer |
Background: To encourage implementation of the American College of Surgeons (ACS) NSQIP Risk Calculator for total gastrectomy for gastric cancer, its predictive performance for this specific procedure should be validated. We assessed its discriminatory accuracy and goodness of fit for predicting 12 adverse outcomes.Study Design: Data were collected on all patients with gastric cancer who underwent total gastrectomy with curative intent at Memorial Sloan Kettering Cancer Center between 2002 and 2017. Preoperative risk factors from the electronic medical record were manually inserted into the ACS-NSQIP Risk Calculator. Predictions for adverse outcomes were compared with observed outcomes by Brier scores, c-statistics, and Hosmer-Lemeshow p value.Results: In a total of 452 patients, the predicted rate of all complications (29%) was lower than the observed rate (45%). Brier scores varied between 0.017 for death and 0.272 for any complication. C-statistics were moderate (0.7–0.8) for death and renal failure, good (0.8–0.9) for cardiac complication, and excellent (≥0.9) for discharge to nursing or rehabilitation facility. Hosmer-Lemeshow p value found poor goodness of fit for pneumonia only.Conclusions: For adverse outcomes after total gastrectomy with curative intent in gastric cancer patients, performance of the ACS-NSQIP Risk Calculator is variable. Its predictive performance is best for cardiac complications, renal failure, death, and discharge to nursing or rehabilitation facility. |
| abstract_unstemmed |
Background: To encourage implementation of the American College of Surgeons (ACS) NSQIP Risk Calculator for total gastrectomy for gastric cancer, its predictive performance for this specific procedure should be validated. We assessed its discriminatory accuracy and goodness of fit for predicting 12 adverse outcomes.Study Design: Data were collected on all patients with gastric cancer who underwent total gastrectomy with curative intent at Memorial Sloan Kettering Cancer Center between 2002 and 2017. Preoperative risk factors from the electronic medical record were manually inserted into the ACS-NSQIP Risk Calculator. Predictions for adverse outcomes were compared with observed outcomes by Brier scores, c-statistics, and Hosmer-Lemeshow p value.Results: In a total of 452 patients, the predicted rate of all complications (29%) was lower than the observed rate (45%). Brier scores varied between 0.017 for death and 0.272 for any complication. C-statistics were moderate (0.7–0.8) for death and renal failure, good (0.8–0.9) for cardiac complication, and excellent (≥0.9) for discharge to nursing or rehabilitation facility. Hosmer-Lemeshow p value found poor goodness of fit for pneumonia only.Conclusions: For adverse outcomes after total gastrectomy with curative intent in gastric cancer patients, performance of the ACS-NSQIP Risk Calculator is variable. Its predictive performance is best for cardiac complications, renal failure, death, and discharge to nursing or rehabilitation facility. |
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Performance of the American College of Surgeons NSQIP Surgical Risk Calculator for Total Gastrectomy |
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Russo, Ashley E. Hohmann, Alexandra Yoon, Sam S. Coit, Daniel G. Ko, Clifford Y. Strong, Vivian E. |
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2024-07-06T16:40:28.083Z |
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