keyword
MENU ▼
Read by QxMD icon Read
search

NSQIP

keyword
https://www.readbyqxmd.com/read/29327298/the-impact-of-obesity-on-outcomes-for-patients-undergoing-mastectomy-using-the-acs-nsqip-data-set
#1
Mary Garland, Fang-Chi Hsu, Clancy Clark, Akiko Chiba, Marissa Howard-McNatt
PURPOSE: According to the World Health Organization (WHO), 34.7% of females in the United States are obese (BMI ≥ 30) in 2014, compared to 32.5% in 2010. The previous research has demonstrated high BMI as an independent risk factor for surgical complications after breast surgery. As more patients become obese, we sought to examine whether increasing obesity had an effect on outcomes of women who underwent a unilateral mastectomy without breast reconstruction. METHODS: The study reviewed the 2007-2012 ACS-NSQIP database and identified all patients who underwent a unilateral mastectomy without reconstruction...
January 11, 2018: Breast Cancer Research and Treatment
https://www.readbyqxmd.com/read/29327120/readmission-and-reoperation-after-midurethral-sling
#2
Erik D Hokenstad, Amy E Glasgow, Elizabeth B Habermann, John A Occhino
INTRODUCTION AND HYPOTHESIS: We aimed to determine the rate of readmission and reoperation for patients undergoing midurethral sling (MUS) placement for stress urinary incontinence (SUI). METHODS: The American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database was queried to identify all isolated MUS placed from 2012 through 2015 using the Current Procedural Terminology 4 (CPT-4) code for MUS with or without cystoscopy (57,288 ± 52,000)...
January 11, 2018: International Urogynecology Journal
https://www.readbyqxmd.com/read/29315184/obesity-does-not-increase-operative-time-in-otologic-surgery-an-analysis-of-5125-cases
#3
Thomas Muelleman, Matthew Shew, Robert J Muelleman, Mark Villwock, Kevin Sykes, Hinrich Staecker, James Lin
OBJECTIVES: A large shoulder can impact otologic surgical access. The physical obstruction of a large shoulder may force the surgeon to adjust his or her posture or hand position. We sought to assess the effect of body mass index (BMI) on operative time in tympanoplasties and tympanomastoidectomies. STUDY DESIGN: Cross-sectional analysis. SETTING: National surgical quality improvement program dataset (NSQIP) 2011 to 2014. PATIENTS: Current procedural terminology (CPT) codes were used to identify patients undergoing tympanoplasties and tympanomastoidectomies...
February 2018: Otology & Neurotology
https://www.readbyqxmd.com/read/29312849/do-not-resuscitate-status-as-an-independent-risk-factor-for-patients-undergoing-surgery-for-hip-fracture
#4
Ethan Y Brovman, Andrew J Pisansky, Anair Beverly, Angela M Bader, Richard D Urman
AIM: To determine morbidity and mortality in hip fracture patients and also to assess for any independent associations between Do-Not-Resuscitate (DNR) status and increased post-operative morbidity and mortality in patients undergoing surgical repair of hip fractures. METHODS: We conducted a propensity score matched retrospective analysis using de-identified data from the American College of Surgeons' National Surgical Quality Improvement Project (ACS NSQIP) for all patients undergoing hip fracture surgery over a 7 year period in hospitals across the United States enrolled in the ACS NSQIP with and without DNR status...
December 18, 2017: World Journal of Orthopedics
https://www.readbyqxmd.com/read/29309942/use-of-a-single-cpt-code-for-risk-adjustment-in-american-college-of-surgeons-nsqip-is-there-potential-bias-with-practice-pattern-differences-in-multiple-procedures-under-the-same-anesthetic
#5
Mark E Cohen, Yaoming Liu, Jason Liu, Clifford Y Ko, Bruce L Hall
BACKGROUND: American College of Surgeons (ACS) NSQIP risk-adjustment models rely on the designated "principal" Common Procedural Terminology (CPT®) code to account for procedure-related risk. However, if hospitals differ in their propensity to undertake multiple major operations under the same anesthetic, then risk adjustment using only a single code could bias hospital quality estimates. This study investigated this possibility for bias. STUDY DESIGN: We examined hospital odds ratios (ORs) when either the principal CPT code was used for risk adjustment (along with other standard NSQIP predictor variables) or when this code was used in addition to the remaining reported CPT code with the highest associated risk...
January 5, 2018: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/29299664/trends-in-urinary-diversion-after-radical-cystectomy-for-urothelial-carcinoma
#6
Kinan Bachour, Izak Faiena, Amirali Salmasi, Andrew T Lenis, David C Johnson, Aydin Pooli, Alexandra Drakaki, Allan J Pantuck, Karim Chamie
PURPOSE: To assess how trends in urinary diversion (UD) type following radical cystectomy (RC) have changed in recent years and investigate pre-operative predictors of UD type. METHODS: Data were abstracted from the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) from 2011 to 2015. We quantified the percentages of continent diversions (CD) versus incontinent diversions (ID) completed over this time frame. Using univariate and multivariable logistic regression analyses, we compared UD type across year of operation as well as predictors of type of diversion...
January 3, 2018: World Journal of Urology
https://www.readbyqxmd.com/read/29299480/associations-between-seasonal-variation-and-post-operative-complications-after-total-hip-arthroplasty
#7
Mitchell Ng, Simeng Song, Jaiben George, Anton Khlopas, Nipun Sodhi, Kenneth Ng, Assem A Sultan, Nicolas S Piuzzi, Michael A Mont
Background: Total hip arthroplasty (THA) complication rates are low, but pose marked challenges during the post-operative care period. Therefore, it is important to determine which risk factors are associated with an increased rate of these complications. The purpose of this paper was to investigate the association between seasonal variations and the 30-day post-operative complication rates following THA. Specifically, we evaluated a large prospectively collected national database for: (I) overall complication rates; (II) seasonal variations in incidence; and (III) specific quarter (Q), if any, associations...
December 2017: Annals of Translational Medicine
https://www.readbyqxmd.com/read/29280887/smoking-as-an-independent-risk-factor-for-postoperative-complications-in-plastic-surgical-procedures-a-propensity-score-matched-analysis-of-36-454-patients-from-the-nsqip-database-from-2005-to-2014
#8
Yoshiko Toyoda, Rose H Fu, Lu Li, David M Otterburn, Christine H Rohde
BACKGROUND: Smoking has been associated with wound healing complications and overall morbidity in multiple specialties, including plastic surgery. From 2005 to 2014, smoking prevalence among U.S. adults decreased from 20.9 percent to 16.8 percent. This study aims to investigate whether smoking prevalence among plastic surgery patients paralleled the national trend and whether smoking was an independent risk factor for postoperative complications. METHODS: The 2005 to 2014 American College of Surgeons National Surgical Quality Improvement Program database was used to examine smoking prevalence and 30-day postoperative complications in 36,454 patients who underwent common plastic surgical procedures with extensive planes of dissection...
January 2018: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/29279996/postoperative-mortality-and-morbidity-following-non-cardiac-surgery-in-a-healthy-patient-population
#9
Rodney A Gabriel, Jacklynn F Sztain, Alison M A'Court, Diana J Hylton, Ruth S Waterman, Ulrich Schmidt
PURPOSE: Perioperative mortality ranges from 0.4% to as high as nearly 12%. Currently, there are no large-scale studies looking specifically at the healthy surgical population alone. The primary objective of this study was to report 30-day mortality and morbidity in healthy patients and define any risk factors. METHODS: Using the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) dataset, all patients assigned an American Society of Anesthesiologists physical status (ASA PS) classification score of 1 or 2 were included...
December 26, 2017: Journal of Anesthesia
https://www.readbyqxmd.com/read/29279742/prevalence-and-complications-of-postoperative-transfusion-for-cervical-fusion-procedures-in-spine-surgery-an-analysis-of-11-588-patients-from-the-american-college-of-surgeons-national-surgical-quality-improvement-program-database
#10
Ahmed Aoude, Sultan Aldebeyan, Maryse Fortin, Anas Nooh, Peter Jarzem, Jean A Ouellet, Michael H Weber
Study Design: Retrospective cohort study. Purpose: The purpose of this study was to assess the rate of blood transfusion after cervical fusion surgery, and its effect on complication rates. Overview of Literature: Cervical spine fusions have gained interest in the literature since these procedures are now ever more frequently being performed in an outpatient setting with few complications. Methods: The American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database was used to identify patients that underwent cervical fusion from 2010 to 2013...
December 2017: Asian Spine Journal
https://www.readbyqxmd.com/read/29275909/effect-of-a-hospital-associated-urinary-tract-infection-reduction-policy-on-general-surgery-patients
#11
Sheena K Harris, Erica L Mitchell, Michael R Lasarev, Fouad Attia, John G Hunter, Brett C Sheppard
BACKGROUND: Hospital-associated UTI rates in surgery patients have not improved despite recommendations for reducing indwelling catheter days. METHODS: We performed a retrospective review of institutional NSQIP general surgery patient data, 2006-2015. During this time, a UTI-reduction policy was implemented. Demographics, HA-UTI incidence, CA-UTI incidence, indwelling catheter days, straight catheterization rates, and mortality were examined. RESULTS: Females had significantly higher risk of HA-UTI...
December 14, 2017: American Journal of Surgery
https://www.readbyqxmd.com/read/29273350/the-association-of-age-with-perioperative-morbidity-and-mortality-among-men-undergoing-radical-prostatectomy
#12
Jorge F Pereira, Dragan Golijanin, Gyan Pareek, Ruiting Guo, Zheng Zhang, Joseph Renzulli, Boris Gershman M D
INTRODUCTION: Older age is considered a relative contraindication to radical prostatectomy (RP). However, data are limited regarding the impact of age on perioperative outcomes following RP. We examined the association of age with perioperative outcomes following RP to inform risk-stratification and management. MATERIALS AND METHODS: We identified 35,968 men aged 18 to 89 years who underwent RP from 2010 to 2015 in the National Surgical Quality Improvement Program (NSQIP) database...
December 19, 2017: Urologic Oncology
https://www.readbyqxmd.com/read/29249456/the-rate-of-pd-catheter-complication-does-not-increase-with-simultaneous-abdominal-surgery
#13
Shin Miyata, Jamie Golden, Olga Lebedevskiy, David W Bliss
INTRODUCTION: Children with kidney failure requiring PD catheter placement often require additional intraabdominal surgery. However, the risk of complication related to simultaneous abdominal surgery at time of catheter placement is unknown. METHODS: Patients (0-18years) who underwent PD catheter placement (2012-2015) in the NSQIP-P database were reviewed. Complication rates between patients who underwent additional abdominal surgery at the time of PD catheter placement and those that did not were evaluated...
November 23, 2017: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29247421/clinical-factors-and-postoperative-impact-of-bile-leak-after-liver-resection
#14
Allison N Martin, Sowmya Narayanan, Florence E Turrentine, Todd W Bauer, Reid B Adams, George J Stukenborg, Victor M Zaydfudim
BACKGROUND: Despite technical advances, bile leak remains a significant complication after hepatectomy. The current study uses a targeted multi-institutional dataset to characterize perioperative factors that are associated with bile leakage after hepatectomy to better understand the impact of bile leak on morbidity and mortality. METHODS: Adult patients in the 2014-2015 ACS NSQIP targeted hepatectomy dataset were linked to the ACS NSQIP PUF dataset. Bivariable and multivariable regression analyses were used to assess the associations between clinical factors and post-hepatectomy bile leak...
December 15, 2017: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/29239209/editorial-comment-on-end-2017-0609-or-r1-perioperative-morbidity-of-open-versus-minimally-invasive-partial-nephrectomy-a-contemporary-analysis-of-the-national-surgical-quality-improvement-program-nsqip
#15
https://www.readbyqxmd.com/read/29238657/30-day-adverse-event-rates-following-penile-prosthesis-surgery-an-american-college-of-surgeons-national-surgical-quality-improvement-program-based-evaluation
#16
Isaac Palma-Zamora, Akshay Sood, Ali A Dabaja
Background: Commonly utilized as a third-line therapy for erectile dysfunction (ED) management, the penile prostheses have become a staple treatment for ED refractory to pharmacological interventions. There is however a paucity of data in the literature pertaining to short-term adverse outcomes following penile prosthesis surgery. We thus sought to leverage the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) to evaluate such outcomes within 30 days of surgery in these patients...
November 2017: Translational Andrology and Urology
https://www.readbyqxmd.com/read/29238570/impact-of-asa-score-misclassification-on-nsqip-predicted-mortality-a-retrospective-analysis
#17
Alex Helkin, Sumeet V Jain, Angelika Gruessner, Maureen Fleming, Leslie Kohman, Michael Costanza, Robert N Cooney
Background: The ASA physical classification score has a major impact on the observed/expected (O/E) mortality ratio in the NSQIP General Vascular Mortality Model. The difference in predicted mortality is greatest between ASAs 3 and 4. We hypothesized under-classified ASA scores significantly affect the O/E mortality. Methods: We conducted a retrospective review of NSQIP essential surgery cases from January 2014 to December 2014 (n = 1264) with mortality sub-analysis (n = 33) at our institution...
2017: Perioperative Medicine
https://www.readbyqxmd.com/read/29230588/the-impact-of-advanced-age-on-short-term-outcomes-following-gastric-cancer-resection-an-acs-nsqip-analysis
#18
Trevor D Hamilton, Alyson L Mahar, Barbara Haas, Kaitlyn Beyfuss, Calvin H L Law, Paul J Karanicolas, Natalie G Coburn, Julie Hallet
BACKGROUND: Evidence on short-term outcomes for GC resection in elderly patients is limited by small samples from single-institutions. This study sought to examine the association between advanced age and short-term outcomes of gastrectomy for gastric cancer (GC). METHODS: Using ACS-NSQIP data, patients undergoing gastrectomy for GC (2007-2013) were identified. Primary outcome was 30-day major morbidity. Outcomes were compared across age categories (<65, 65-70, 71-75, 76-80, >80 years old)...
December 11, 2017: Gastric Cancer
https://www.readbyqxmd.com/read/29229146/procedure-based-postoperative-risk-prediction-using-nsqip-data
#19
David E Clark, Timothy L Fitzgerald, Albert W Dibbins
BACKGROUND: The National Surgical Quality Improvement Program (NSQIP) has proposed using procedure-based hierarchical models to predict adverse outcomes, but it is not clear whether this approach was used to develop the NSQIP "Surgical Risk Calculator". We therefore wished to demonstrate how procedure-based hierarchical models can be constructed and to describe their results. METHODS: NSQIP data from 2015 were used to construct statistical models predicting 30-day postoperative mortality and morbidity, using two-level logistic regression with preoperative patient-level variables as fixed effects and procedure-specific codes as a random intercept...
January 2018: Journal of Surgical Research
https://www.readbyqxmd.com/read/29218804/impact-of-diabetes-on-free-flap-surgery-of-the-head-and-neck-a-nsqip-analysis
#20
Jacob S Brady, Aparna Govindan, Meghan M Crippen, Andrey Filimonov, Jean Anderson Eloy, Soly Baredes, Richard Chan Woo Park
OBJECTIVE: Diabetes is associated with microvascular pathology and may predispose patients undergoing microvascular surgery to complications. This study assesses diabetes as a risk factor for complications following free flap surgery of the head and neck. PATIENTS AND METHODS: In this retrospective cohort study, data on free flap surgeries of the head and neck between 2005 and 2014 was collected from the National Surgical Quality Improvement Program (NSQIP) database...
December 8, 2017: Microsurgery
keyword
keyword
10130
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"