Navigation Links
Surgical quality program is a strong tool for assessing outcomes for high-risk procedures
Date:12/10/2009

CHICAGO (December 10, 2009) New research published in the December issue of the Journal of the American College of Surgeons finds that the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) is a powerful tool for assessing outcomes of uncommon, high-risk surgical procedures, including pancreatic necrosectomy. This is the first time that national data on this particular procedure has been available and analyzed, and the data from ACS NSQIP showed that patients undergoing pancreatic necrosectomy had better outcomes than predicted.

Necrotizing pancreatitis is the most severe form of acute pancreatitis, an infection or inflammation of the pancreas. The surgical management of patients with pancreatic necrosis has evolved over the last 20 years due to improved medical management and delayed surgical intervention, which has contributed to the reduced mortality rates in severe pancreatitis. However, most published literature comes from single-institution studies with relatively small numbers of patients, and no North American data previously existed regarding the outcomes of patients undergoing pancreatic necrosectomy (the removal of dead, or "necrosed," tissue in the pancreas).

ACS NSQIP is a nationally validated, outcomes-based, risk-adjusted, peer-controlled program for the measurement and enhancement of quality surgical care. In 2007, a new Current Procedural Terminology (CPT) code for debridement of pancreatic and peripancreatic necrosis became available. The CPT code set is used to describe medical, surgical, and diagnostic services in order to communicate uniform information about medical services and procedures among physicians, coders, patients, accreditation organizations, and payers for administrative, financial and analytical purposes.

"Within 12 months, ACS NSQIP accumulated extensive data on 161 patients that had undergone pancreatic necrosectomy, a number that would take most hospitals decades to accumulate," said Henry A. Pitt, MD, FACS, professor and vice chairman of surgery, Indiana University School of Medicine, Indianapolis. "This study demonstrates that ACS NSQIP is a powerful data repository that provides hospitals with a practical tool to assess how well they are doing with uncommon, high-risk operations."

Using the new procedure code, the ACS NSQIP Participant Use File database was queried for all patients who had debridement of pancreatic and peripancreatic necrosis from January 1 December 31, 2007. Preoperative, intraoperative and postoperative data variables are submitted on each patient, including the CPT codes. Patient demographics, observed (O) and expected (E) morbidity and mortality, and indices (O/E) were evaluated. A multivariate stepwise logistic regression was performed to determine predictors of mortality.

Survivors and nonsurvivors were compared with respect to patient demographics, comorbidities, and postoperative outcomes. On average, non-survivors were 17 years older and had a significantly higher body mass index (35.6kg/m2) versus survivors (29.8kg/m2, p<0.01). The majority of patients were Caucasian (n=121), 29 percent had diabetes (n=47), and 11 percent (n=18) abused alcohol. Of note, 24 percent (n=39) of these patients were transferred to ACS NSQIP hospitals from other facilities.

During the 12-month period, postoperative morbidity was high at 62 percent (n=100), but less than expected (72 percent, n=116). Thirty-day hospital mortality was 6.8 percent (n=11), only one-third of the 20.6 percent (n=33) predicted by the ACS NSQIP logistic regression, risk-adjustment formula.


'/>"/>

Contact: Sally Garneski
pressinquiry@facs.org
312-202-5409
Weber Shandwick Worldwide
Source:Eurekalert

Related medicine news :

1. Online Compression Garments Retailer Introduces 3D Animation of Surgical Procedures
2. Cardinal Health, Patient Safety Technologies Enter Into Exclusive Distribution Agreement For SurgiCount(TM) Surgical Safety Products
3. Smoking Contributes to Back Pain and Ineffective Surgical Treatments
4. Surgicalcaps.com Introduces Surgical Scrub Sacks
5. WakeMed and Surgical Care Affiliates Enter into Venture for Ambulatory Surgery
6. Las Vegas Plastic Surgery Center (imagepluslasvegas.com) Specializes in Non-Surgical Cosmetic Procedures
7. STAAR Surgical Collamer(R) Accommodating Study Team Reports First Phase Assessments at AAO
8. Leaders in Minimally Invasive Spinal Surgery Acquire Non-Surgical Spine Therapy Pioneer
9. Cardium Announces Commercial Development of Excellagen(TM) a Customized Collagen-Based Topical Gel for Initial Use as an Adjunct to Surgical Debridement in Patients With Diabetic Foot Ulcers
10. Researchers find demand for cosmetic and surgical procedures in dermatologic surgery rising rapidly
11. Surgical masks vs. N95 respirators for preventing influenza among health care workers
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/27/2016)... ... June 27, 2016 , ... TherapySites, the ... affiliation with Tennessee Counseling Association. This new relationship allows TherapySites to ... Counseling Association, adding exclusive benefits and promotional offers. , "TCA is extremely excited ...
(Date:6/27/2016)... ... June 27, 2016 , ... TopConsumerReviews.com recently awarded their highest five-star ... , Millions of individuals in the United States and Canada wear eyeglasses. Once considered ... both correct vision and make a fashion statement. Even celebrities use glasses as a ...
(Date:6/26/2016)... ... June 26, 2016 , ... Pixel Film Studios Released ProSlice Levels, ... editors can give their videos a whole new perspective by using the title ... Pixel Film Studios. , ProSlice Levels contains over 30 Different presets to choose ...
(Date:6/26/2016)... ... June 26, 2016 , ... Many women ... diagnosed with endometriosis. These women need a treatment plan to not only alleviate ... that can help for preservation of fertility and ultimately achieving a pregnancy. The ...
(Date:6/25/2016)... ... ... temporary closing of Bruton Memorial Library on June 21 due to a possible lice infestation, ... aspect of head lice: the parasite’s ability to live away from a human host, and ... necessary one in the event that lice have simply gotten out of control. , As ...
Breaking Medicine News(10 mins):
(Date:6/23/2016)... Research and Markets has announced the addition of ... report to their offering. ... kidney failure, it replaces the function of kidneys by removing ... thus the treatment helps to keep the patient body,s electrolytes ... Increasing number of ESRD patients & substantial healthcare expenditure ...
(Date:6/23/2016)... Research and Markets has announced the addition of ... Forecast to 2022" report to their offering. ... date financial data derived from varied research sources to present ... impact on the market during the next five years, including ... sub markets, regional and country level analysis. The report provides ...
(Date:6/23/2016)... Ill. and INDIANAPOLIS , ... students receiving a Lilly Diabetes Tomorrow,s Leaders Scholarship is ... 2016 scholarship winners, announced today online at www.diabetesscholars.org ... let type 1 diabetes stand in the way of ... has supported the Foundation,s scholarship program since 2012, and ...
Breaking Medicine Technology: