Abstract
Improving the quality of surgical care through accurate measurement of outcomes is an important endeavor. The purpose of this study was to compare data from the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) and The Society of Thoracic Surgeons (STS) general thoracic surgery database to determine if a sampling technique (ACS NSQIP) is as effective and accurate as the comprehensive technique (STS database). A common data abstractor collected and recorded data for the ACS NSQIP and STS database from our institution for the year 2012. The data was completely deidentified and analyzed for demographics, preoperative risk factors, mortality, and morbidity. The STS database recorded 1,595 (100%) operations for the year 2012, whereas the ACS NSQIP by design collects a limited sample and recorded 308 (19.3%) operations. Postoperative events were recorded in 17.2% of ACS NSQIP operations and in 30.1% of operations reported in the STS database. As more specific operations are examined, errors in the NSQIP data increase significantly. For example, the ACS NSQIP underestimated the pneumonia rate for lobectomy (5.9% versus 10.9%) and overestimated the pneumonia rate for an Ivor Lewis esophagogastrectom...Continue Reading
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