Use of the American College of Surgeons National Surgical Quality Improvement Program Surgical Risk Calculator During Preoperative Risk Discussion: The Patient Perspective

Anesthesia and Analgesia
Britany L RaymondMatthew D McEvoy

Abstract

The American College of Surgeons (ACS) National Surgical Quality Improvement Program Surgical Risk Calculator (ACS Calculator) provides empirically derived, patient-specific risks for common adverse perioperative outcomes. The ACS Calculator is promoted as a tool to improve shared decision-making and informed consent for patients undergoing elective operations. However, to our knowledge, no data exist regarding the use of this tool in actual preoperative risk discussions with patients. Accordingly, we performed a survey to assess (1) whether patients find the tool easy to interpret, (2) how accurately patients can predict their surgical risks, and (3) the impact of risk disclosure on levels of anxiety and future motivations to decrease personal risk. Patients (N = 150) recruited from a preoperative clinic completed an initial survey where they estimated their hospital length of stay and personal perioperative risks of the 12 clinical complications analyzed by the ACS Calculator. Next, risk calculation was performed by entering participants' demographics into the ACS Calculator. Participants reviewed their individualized risk reports in detail and then completed a follow-up survey to evaluate their perceptions. Nearly 90% of par...Continue Reading

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Citations

Mar 26, 2019·Nutrition in Clinical Practice : Official Publication of the American Society for Parenteral and Enteral Nutrition·Tyler J LoftusMartin D Rosenthal
Mar 19, 2019·Anesthesia and Analgesia·Matthew B Allen, Angela M Bader
Dec 12, 2019·JAMA Surgery·Tyler J LoftusAzra Bihorac
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Sep 16, 2020·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·Emily HladkowiczDaniel I McIsaac
Nov 25, 2020·International Anesthesiology Clinics·Nidhi Rohatgi, Steven L Cohn
May 25, 2021·Journal of Surgical Oncology·Miguel A Gonzalez-WogeJuan E Bargallo-Rocha
Dec 11, 2020·Minerva anestesiologica·Elena G BignamiValentina Bellini
Dec 21, 2021·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Sara HamadeS Abbas Shobeiri

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