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Validity of the American College of Surgeons' National Surgical Quality Improvement Program risk calculator in South Australian glossectomy patients

Published online by Cambridge University Press:  19 July 2017

S S Kao ,
C Frauenfelder ,
D Wong ,
S Edwards ,
S Krishnan  and
E H Ooi
S S Kao*
Affiliation:
ENT Head and Neck Surgery, Flinders Medical Centre, Bedford Park, Adelaide, Australia
C Frauenfelder
Affiliation:
ENT Head and Neck Surgery, Flinders Medical Centre, Bedford Park, Adelaide, Australia
D Wong
Affiliation:
ENT Head and Neck Surgery, Flinders Medical Centre, Bedford Park, Adelaide, Australia
S Edwards
Affiliation:
School of Public Health, University of Adelaide, Adelaide, Australia
S Krishnan
Affiliation:
ENT Head and Neck Surgery, Royal Adelaide Hospital, Adelaide, Australia
E H Ooi
Affiliation:
ENT Head and Neck Surgery, Flinders Medical Centre, Bedford Park, Adelaide, Australia Department of Surgery, Flinders University, Adelaide, Australia
*
Address for correspondence: Dr Stephen Shih-Teng Kao, ENT Head and Neck Surgery, Flinders Medical Centre, Flinders Dr, Bedford Park, SA 5042, Australia E-mail: stephen.kao@sa.gov.au
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Abstract

Background:

Appropriate selection of tongue cancer patients considering surgery is critical in ensuring optimal outcomes. The American College of Surgeons' National Surgical Quality Improvement Program (‘ACS-NSQIP’) risk calculator was developed to assess patients' 30-day post-operative risk, providing surgeons with information to guide decision making.

Method:

A retrospective review of 30-day actual mortality and morbidity of tongue cancer patients was undertaken to investigate the validity of this tool for South Australian patients treated from 2005 to 2015.

Results:

One hundred and twenty patients had undergone glossectomy. Predicted length of stay using the risk calculator was significantly different from actual length of stay. Predicted mortality and other complications were found to be similar to actual outcomes.

Conclusion:

The American College of Surgeons' National Surgical Quality Improvement Program risk calculator was found to be effective in predicting post-operative complication rates in South Australian tongue cancer patients. However, significant discrepancies in predicted and actual length of stay may limit its use in this population.

Keywords

NSQIPGlossectomyOutcomesRisk CalculatorLength Of StayTongue Cancer

Information

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 132 , Issue 2 , February 2018 , pp. 173 - 179
Copyright
Copyright © JLO (1984) Limited 2017 

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Footnotes

Presented orally at the 13th Japan-Taiwan Conference on Otolaryngology Head and Neck Surgery Meeting, 3–4 December 2015, Tokyo, Japan.

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