Accuracy of the NSQIP risk calculator for predicting complications following adrenalectomy.

摘要: Adrenalectomy is performed to treat functional pathology and remove tumors of malignant concern. The National Surgical Quality Improvement Program (NSQIP) risk calculator predicts 30-day complications length stay following index surgical procedures. We assess whether this tool accurately adrenalectomy procedures at a tertiary care academic medical center. A retrospective review was for all adrenalectomies single institution from 2004 2016. 197 patients underwent without concurrent resections. Predicted NSQIP calculated each patient. mean predicted observed risks (%) 30 days across within category were determined, these compared with two-sided one-sample t tests. Of adrenalectomies, 180 laparoscopic 17 open. For adrenalectomy, ten (5.5%) including nine (5%) graded Clavien III or greater. All complication rates significantly different than (p values all < 0.005). Mean also less (1.6 versus 2.1 days, p < 0.001). In the open subgroup, there no equivalent (5.8 5.3, p = 0.08) higher readmission rate (5.9 6.0%). Statistical differences noted between actual those by calculator. Certain may not necessarily have clinical significance. Urology procedure-specific calculators better refine predictions sub-specialty future work requisite determine performance practice settings.