Postoperative morbidity and mortality for malignant colon obstruction: the American College of Surgeon calculator reliability

Collard, M.; Moszkowicz, David; Clause-Verdreau, Anne-Caroline; Beauchet, Alain; Cudennec, Tristan; Vychnevskaia, Karina; Malafosse, Robert; Peschaud, Frédérique

doi:10.1016/j.jss.2017.11.070

Cited by 12 publications

(13 citation statements)

References 30 publications

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“…Although our results need to be interpreted with caution given that the statistics are based on only three death events, neoadjuvant chemotherapy should be considered in those patients with advanced-stage ovarian cancer who have a higher-thanaverage risk of death per the surgical risk calculator. This is supported by previous research showing that the ACS NSQIP surgical risk calculator reasonably predicted death among gynecologic oncology patients undergoing a surgery with the gynecologic oncology service regardless of age 7,8 , as well as other studies in non-gynecologic patients with cancer 19 . Additionally, a prospective study in patients without cancer showed the postoperative mortality rate can be significantly decreased with preoperative optimization of medical comorbidities and palliative care as indicated 20 .…”

Section: Discussionsupporting

confidence: 80%

The American College of Surgeon's surgical risk calculator's ability to predict disposition in older gynecologic oncology patients undergoing laparotomy

Shaker

Rivard

Nahum

et al. 2019

Journal of Geriatric Oncology

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Objectives: The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) surgical risk calculator calculates risk of postoperative complications utilizing clinically apparent preoperative variables. If validated for patients with gynecologic , this can be an effective tool in to use for shared decision-making, especially in the older (70+ years of age) patient population for whom surgical risks and potential loss of independence is increased. The primary objective of this study was to evaluate the ability of the ACS NSQIP surgical risk calculator to predict discharge to a post-acute care among older (age 70+ years) gynecologic oncology patients undergoing laparotomy. The secondary objectives were to assess its ability to predict postoperative complications and death. Methods: This was a retrospective cohort study of gynecologic oncology patients 70+ years of age undergoing laparotomy. Surgical procedures, 21 preoperative variables, postoperative complications, and patient disposition were abstracted from the medical record. Risk scores for seven postoperative complications and discharge to post-acute care were calculated. The association between risk scores and outcomes were assessed using logistic regression and predictive ability was evaluated using the c-statistic and Brier score. Results: 204 surgeries were performed on 200 patients between January 1, 2009 and December 31, 2013. The mean age was 76.3±5.1 years; 87% were independent at baseline. A total of 79 (41%) were discharged to post-acute care. The calculator's ability to predict discharge to post-* Corresponding author at: Mayo Mail Code 395, 420 Delaware St SE, Minneapolis, MN 55417. AUTHOR CONTRIBUTIONS SS contributed to the data acquisition, quality control of data and algorithms, data analysis and interpretation, manuscript preparation, editing, and review. CR contributed to the study concepts and study design, manuscript editing, and manuscript review. RN contributed to the data acquisition, manuscript editing, and manuscript review. RIV contributed to the data analysis and interpretation, statistical analysis, manuscript preparation, editing, and review. DT contributed to the study design and concepts, quality control of data and algorithms, data analysis and interpretation, manuscript preparation, editing, and review.

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Section: Discussionsupporting

confidence: 80%

The American College of Surgeon's surgical risk calculator's ability to predict disposition in older gynecologic oncology patients undergoing laparotomy

Shaker

Rivard

Nahum

et al. 2019

Journal of Geriatric Oncology

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“…For stable patients with a proximal colonic obstruction and low surgical risk, it is a reasonable and safe option to perform a resection and primary anastomosis [ 233 , 234 , 235 , 236 ]. There are a number of anastomotic variations including handsewn or stapled techniques and different methods of constructing stapled anastomoses.…”

Section: Colorectal Cancermentioning

confidence: 99%

The Association of Coloproctology of Great Britain and Ireland consensus guidelines in emergency colorectal surgery

et al. 2021

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Aim There is a requirement for an expansive and up to date review of the management of emergency colorectal conditions seen in adults. The primary objective is to provide detailed evidence‐based guidelines for the target audience of general and colorectal surgeons who are responsible for an adult population and who practise in Great Britain and Ireland. Methods Surgeons who are elected members of the Association of Coloproctology of Great Britain and Ireland Emergency Surgery Subcommittee were invited to contribute various sections to the guidelines. They were directed to produce a pathology‐based document using literature searches that were systematic, comprehensible, transparent and reproducible. Levels of evidence were graded. Each author was asked to provide a set of recommendations which were evidence‐based and unambiguous. These recommendations were submitted to the whole guideline group and scored. They were then refined and submitted to a second vote. Only those that achieved >80% consensus at level 5 (strongly agree) or level 4 (agree) after two votes were included in the guidelines. Results All aspects of care (excluding abdominal trauma) for emergency colorectal conditions have been included along with 122 recommendations for management. Conclusion These guidelines provide an up to date and evidence‐based summary of the current surgical knowledge in the management of emergency colorectal conditions and should serve as practical text for clinicians managing colorectal conditions in the emergency setting.

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“…However, their accuracy in predicting postoperative morbidity and mortality remains largely untested in cancer patients. [53][54][55][56] The results of our study show that cancer patients experience significant complications and mortality when undergoing an operation that had previously been shown to be safe in other high-risk groups. This suggests that standard indices used to predict outcomes based on preoperative factors may not be enough to assess the risk of patients with cancer.…”

Section: Discussionmentioning

confidence: 62%

The Need for Accurate Risk Assessment in a High-Risk Patient Population: A NSQIP Study Evaluating Outcomes of Cholecystectomy in the Patient With Cancer

Metzger

Horwood

Chen

et al. 2021

Journal of Surgical Research

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Postoperative morbidity and mortality for malignant colon obstruction: the American College of Surgeon calculator reliability

Cited by 12 publications

References 30 publications

The American College of Surgeon's surgical risk calculator's ability to predict disposition in older gynecologic oncology patients undergoing laparotomy

The American College of Surgeon's surgical risk calculator's ability to predict disposition in older gynecologic oncology patients undergoing laparotomy

The Association of Coloproctology of Great Britain and Ireland consensus guidelines in emergency colorectal surgery

The Need for Accurate Risk Assessment in a High-Risk Patient Population: A NSQIP Study Evaluating Outcomes of Cholecystectomy in the Patient With Cancer

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