American College of Surgeons National Surgical Quality Improvement Program Pediatric: A Phase 1 Report

Raval, Mehul V.; Dillon, Peter W.; Bruny, Jennifer; Ko, Clifford Y.; Hall, Bruce L.; Moss, Richard L.; Oldham, Keith T.; Richards, Karen; Vinocur, Charles D.; Ziegler, Moritz M.

doi:10.1016/j.jamcollsurg.2010.08.013

Cited by 169 publications

(100 citation statements)

References 14 publications

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“…The sampling method for NSQIP-P has been previously described. 22,23,25 Because the data set is completely deidentified, this study was determined to be non-human subjects research and deemed exempt from review by our institutional review board.…”

Section: Study Design and Data Setmentioning

confidence: 99%

“…2 In 2005, the American College of Surgeons developed and implemented the National Surgical Quality Improvement Program-Pediatrics (NSQIP-P). 22 This collaborative effort, which prospectively records 30-day postoperative complications after pediatric surgical operations, grew from 4 institutions in 2005 to 56 hospitals in 2013. The inclusion of various children's hospitals across the United States, which have different sizes and patient populations, make it an ideal database to examine perioperative quality measures on a national, standardized scale.…”

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confidence: 99%

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Race and 30-Day Morbidity in Pediatric Urologic Surgery

2016

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Section: Study Design and Data Setmentioning

confidence: 99%

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confidence: 99%

Race and 30-Day Morbidity in Pediatric Urologic Surgery

2016

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“…In collaboration with the American College of Surgeons, it also has developed a National Surgical Quality Improvement Program-Pediatric (NSQIP-P), a risk-adjusted performance improvement program. 3 As the specialty of pediatric surgery has matured, the outcomes for the surgical care of children have benefitted dramatically as a result of improved and more advanced surgical techniques, parenteral nutrition, specialized neonatal and pediatric ICUs, and pediatric anesthesia, to mention a few important advancements. 2 Continued improvement in contemporary morbidity and mortality after a pediatric surgical procedure has been confirmed by low complication rates seen in the recent NSQIP-P data.…”

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confidence: 99%

Frequency and Variety of Inpatient Pediatric Surgical Procedures in the United States

et al. 2013

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OBJECTIVE: Pediatric surgical procedures are being performed in a variety of hospitals with large differences in surgical volume. We examined the frequency and variety of inpatient pediatric surgical procedures in the United States by hospital type and geographic region using a nationally representative sample. METHODS: The 2009 Kids’ Inpatient Database for patients <18 years old was used to calculate surgical frequencies by using International Classification of Diseases, Ninth Revision, Clinical Modification, (ICD-9-CM) codes. We performed stratified analysis by hospital type (free-standing children’s hospital, children’s unit within an adult hospital, and general hospital) and geographic region (South, West, Midwest, Northeast) to compare frequencies of surgical procedures. RESULTS: A total of 216 081 procedures were projected for 2009 with the top 20 procedures accounting for >90% of cases. As many as 40% of all pediatric inpatient surgical procedures are being performed in adult general hospitals. Infrequent complex low-volume neonatal surgical procedures (pullthrough for Hirschsprung disease, surgery for malrotation, esophageal atresia repair, and diaphragmatic hernia repair) were 6.8 to 16 times more likely to occur in a children's hospital. Significant regional variation in procedure frequency rates occurred for appendectomy and cholecystectomy. CONCLUSIONS: This report is the first to characterize pediatric surgical inpatient volume in the United States. Such data may influence the distribution of pediatric surgeons, number of trainees, and training curricula for pediatric surgeons, pediatricians, general surgeons and other surgical specialists who might operate on children. In addition, it raises the question of whether complex pediatric surgical procedures should preferably be performed at dedicated high volume children's hospitals.

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“…A pediatric program is also available and has been used for pediatric neurosurgery. 16 The American College of Surgeons' NSQIP indicates that surgical outcomes improve and that hospitals participating in this initiative appear to be avoiding substantial numbers of complications, improving care, and reducing costs. 7,8,10 A similar program would be very welcome for Europe as well, but participation costs and data security concerns will hamper such an initiative at least in our country in the near future.…”

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Prospective review of a single center's general pediatric neurosurgical intraoperative and postoperative complication rates

Lindert

Delye

Leonardo

2014

PED

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Object The authors conducted a study to compare the complication rate (CR) of pediatric neurosurgical procedures in a general neurosurgery department to the CRs that are reported in the literature and to establish a baseline of CR for further targeted improvement of quality neurosurgical care. Methods The authors analyzed the prospectively collected data from a complication registration of 1000 consecutive pediatric neurosurgical procedures in 581 patients from the beginning of the registration in January 2004 through August 2008. A pediatric neurosurgeon was involved in 50.5% of the procedures. All adverse events (AEs) from induction of anesthesia until 30 days postoperatively were recorded. Results Overall, 229 complications were counted in 202 procedures. The overall CR was 20.2%, with a 2.7% intraoperative CR and a 17.5% postoperative CR. Tumor surgery was associated with the highest CR (32.7%), followed by CSF disorders (21.8%). The mortality rate was 0.3%. An unplanned return to the operating room in relation to an AE happened in 10.5% of all procedures and in 52% of procedures associated with AEs, the majority of which were related to CSF disorders. Conclusions The CR in pediatric neurosurgical procedures was significant, and more than half of the patients with an AE required a repeat surgical procedure. Analysis of CRs should be a prerequisite for the prevention of complications and for the development of targeted interventions to reduce the CR (for example, infection rates).

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American College of Surgeons National Surgical Quality Improvement Program Pediatric: A Phase 1 Report

Cited by 169 publications

References 14 publications

Race and 30-Day Morbidity in Pediatric Urologic Surgery

Race and 30-Day Morbidity in Pediatric Urologic Surgery

Frequency and Variety of Inpatient Pediatric Surgical Procedures in the United States

Prospective review of a single center's general pediatric neurosurgical intraoperative and postoperative complication rates

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