Adverse Event Rates, Timing of Complications, and the Impact of Specialty on Outcomes Following Adrenal Surgery: An Analysis of 30-Day Outcome Data From the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP)

Akshay Sood; Kaustav Majumder; Naveen Kachroo; Jesse D Sammon; Firas Abdollah; Marianne Schmid; Linda Hsu; Wooju Jeong; Christian P Meyer; Julian Hanske; Richard Kalu; Mani Menon; Quoc-Dien Trinh

doi:10.1016/j.urology.2015.12.031

Adverse Event Rates, Timing of Complications, and the Impact of Specialty on Outcomes Following Adrenal Surgery: An Analysis of 30-Day Outcome Data From the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP)

Standard

Adverse Event Rates, Timing of Complications, and the Impact of Specialty on Outcomes Following Adrenal Surgery: An Analysis of 30-Day Outcome Data From the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP). / Sood, Akshay; Majumder, Kaustav; Kachroo, Naveen; Sammon, Jesse D; Abdollah, Firas; Schmid, Marianne; Hsu, Linda; Jeong, Wooju; Meyer, Christian P; Hanske, Julian; Kalu, Richard; Menon, Mani; Trinh, Quoc-Dien.

In: UROLOGY, Vol. 90, 04.2016, p. 62-8.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Sood, A, Majumder, K, Kachroo, N, Sammon, JD, Abdollah, F, Schmid, M, Hsu, L, Jeong, W, Meyer, CP, Hanske, J, Kalu, R, Menon, M & Trinh, Q-D 2016, 'Adverse Event Rates, Timing of Complications, and the Impact of Specialty on Outcomes Following Adrenal Surgery: An Analysis of 30-Day Outcome Data From the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP)', UROLOGY, vol. 90, pp. 62-8. https://doi.org/10.1016/j.urology.2015.12.031

APA

Sood, A., Majumder, K., Kachroo, N., Sammon, J. D., Abdollah, F., Schmid, M., Hsu, L., Jeong, W., Meyer, C. P., Hanske, J., Kalu, R., Menon, M., & Trinh, Q-D. (2016). Adverse Event Rates, Timing of Complications, and the Impact of Specialty on Outcomes Following Adrenal Surgery: An Analysis of 30-Day Outcome Data From the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP). UROLOGY, 90, 62-8. https://doi.org/10.1016/j.urology.2015.12.031

Vancouver

Sood A, Majumder K, Kachroo N, Sammon JD, Abdollah F, Schmid M et al. Adverse Event Rates, Timing of Complications, and the Impact of Specialty on Outcomes Following Adrenal Surgery: An Analysis of 30-Day Outcome Data From the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP). UROLOGY. 2016 Apr;90:62-8. https://doi.org/10.1016/j.urology.2015.12.031

Bibtex

@article{43ad89faa9f04a5f8970ba5a2c67362d,

title = "Adverse Event Rates, Timing of Complications, and the Impact of Specialty on Outcomes Following Adrenal Surgery: An Analysis of 30-Day Outcome Data From the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP)",

abstract = "OBJECTIVE: To report on 30-day adverse event rates and timing of complications following adrenal surgery; further, to investigate the impact of specialty (general surgery vs urology) on these outcomes using a large prospective multi-institutional data registry.MATERIALS AND METHODS: Within the American College of Surgeons National Surgical Quality Improvement Program (2005-2012), patients undergoing adrenalectomy were identified (CPT-codes: 60540, 60545, 60650). Outcomes evaluated included complications, blood transfusion, length of stay, reintervention, readmission, and mortality. Complications were further evaluated in relation to discharge status (pre-/postdischarge). Multivariable regression models assessed association between specialty and 30-day morbidity/mortality.RESULTS: During the study period, 4844 patients underwent adrenalectomy (95.7% general surgery). The overall complication rate was 7.5% (n = 363); 43.2% of the complications occurred postdischarge with a substantial proportion of major complications, including cardiac, pulmonary, renal, neurologic, septic, and deep venous thrombosis/pulmonary embolism also occurring postdischarge (29.9%). The overall blood transfusion, reintervention, readmission, and mortality rates were 3.9%, 2.0%, 6.4%, and 0.6%, respectively. In adjusted analyses, specialty did not have an effect on any of the outcomes (P > .05 all).CONCLUSION: One in 13 patients suffers a complication postadrenalectomy. Approximately 40% of these complications occur postdischarge, primarily within the first 2 weeks of surgery. Accurate knowledge regarding 30-day adverse event rates and timing of complications that this study provides may facilitate improved patient-physician communication and encourage early patient follow-up in this critical window. Lastly, specialty does not seem to affect outcomes in American College of Surgeons National Surgical Quality Improvement Program participant hospitals.",

author = "Akshay Sood and Kaustav Majumder and Naveen Kachroo and Sammon, {Jesse D} and Firas Abdollah and Marianne Schmid and Linda Hsu and Wooju Jeong and Meyer, {Christian P} and Julian Hanske and Richard Kalu and Mani Menon and Quoc-Dien Trinh",

year = "2016",

month = apr,

doi = "10.1016/j.urology.2015.12.031",

language = "English",

volume = "90",

pages = "62--8",

journal = "UROLOGY",

issn = "0090-4295",

publisher = "Elsevier Inc.",

}

RIS

TY - JOUR

T1 - Adverse Event Rates, Timing of Complications, and the Impact of Specialty on Outcomes Following Adrenal Surgery: An Analysis of 30-Day Outcome Data From the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP)

AU - Sood, Akshay

AU - Majumder, Kaustav

AU - Kachroo, Naveen

AU - Sammon, Jesse D

AU - Abdollah, Firas

AU - Schmid, Marianne

AU - Hsu, Linda

AU - Jeong, Wooju

AU - Meyer, Christian P

AU - Hanske, Julian

AU - Kalu, Richard

AU - Menon, Mani

AU - Trinh, Quoc-Dien

PY - 2016/4

Y1 - 2016/4

N2 - OBJECTIVE: To report on 30-day adverse event rates and timing of complications following adrenal surgery; further, to investigate the impact of specialty (general surgery vs urology) on these outcomes using a large prospective multi-institutional data registry.MATERIALS AND METHODS: Within the American College of Surgeons National Surgical Quality Improvement Program (2005-2012), patients undergoing adrenalectomy were identified (CPT-codes: 60540, 60545, 60650). Outcomes evaluated included complications, blood transfusion, length of stay, reintervention, readmission, and mortality. Complications were further evaluated in relation to discharge status (pre-/postdischarge). Multivariable regression models assessed association between specialty and 30-day morbidity/mortality.RESULTS: During the study period, 4844 patients underwent adrenalectomy (95.7% general surgery). The overall complication rate was 7.5% (n = 363); 43.2% of the complications occurred postdischarge with a substantial proportion of major complications, including cardiac, pulmonary, renal, neurologic, septic, and deep venous thrombosis/pulmonary embolism also occurring postdischarge (29.9%). The overall blood transfusion, reintervention, readmission, and mortality rates were 3.9%, 2.0%, 6.4%, and 0.6%, respectively. In adjusted analyses, specialty did not have an effect on any of the outcomes (P > .05 all).CONCLUSION: One in 13 patients suffers a complication postadrenalectomy. Approximately 40% of these complications occur postdischarge, primarily within the first 2 weeks of surgery. Accurate knowledge regarding 30-day adverse event rates and timing of complications that this study provides may facilitate improved patient-physician communication and encourage early patient follow-up in this critical window. Lastly, specialty does not seem to affect outcomes in American College of Surgeons National Surgical Quality Improvement Program participant hospitals.

AB - OBJECTIVE: To report on 30-day adverse event rates and timing of complications following adrenal surgery; further, to investigate the impact of specialty (general surgery vs urology) on these outcomes using a large prospective multi-institutional data registry.MATERIALS AND METHODS: Within the American College of Surgeons National Surgical Quality Improvement Program (2005-2012), patients undergoing adrenalectomy were identified (CPT-codes: 60540, 60545, 60650). Outcomes evaluated included complications, blood transfusion, length of stay, reintervention, readmission, and mortality. Complications were further evaluated in relation to discharge status (pre-/postdischarge). Multivariable regression models assessed association between specialty and 30-day morbidity/mortality.RESULTS: During the study period, 4844 patients underwent adrenalectomy (95.7% general surgery). The overall complication rate was 7.5% (n = 363); 43.2% of the complications occurred postdischarge with a substantial proportion of major complications, including cardiac, pulmonary, renal, neurologic, septic, and deep venous thrombosis/pulmonary embolism also occurring postdischarge (29.9%). The overall blood transfusion, reintervention, readmission, and mortality rates were 3.9%, 2.0%, 6.4%, and 0.6%, respectively. In adjusted analyses, specialty did not have an effect on any of the outcomes (P > .05 all).CONCLUSION: One in 13 patients suffers a complication postadrenalectomy. Approximately 40% of these complications occur postdischarge, primarily within the first 2 weeks of surgery. Accurate knowledge regarding 30-day adverse event rates and timing of complications that this study provides may facilitate improved patient-physician communication and encourage early patient follow-up in this critical window. Lastly, specialty does not seem to affect outcomes in American College of Surgeons National Surgical Quality Improvement Program participant hospitals.

U2 - 10.1016/j.urology.2015.12.031

DO - 10.1016/j.urology.2015.12.031

M3 - SCORING: Journal article

C2 - 26743396

VL - 90

SP - 62

EP - 68

JO - UROLOGY

JF - UROLOGY

SN - 0090-4295

ER -