Risk assessment in aortic aneurysm repair by medical specialists versus the American College of Surgeons National Surgical Quality Improvement Program risk calculator outcomes
Objective The aim of this online clinical vignette-based survey study was to compare risk assessments by vascular surgeons, anaesthesiologists and interventional radiologists involved in treating patients with aortic aneurysms in the Netherlands with the NSQIP risk calculator outcomes. Methods Parti...
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Series: | JRSM Cardiovascular Disease |
Online Access: | https://doi.org/10.1177/20480040211006582 |
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doaj-abef4ac7a12b45028cedbd3e4b2220832021-04-10T00:03:22ZengSAGE PublishingJRSM Cardiovascular Disease2048-00402021-04-011010.1177/20480040211006582Risk assessment in aortic aneurysm repair by medical specialists versus the American College of Surgeons National Surgical Quality Improvement Program risk calculator outcomesJan van SchaikTessa M HersCarla SP van RijswijkMaaike S SchooneveldtHein PutterDaniël EeftingJoost R van der VorstObjective The aim of this online clinical vignette-based survey study was to compare risk assessments by vascular surgeons, anaesthesiologists and interventional radiologists involved in treating patients with aortic aneurysms in the Netherlands with the NSQIP risk calculator outcomes. Methods Participants, recruited using purposive sampling, provided their estimation of the likelihood of postoperative complications and events following aortic surgery in five fictional cases. These cases were subsequently scored using the NSQIP calculator. The risk assessments were statistically analysed using the ANOVA and student t-test. Results All participating specialists i.e. twelve vascular surgeons, ten interventional radiologists and ten anaesthesiologists completed the survey. In the vast majority of outcomes and vignettes, no significant differences were found between various specialists, whereas significant differences were found between the NSQIP risk calculator outcomes and the combined risk assessments of the specialists. Overall, specialist risk assessments differ from the NSQIP, but neither particularly higher nor lower compared to the risk calculator. Conclusions Risk assessment by vascular surgeons, anaesthesiologists and interventional radiologists differs significantly with NSQIP risk calculator outcomes, within the framework of both endovascular and open aortic aneurysm repair. Based on these results, implementing the NSQIP risk calculator in preoperative workup could be of added value in both patient planning as well as adequately informing patients for obtaining consent.https://doi.org/10.1177/20480040211006582 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Jan van Schaik Tessa M Hers Carla SP van Rijswijk Maaike S Schooneveldt Hein Putter Daniël Eefting Joost R van der Vorst |
spellingShingle |
Jan van Schaik Tessa M Hers Carla SP van Rijswijk Maaike S Schooneveldt Hein Putter Daniël Eefting Joost R van der Vorst Risk assessment in aortic aneurysm repair by medical specialists versus the American College of Surgeons National Surgical Quality Improvement Program risk calculator outcomes JRSM Cardiovascular Disease |
author_facet |
Jan van Schaik Tessa M Hers Carla SP van Rijswijk Maaike S Schooneveldt Hein Putter Daniël Eefting Joost R van der Vorst |
author_sort |
Jan van Schaik |
title |
Risk assessment in aortic aneurysm repair by medical specialists versus the American College of Surgeons National Surgical Quality Improvement Program risk calculator outcomes |
title_short |
Risk assessment in aortic aneurysm repair by medical specialists versus the American College of Surgeons National Surgical Quality Improvement Program risk calculator outcomes |
title_full |
Risk assessment in aortic aneurysm repair by medical specialists versus the American College of Surgeons National Surgical Quality Improvement Program risk calculator outcomes |
title_fullStr |
Risk assessment in aortic aneurysm repair by medical specialists versus the American College of Surgeons National Surgical Quality Improvement Program risk calculator outcomes |
title_full_unstemmed |
Risk assessment in aortic aneurysm repair by medical specialists versus the American College of Surgeons National Surgical Quality Improvement Program risk calculator outcomes |
title_sort |
risk assessment in aortic aneurysm repair by medical specialists versus the american college of surgeons national surgical quality improvement program risk calculator outcomes |
publisher |
SAGE Publishing |
series |
JRSM Cardiovascular Disease |
issn |
2048-0040 |
publishDate |
2021-04-01 |
description |
Objective The aim of this online clinical vignette-based survey study was to compare risk assessments by vascular surgeons, anaesthesiologists and interventional radiologists involved in treating patients with aortic aneurysms in the Netherlands with the NSQIP risk calculator outcomes. Methods Participants, recruited using purposive sampling, provided their estimation of the likelihood of postoperative complications and events following aortic surgery in five fictional cases. These cases were subsequently scored using the NSQIP calculator. The risk assessments were statistically analysed using the ANOVA and student t-test. Results All participating specialists i.e. twelve vascular surgeons, ten interventional radiologists and ten anaesthesiologists completed the survey. In the vast majority of outcomes and vignettes, no significant differences were found between various specialists, whereas significant differences were found between the NSQIP risk calculator outcomes and the combined risk assessments of the specialists. Overall, specialist risk assessments differ from the NSQIP, but neither particularly higher nor lower compared to the risk calculator. Conclusions Risk assessment by vascular surgeons, anaesthesiologists and interventional radiologists differs significantly with NSQIP risk calculator outcomes, within the framework of both endovascular and open aortic aneurysm repair. Based on these results, implementing the NSQIP risk calculator in preoperative workup could be of added value in both patient planning as well as adequately informing patients for obtaining consent. |
url |
https://doi.org/10.1177/20480040211006582 |
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