It is widely accepted that the risk of surgical complications is influenced by the patient’s general medical health, their age, the ASA and whether the patient was able to have a laparoscopic or open surgical procedure.
By contrast, hospitals, professional societies, and individual surgeons disregard this information and count every complication as 1. This means that a weighting of complications does not occur, which does injustice to surgeons who often operate on elderly and medically compromised patients. It also underestimates the surgical complication rate of surgeons operating on young and fit patients.
Here’s an example:
Surgeon A has an actual complication rate of 10% and predominantly operates on otherwise healthy patients. His expected complication rate would be 7%.
Surgeon B also has an actual complication rate of 10% but operates on low and sometimes on high-risk patients. His expected complication rate is also 10%.
Surgeon C also has an actual complication rate of 10% but according to the Surgeon Score card that considers age, ASA and general medical health his expected complication rate would be 13%.
The above example illustrates nicely how inaccurate it is to simply count complications.
At SurgicalPerformance we solved this issue by creating a Surgeon Score Card. In collaboration with Professor Val Gebski we developed an algorithm that allows users to adjust complication rates for patient factors.
This feature is now available for hysterectomy procedures, and throughout the year will be adapted to suit other procedures as well.