News & Events 

 

9/30/2014: Dr. Heena Santry has been awarded an R01 (Independent Investigator Research Grant) from the Agency for Healthcare Research & Quality for her project entitled "A New Specialty Responding To National Needs: Does Acute Care Surgery Deliver?" (Grant #1 R01 HS022694-01A1). The project focuses on an ongoing crisis in access to care for time-sensitive surgical diseases such as perforated bowel or necrotizing soft tissue infections that is expected to worsen based on current surgical workforce trends and the aging US population. The research will examine the ongoing diffusion of a new specialty called acute care surgery as a strategy to meet our nation’s emergency general surgery needs and will measure which specific structures and processes optimize outcomes for patients with general surgery emergencies. The results of this project will help develop organized systems for the care of emergency general surgery patients so that all Americans suffering general surgery emergencies will have timely access to high quality surgical care regardless of when and where they are stricken.


» Click to read more news about UMass Surgery

 

A Simple Risk Score for Pancreatectomy

Surgical Outcomes Analysis & Research (SOAR)

The score is designed to augment, not replace clinician judgment and informed consent, and must be interpreted in the context of the individual patient and surgeon.  An abstract utilizing individual mortality rates entitled A RISK SCORE FOR PANCREATECTOMY TO AID SURGICAL DECISION-MAKING has been submitted for consideration for the Scientific Papers Session at the American College of Surgeons Clinical Congress, November 2010, by authors Carroll, Hill, Ng, Bodnari, Smith, McDade, Zhou, Shah, and Tseng

 

Instructions
Follow the steps below to calculate the risk of in-hospital mortality after pancreatic resection, based on national data. The website will then allow the user to customize the perioperative risk based on institutional- or surgeon-specific mortality rates.

Step 1. Calculate Charlson comorbidity score
Indicate "yes" for the comorbidities that the patient has. This validated algorithm (Charlson, ME et al. J Chron Dis  1987; 40(5):373-83.) assigns a point value to the various diseases. The patient's raw score will then be reassigned into the collapsed Charlson score groups for use in the risk score calculation. Group 1 is a score of zero, Group 2 is a score of 1 or 2, Group 3 is a score of 3 or higher.  

Comorbidity

Points

AIDS
Cerebrovascular Disease   
Chronic Pulmonary Disease   
Congestive Heart Failure   
Connective Tissue/Rheumatic Disease   
Dementia   
Diabetes Without End Organ Damage   
Diabetes With End Organ Damage   
Hemiplegia   
Liver Disease Mild to Moderate   
Liver Disease Severe   
Myocardial Infarction   
Peripheral Vascular Disease   
Renal Disease   
Ulcer Disease   
 
Charlson Group Score

 

Step 2. Calculate the risk score, including the Charlson group.

Factor

Level

Point Value

Age Group     
Charlson Group Score
Gender  
Diagnosis Type     
Planned Procedure Type*     
Hospital Volume (pancreatic resections/year)     
 
 

  

Note:
(*)Proximal:  Whipple (also known as pancreaticoduodenectomy), pylorus-preserving Whipple, right pancreatectomy, or total pancreatectomy
Distal:  distal pancreatectomy, distal subtotal pancreatectomy, left pancreatectomy
NOS:  middle pancreatectomy, enucleation, etc.

Step 3. Customize In-Hospital Mortality**

Select Estimated Institutional-Specific In-Hospital Mortality  
 
Low risk group- in-hospital mortality  
Intermediate risk group- in-hospital mortality  
High risk group- in-hospital mortality  

 

Note:

(**)The above calculations were based on a nationwide mean in-hospital mortality of 5.3%. The Umass Pancreatic Risk Score can be customized using an institution or surgeon's individual in-hospital mortality.

The customized risk score will generate a unique graph

Figure 1: Customized In-Hospital Mortality

Risk Score 09

Figure 2: Overall In-Hospital Mortality 5.3%