Assessing the veterans affairs surgical quality improvement program risk calculator in cholecystectomy

Jonathan B. Imran, Oswaldo Renteria, Maria Ruiz, Thai H. Pham, Ali A. Mokdad, Sergio Huerta

Research output: Contribution to journalArticlepeer-review

7 Scopus citations


The Veterans Affairs Surgical Quality Improvement Program (VASQIP) risk calculator has been validated for several operations but has not been assessed specifically for cholecystectomy. Our aim was to externally validate the VASQIP calculator’s accuracy in predicting 30-day morbidity and mortality (M&M) for patients undergoing cholecystectomy. A retrospective review of patients undergoing cholecystectomy at the North Texas Veterans Affairs hospital was performed. The VASQIP risk calculator was used to determine predicted 30-day M&M, which was compared with actual M&M. The predictive accuracy of the Veterans Affairs risk calculator was assessed using the C-statistic and a graphical assessment of a locally weighted least squares regression smoother. Overall, 848 patients were included in the study. Actual M&M were 6.3 and 0.94 per cent, respectively, whereas predicted M&M were 6.0 and 0.54 per cent. The C-statistic was 0.75 for morbidity and 0.78 for mortality. In our analysis, the VASQIP risk calculator reasonably predicted 30-day M&M.

Original languageEnglish (US)
Pages (from-to)1039-1042
Number of pages4
JournalAmerican Surgeon
Issue number6
StatePublished - Jun 2018

ASJC Scopus subject areas

  • Surgery


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