DISCLAIMER: This website is not for patient care; this site is not linked to any electronic health record.
SURPAS is an individualized, preoperative risk assessment system accurately predicting risk of 11, 30-day postoperative complications (mortality, overall morbidity, unplanned readmission, infection, UTI, pulmonary, renal, cardiac, transfusion, VTE, stroke) from input of 7 variables (primary operation, patient age, functional status, ASA class, inpatient/outpatient operation, emergency operation, surgeon specialty).
Facts about SURPAS
* Covers 9 specialties (general, vascular, orthopedics, urology, ENT, plastic, thoracic, gynecologic, neurosurgery).
* Modeling based upon the ACS NSQIP database (>6 million operations from >800 hospitals).
* Patient’s individualized risk is compared to national average for all patients undergoing the same operation,
calculated from the ACS NSQIP database.
BENEFITS
Individualized Preoperative Estimates |
Patient Handouts |
Integration in EHR |
Increases patient engagement in their care
Improves the process of informed consent
Improves the process of shared decision
Increased patient satisfaction in care delivery
Provides patients with risk estimates handout
Provides surgeons & providers with individual patient risk estimates
Provides surgeons with EHR documentation
Potential to improve patient perioperative care
Potential to decrease postoperative complications
Improves the process of informed consent
Improves the process of shared decision
Increased patient satisfaction in care delivery
Provides patients with risk estimates handout
Provides surgeons & providers with individual patient risk estimates
Provides surgeons with EHR documentation
Potential to improve patient perioperative care
Potential to decrease postoperative complications
DEVELOPMENT
Results of 3 Pilot Studies at University of Colorado Hospital
A. 10 Surgeons using SURPAS with 197 patients:
1. 93% of patients rated SURPAS as very helpful or helpful.
2. 99% of patients said they understood their risks very or quite well.
3. 83% of the time the surgeons said that SURPAS was very helpful, helpful, or somewhat helpful.
4. 45% of the time the surgeons said that SURPAS changed interaction with the patient, and this change was beneficial 94% of the time.
B. 90 surgical patients receiving SURPAS vs. 100 receiving usual care:
1. Patients estimated time spent discussing SURPAS risk was less than half the usual time (p<0.0001).
2. 83% of SURPAS patients were very satisfied with risk discussion vs. 16% of usual care pts (p<0.0001).
3. 78% of SURPAS patients made more comfortable with surgery plan vs. 19% of usual care (p<0.0001).
4. Patient anxiety was greatly or somewhat decreased 92% of time with use of SURPAS vs. 20% receiving usual care (p<0.0001).
C. Comparing SURPAS to the ACS Surgical Risk Calculator in 1,006 patients:
1. Mortality estimates were similar.
2. SURPAS overall morbidity estimates were on target with observed morbidity (10.65%); ACS Surgical Risk Calculator underestimated morbidity risk (7.73%), particularly in high risk patients.
3. SURPAS requires 7 predictor variables and is built into EHR; ACS Surgical Risk Calculator requires 24 predictor variables and is accessed on the web.
Other applications of SURPAS:
SURPAS can be used to compare individual patient risk profiles for alternate procedures, and for Morbidity and mortality risk stratification.
TESTIMONIALS
PatientsActually, it made me feel a little better, because I know the risks aren’t as high, looking at the graphs. It makes you think about how risky it might be—just puts you into the frame of mind of understanding all the risks involved—all the complications that might arise from it I like that I got a printed form that I could leave with. I think that’s very, very helpful. I think that [risk] was explained in terms that I could understand. |
Surgeons[SURPAS] also can help us in decision making. For some patients that are really that sick, we can choose second line treatment, which may not be quite as good, but if they’re that sick we pick it up from the SURPAS tool. You know for the surgeries I do [SURPAS is] really helpful…because it’s a big, long and complicated surgery & it helps patients see that visually. I think it's been helpful for patients to see the numbers. . . they're more educated about their operation. It hasn't actually changed what I do in terms of surgery |
Legal
Copyright ©2017-2019 The Regents of the University of Colorado. All rights reserved. This contains material protected under International and Federal Copyright Laws and Treaties. Any unauthorized reprint or use of this material is prohibited. No part of this document may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or by any information storage and retrieval system without express written permission from the Regents of the University of Colorado
The American College of Surgeons National Surgical Quality Improvement Program and participating hospitals are the source of some of these data; they have not verified and are not responsible for the statistical validity of the data analysis or the conclusions derived by the authors.
The American College of Surgeons National Surgical Quality Improvement Program and participating hospitals are the source of some of these data; they have not verified and are not responsible for the statistical validity of the data analysis or the conclusions derived by the authors.