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

 

In-hospital Mortality after Liver Resection for Hepatocellular Carcinoma: A Simple Risk Score

Jessica P. Simons MD, Sing Chau Ng MS, Joshua S. Hill MD, Shimul A. Shah MD, Zheng Zhou MD, PhD, 

Jennifer F. Tseng MD, MPH 

Accepted for oral presentation at the AHPBA Annual Meeting; in press, Cancer

 

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 or 1, Group 2 is a score of 2, Group 3 is a score of 3 or higher.

Comorbidities

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.
Patient age, Charlson score group, planned procedure type, gender, the annual hospital volume of pancreatic resections are indicated. The point values are assigned accordingly to yield an additive score. By clicking on the "Calculate Estimated Mortality" button, this score is then assigned to the appropriate risk score group, and the mortality for that group is displayed.

Factor

Level

Point Value

Age Group
Charlson Score
Gender
Procedure Type
Hospital Type
HCC_Score_Groups