The DOI matches its Crossref record; 2 of the 2 references it cites were found in a registry or an index.
POSSUM and Portsmouth POSSUM for predicting mortality
Abstract
Background: There is a need for an accurate measure of surgical outcomes so that hospitals and surgeons can be compared properly regardless of case mix. POSSUM (Physiological and Operative Severity Score for the enUmeration of Mortality and morbidity) uses a physiological score and an operative severity score to calculate risks of mortality and morbidity. In a previous small study it was found that Portsmouth POSSUM (P-POSSUM; a modification of the POSSUM system) provided a more accurate prediction of mortality. Methods: Some 10 000 general surgical interventions (excluding paediatric and day cases) were studied prospectively between August 1993 and November 1995. The POSSUM mortality equation was applied to the full 10 000 surgical episodes. The 10 000 patients were arranged in chronological order and the first 2500 were used as a training set to produce the modified P-POSSUM predictor equation. This was then applied prospectively to the remaining 7500 patients arranged chronologically in five groups of 1500. Results: The original POSSUM logistic regression equation for mortality overpredicts the overall risk of death by more than twofold and the risk of death for patients at lowest risk (5 per cent or less) by more than sevenfold. The P-POSSUM equation produced a very close fit with the observed in-hospital mortality. Conclusion: P-POSSUM provides an accurate method for comparative surgical audit.
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Cites
(1990) · Choice Reviews Online · doi:10.5860/choice.27-3338 · Cited by 35,305
A REVIEW OF GOODNESS OF FIT STATISTICS FOR USE IN THE DEVELOPMENT OF LOGISTIC REGRESSION MODELS1
LEMESHOW, S., & HOSMER, D. W. (1982) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a113284 · Cited by 1,947
Research works printed but not linked: 12
- Copeland, 1991, Possum: a scoring system for surgical audit, Br J Surg, 78, 355, 10.1002/bjs.1800780327 · DOI · Paper page
- Sagar, 1994, Comparative audit of colorectal resection with the POSSUM scoring system, Br J Surg, 81, 1492, 10.1002/bjs.1800811031 · doi:10.1002/bjs.1800811031
- Hartley, 1994, The surgeon's ‘gut feeling’ as a predictor of post-operative outcome, Ann R Coll Surg Engl, 76, 277
- Sagar, 1996, Comparison of individual surgeon's performance: risk-adjusted analysis with POSSUM scoring system, Dis Colon Rectum, 39, 654, 10.1007/BF02056945 · doi:10.1007/bf02056945
- Whiteley, 1996, An evaluation of the POSSUM surgical scoring system, Br J Surg, 83, 812, 10.1002/bjs.1800830628 · DOI · Paper page
- Hosmer, 1988, Goodness-of-fit testing for multiple logistic regression analysis when the estimated probabilities are small, Biometrical Journal, 30, 911, 10.1002/bimj.4710300805 · DOI
- Hosmer, 1980, A goodness of fit test for the multiple logistic regression model, Commun Stat Theor Meth, A9, 1043, 10.1080/03610928008827941 · DOI · Paper page
- Dixon, 1987, BMDP Statistical Software
- Whiteley, 1995, Comparative audit of colorectal resection with the POSSUM scoring system, Br J Surg, 82, 425, 10.1002/bjs.1800820358 · doi:10.1002/bjs.1800820358
- Gough, 1980, Audit: an annual assessment of the work and performance of a surgical firm in a regional teaching hospital, BMJ, 281, 913, 10.1136/bmj.281.6245.913 · doi:10.1136/bmj.281.6245.913
- Deans, 1987, Auditing perioperative mortality, Ann R Coll Surg Engl, 69, 185
- Midwinter, 1997, Risk stratification in vascular patients using modified POSSUM scoring system, Br J Surg, 84, 568
Cited by
Bihorac, A., Ozrazgat-Baslanti, T., Ebadi, A., Motaei, A., Madkour, M., Pardalos, P. M., Lipori, G., Hogan, W. R., Efron, P. A., Moore, F., et al. (2019) · Annals of Surgery · doi:10.1097/sla.0000000000002706 · Cited by 377
Development of a dedicated risk-adjustment scoring system for colorectal surgery (colorectal POSSUM)
Tekkis, P. P., Prytherch, D. R., Kocher, H. M., Senapati, A., Poloniecki, J. D., Stamatakis, J. D., & Windsor, A. C. J. (2004) · British Journal of Surgery · doi:10.1002/bjs.4430 · Cited by 346
Self-citationJhanji, S., Thomas, B., Ely, A., Watson, D., Hinds, C. J., & Pearse, R. M. (2008) · Anaesthesia · doi:10.1111/j.1365-2044.2008.05560.x · Cited by 259
Portsmouth POSSUM models for abdominal aortic aneurysm surgery
Prytherch, D. R., Sutton, G. L., & Boyle, J. R. (2001) · Journal of British Surgery · doi:10.1046/j.0007-1323.2001.01820.x · Cited by 109
Self-citationBagnall, N. M., Pring, E. T., Malietzis, G., Athanasiou, T., Faiz, O. D., Kennedy, R. H., & Jenkins, J. T. (2018) · International Journal of Colorectal Disease · doi:10.1007/s00384-018-3141-4 · Cited by 27
Metadata
- Authors
- Prytherch, D. R., Whiteley, M. S., Higgins, B., Weaver, P. C., Prout, W. G., & Powell, S. J.
- Venue
- Journal of British Surgery
- Publisher
- Oxford University Press (OUP)
- Published
- 1998-09-01
- Volume
- 85
- Issue
- 9
- Pages
- 1217-1220
- ISSN
- 0007-1323 (ISSN-L)
- 1365-2168
- OpenAlex
- W1857781187
- Cited by
- 792
- References
- 2
- FWCI
- 3.96
- Type
- journal article
- Language
- en
- Open access
- closed
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- Prytherch, D. R., Whiteley, M. S., Higgins, B., Weaver, P. C., Prout, W. G., & Powell, S. J. (1998). POSSUM and Portsmouth POSSUM for predicting mortality. Journal of British Surgery. https://doi.org/10.1046/j.1365-2168.1998.00840.x
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