The past, present and future of ACS NSQIP-Pediatric: Evolution from a quality registry to a comparative quality performance platform.

Journal Article (Journal Article)

Quality and process improvement (QI/PI) in children's surgical care require reliable data across the care continuum. Since 2012, the American College of Surgeons' (ACS) National Surgical Quality Improvement Program-Pediatric (NSQIP-Pediatric) has supported QI/PI by providing participating hospitals with risk-adjusted, comparative data regarding postoperative outcomes for multiple surgical specialties. To advance this goal over the past decade, iterative changes have been introduced to case inclusion and data collection, analysis and reporting. New datasets for specific procedures, such as appendectomy, spinal fusion for scoliosis, vesicoureteral reflux procedures, and tracheostomy in children less than 2 years old, have incorporated additional risk factors and outcomes to enhance the clinical relevance of data, and resource utilization to consider healthcare value. Recently, process measures for urgent surgical diagnoses and surgical antibiotic prophylaxis variables have been developed to promote timely and appropriate care. While a mature program, NSQIP-Pediatric remains dynamic and responsive to meet the needs of the surgical community. Future directions include introduction of variables and analyses to address patient-centered care and healthcare equity.

Full Text

Duke Authors

Cited Authors

  • Saito, JM; Barnhart, DC; Grant, C; Brighton, BK; Raval, MV; Campbell, BT; Kenney, B; Jatana, KR; Ellison, JS; Cina, RA; Allori, AC; Uejima, T; Roke, D; Lam, S; Johnson, EK; Goretsky, MJ; Byrd, C; Iwaniuk, M; Nayak, R; Thompson, VM; Cohen, ME; Hall, BL; Ko, CY; Rangel, SJ

Published Date

  • April 2023

Published In

Volume / Issue

  • 32 / 2

Start / End Page

  • 151275 -

PubMed ID

  • 37075656

Electronic International Standard Serial Number (EISSN)

  • 1532-9453

International Standard Serial Number (ISSN)

  • 1055-8586

Digital Object Identifier (DOI)

  • 10.1016/j.sempedsurg.2023.151275


  • eng