Abstract
Background: We performed a retrospective study to compare the precision of a regression model (RM) system with the precision of the standard method of surgical length prediction using historical means (HM). Methods: Data were collected on patients who underwent carotid endarterectomy and lower-extremity bypass. Multiple linear regression was used to model the operative time length (OTL). The precision of the RM versus HM in predicting case length then was compared in a validation dataset. Results: With respect to carotid endarterectomy, surgeon, surgical experience, and cardiac surgical risk were significant predictors of OTL. For lower-extremity bypass, surgeon, use of prosthetic conduit, and performance of a sequential bypass or hybrid procedure were significant predictors of OTL. The precision of out-of-sample prediction was greater for the RM system compared with HM for both procedures. Conclusions: A regression methodology to predict case length appears promising in decreasing uncertainty about surgical case length.
Original language | English (US) |
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Pages (from-to) | 563-568 |
Number of pages | 6 |
Journal | American Journal of Surgery |
Volume | 204 |
Issue number | 5 |
DOIs | |
State | Published - Nov 2012 |
Keywords
- Modeling
- Operative length
- Precision
- Regression
ASJC Scopus subject areas
- Surgery