Surgical Quality Improvement

Nephrectomy Outcomes

Nephrectomy ACS NSQIP Outcomes

January 1, 2023 – December 31, 2023

The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP®) objectively measures and reports risk-adjusted surgical outcomes based on a defined sampling and abstraction methodology. These outcomes data reflect Cleveland Clinic’s nephrectomy ACS NSQIP performance benchmarked against 126 participating sites.

Nephrectomy (126 Sites)NObservedExpected
30 Day Mortality2180.92%0.50%
30 Day Morbidity2188.72%10.65%
Cardiac2181.83%1.29%
Pneumonia2180.00%1.31%
Deep Vein Thrombosis (DVT) / Pulmonary Embolus2180.46%0.99%
Renal Failure2183.21%3.08%
Surgical Site Infection (SSI)2181.83%2.80%
Sepsis2170.46%1.28%
Unplanned Reoperation2180.46%1.94%
Length of Stay21827.78%23.31%
Unplanned Readmission2186.88%5.66%
Rectal Injury2180.00%0.29%
Prolonged NPO/NGT Use2183.21%2.93%
Ureteral Obstruction2180.00%0.31%
Urinary Leak/Fistula2181.38%0.54%
Lymphocele/Leak/Fluid2180.46%1.41%

American College of Surgeons National Surgical Quality Improvement Program, 2024.
ACS NSQIP® Semiannual Report July 8, 2024, Chicago: American College of Surgeons.