Surgical Quality Improvement

Cystectomy Outcomes

Cystectomy 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 cystectomy ACS NSQIP performance benchmarked against 113 participating sites.

Cystectomy (113 Sites)NObservedExpected
30 Day Morbidityᵃ13517.78%26.42%
Pneumonia1350.74%2.26%
Deep Vein Thrombosis (DVT) / Pulmonary Embolus1356.67%4.95%
Urinary Tract Infection (UTI)1350.74%3.40%
Surgical Site Infection (SSI)ᵃ1355.19%13.66%
Sepsis1355.19%8.65%
Unplanned Reoperation1352.22%4.72%
Length of Stay10517.14%17.04%
Unplanned Readmission13523.70%24.36%
Anastomotic Leak1350.74%2.27%
Prolonged NPO/NGT Use13525.19%19.03%
Ureteral Obstruction1351.48%4.55%
Urinary Leak/Fistulaᵃ1350.00%5.12%
Lymphocele/Leak/Fluidᵃ1350.00%5.45%

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

ᵃIdentified as a statistical outlier (lower than expected) by the ACS NSQIP hierarchical model.