The Pediatric Participant Use Data File (PUF) is a Health Insurance Portability and Accountability Act (HIPAA)-compliant data file containing cases submitted to the American College of Surgeons National Surgical Quality Improvement Program Pediatric® (ACS NSQIP Pediatric®). The PUF contains patient-level, aggregate data and does not identify hospitals, health care providers, or patients. The intended purpose of this file is to provide researchers at participating sites with a data resource they can use to investigate and advance the quality of care delivered to the surgical patient through the analysis of cases captured by ACS NSQIP Pediatric. The PUF is provided at no additional cost to employees (e.g., Surgeons, Surgical Clinical Reviewers, researchers, etc.) of ACS NSQIP Pediatric participating hospitals.
The 2021 PUF contains 141,843 cases submitted in 2020 from 150 participating sites. Nine other separate PUFs, containing a database of more than 860,000 cases, are also available. Only cases included in corresponding Semiannual Report (SAR) risk-adjustment calculations are in the PUF datasets. Variable formats, variable definitions (which can change from year to year), and other supporting information are available in the Pediatric PUF User Guides. The data files are made available in a delimited text, SAS, and SPSS file type.
The 2021 Pediatric PUF User Guide is available here:
2021 Pediatric PUF User Guide
The previously available Pediatric PUFs are:
2020—128,395 cases submitted by 148 hospitals (2020 Pediatric PUF User Guide)
2019—132,881 cases submitted by 141 hospitals (2019 Pediatric PUF User Guide)
2018—119,486 cases submitted by 127 hospitals (2018 Pediatric PUF User Guide)
2017—113,922 cases submitted by 109 hospitals (2017 Pediatric PUF User Guide)
2016—101,887 cases submitted by 101 hospitals (2016 Pediatric PUF User Guide)
2015—84,056 cases submitted by 80 hospitals (2015 Pediatric PUF User Guide)
2014—68,838 cases submitted by 50 hospitals (2014 Pediatric PUF User Guide)
2013—63,387 cases submitted by 56 hospitals (2013 Pediatric PUF User Guide)
2012—51,008 cases submitted by 50 hospitals (2012 Pediatric PUF User Guide)
The corresponding 2021 Pediatric Procedure Targeted PUFs for Appendectomy, Spinal Fusion, CSF Shunt, and Vesicoureteral Reflux (VUR) PUF are available as well. For background information on the case inclusion/exclusion criteria and the data collection and submission processes, please visit the Program Specific page. Variable formats, variable definitions, and other supporting information are available in the PUF User Guides. Each case in the Targeted PUF files can be merged with a case in the time-corresponding standard PUF using a key-matching variable. The data files are made available in a delimited text, SAS, and SPSS file type. The 2021 Procedure Targeted PUFs and their sizes are:
2021 Appendectomy PUF—22,212 cases submitted by 140 hospitals
2021 Spinal Fusion PUF—7,125 cases submitted by 139 hospitals
2021 CSF Shunt PUF—2,411 cases submitted by 135 hospitals
2021 Vesicoureteral Reflux (VUR) PUF—1,807 cases submitted by 126 hospitals
The 2021 Pediatric Procedure Targeted PUF User Guide is available here:
2021 Pediatric Procedure Targeted PUF User Guide
Seventeen other previously released Procedure Targeted PUFs are also available:
Procedure Targeted Appendectomy PUF (6 files available)
2020 Appendectomy PUF—21,445 cases submitted by 140 hospitals
2019 Appendectomy PUF—20,658 cases submitted by 134 hospitals
2018 Appendectomy PUF—16,986 cases submitted by 122 hospitals
2017 Appendectomy PUF—14,463 cases submitted by 106 hospitals
2016 Appendectomy PUF—13,114 cases submitted by 101 hospitals
2015 PUF—10,570 cases submitted by 20 hospitals
Procedure Targeted Spinal Fusion PUF (5 files available)
2020 Spinal Fusion PUF—6,019 cases submitted by 131 hospitals
2019 Spinal Fusion PUF—6,153 cases submitted by 124 hospitals
2018 Spinal Fusion PUF—5,333 cases submitted by 112 hospitals
2017 Spinal Fusion PUF—4,260 cases submitted by 98 hospitals
2016 Spinal Fusion PUF—3,728 cases submitted by 93 hospitals
Procedure Targeted CSF Shunt PUF (5 files available)
2020 CSF Shunt PUF—2,096 cases submitted by 131 hospitals
2019 CSF Shunt PUF—2,298 cases submitted by 131 hospitals
2018 CSF Shunt PUF—1,493 cases submitted by 115 hospitals
2017 CSF Shunt PUF—1,128 cases submitted by 102 hospitals
2016 CSF Shunt PUF—1,452 cases submitted by 96 hospitals
Procedure Targeted Vesicoureteral Reflux (VUR) PUF (1 file available)
2020 Vesicoureteral Reflux (VUR) PUF—1,742 cases submitted by 124 hospitals
Previous Pediatric Procedure Targeted PUF User Guides
2020 Pediatric Procedure Targeted PUF User Guide
2019 Pediatric Procedure Targeted PUF User Guide
2018 Pediatric Procedure Targeted PUF User Guide
2017 Pediatric Procedure Targeted PUF User Guide
2016 Pediatric Procedure Targeted PUF User Guide
2015 Pediatric Procedure Targeted PUF User Guide
To request a copy of the PUF, individuals (data recipients) must agree to comply with the terms and conditions set forth in the Data Use Agreement, provide contact information, and complete a short online questionnaire. Once the information provided by the data recipient is received and processed by ACS NSQIP staff, a website address will be submitted electronically to the data recipient. The data recipient will then have 10 days (240 hours) to visit the website and download the data file.
