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Become a member and receive career-enhancing benefits

Our top priority is providing value to members. Your Member Services team is here to ensure you maximize your ACS member benefits, participate in College activities, and engage with your ACS colleagues. It's all here.

Become a Member
Become a member and receive career-enhancing benefits

Our top priority is providing value to members. Your Member Services team is here to ensure you maximize your ACS member benefits, participate in College activities, and engage with your ACS colleagues. It's all here.

Membership Benefits
ACS
Quality Programs

ACS NSQIP Pediatric Participant Use Data File

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 2020 PUF contains 128,395 cases submitted in 2020 from 148 participating sites. Eight other separate PUFs, containing a database of more than 735,000 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 2020 Pediatric PUF User Guide is available here:
2020 Pediatric PUF User Guide

The previously available Pediatric PUFs are:

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 2020 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 2020 Procedure Targeted PUFs and their sizes are:

2020 Appendectomy PUF—21,445 cases submitted by 140 hospitals
2020 Spinal Fusion PUF—6,019 cases submitted by 131 hospitals
2020 CSF Shunt PUF—2,096 cases submitted by 131 hospitals
2020 Vesicoureteral Reflux (VUR) PUF—1,742 cases submitted by 124 hospitals

The 2020 Pediatric Procedure Targeted PUF User Guide is available here:
2020 Pediatric Procedure Targeted PUF User Guide

Thirteen other previously released Procedure Targeted PUFs are also available:

Procedure Targeted Appendectomy PUF (5 files available)

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 (4 files available)

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 (4 files available)

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

Previous Pediatric Procedure Targeted PUF User Guides

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.

For questions or comments about the PUF, please contact Brian Matel at bmatel@facs.org.