American College Of Surgeons - Inspiring Quality: Highest Standards, Better Outcomes

SSR Procedures and Variables

To date, the Surgeon Specific Registry (SSR) includes 21 adult procedures and six pediatric procedures for the American Board of Surgery (ABS), while there are six procedures from which to choose for the American Board of Colon and Rectal Surgery (ABCRS). To keep data entry burden at a minimum, only a small number of variables were identified for collection. Most procedures have about five outcome variables to record, with a handful of procedures having slightly more. Data entry can be performed on a number of devices, including personal computers and smartphones, and takes about three minutes per patient.

How Will the Data Be Utilized for Recertification?

Data will be transferred to the appropriate board or society in the same confidential manner at a time determined by the surgeon. For the American Board of Surgery, only a surgeon’s case numbers are transferred; no patient or outcomes information is sent. Surgeons may transfer cases when applying for ABS recertification in general surgery, vascular surgery or pediatric surgery.

Below are examples of a few procedures and required outcome variables:

Appendectomy (ABS)

  • Iatrogenic injury
  • Postoperative death within 30 days after operation
  • Unplanned re-operation (same as “return to OR with complications”)
  • Unplanned hospital readmission within 30 days of principle procedure
  • Postoperative abdominal abscess requiring intervention

Cholecystectomy (ABS)

  • Retained common duct stone
  • Sepsis
  • Surgical approach: lap/open/other
  • Pancreatitis
  • Iatrogenic injury
  • Unplanned re-operation
  • Postoperative death within 30 days after operation
  • Unplanned hospital readmission within 30 days of the principle procedure

Hemorrhoidectomy (ABCRS)

  • Sphincter injury causing incontinence
  • Re-operation
  • Bleeding (ED or intervention) within 10 days
  • Preoperative continence assessed
  • Deep surgical site infection