The American College of Surgeons Colon Surgery Short-Term Composite Outcome Measure: An Objective, Feasible, and Reliable Tool for Hospital Quality Improvement

Ryan P. Merkow*, Bruce L. Hall, Warren B. Chow, Clifford Y. Ko

*Corresponding author for this work

Research output: Contribution to journalArticle


Performance measurement in surgery is required for quality improvement. Most quality measures have focused on processes of care, but outcomes are generally considered the bottom line of health care quality. Colon surgery is a common surgical procedure and is associated with appreciable morbidity and mortality, making it an ideal target for outcomesbased surgical quality improvement efforts. Therefore, The American College of Surgeons sought to develop a colectomy composite outcome measure for mortality or any serious morbidity. This measure, now endorsed by the National Quality Forum, is feasible, is valid, has substantial clinical importance, and is projected to have acceptable reliability for 84% of colon resections performed in the United States.

Original languageEnglish (US)
Pages (from-to)159-163
Number of pages5
JournalSeminars in Colon and Rectal Surgery
Issue number4
Publication statusPublished - Dec 2012


ASJC Scopus subject areas

  • Gastroenterology
  • Surgery

Cite this