Assessing Surgical Quality: Comparison of General and Procedure‐Specific Morbidity Estimation Models for the Risk Adjustment of Pancreaticoduodenectomy Outcomes

The use of outcomes to evaluate surgical quality implies the need for detailed risk adjustment. The physiological and operative severity score for the enumeration of mortality and morbidity (POSSUM) is a generally applicable risk adjustment model suitable for pancreatic surgery. A pancreaticoduodenectomy (PD)-specific intraoperative pancreatic risk assessment (IPRA) estimates the risk of postoperative pancreatic fistula (POPF) and associated...