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Development of a web application for the Surgical Risk Preoperative Assessment System (SURPAS).

Haaris Kadri¹, Kathryn L Colborn², James Winslow³

¹Surgical Outcomes and Applied Research Program, Department of Surgery, University of Colorado School of Medicine, Aurora, CO, USA.

American Journal of Surgery

|October 9, 2025

Summary

This summary is machine-generated.

A new web application makes the Surgical Risk Preoperative Assessment System (SURPAS) publicly available. This tool helps predict postoperative complications, improving surgical risk communication for patients and providers.

Keywords:

Postoperative complications Preoperative risk SURPAS Web application

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Area of Science:

Medical Informatics
Surgical Risk Assessment
Public Health

Background:

The Surgical Risk Preoperative Assessment System (SURPAS) is a validated tool for predicting postoperative complications.
SURPAS currently operates exclusively within the UCHealth system.
Development of a public SURPAS web application is reported.

Purpose of the Study:

To develop and deploy a publicly accessible web application for the SURPAS risk calculator.
To facilitate wider adoption and utilization of SURPAS beyond the UCHealth system.

Main Methods:

The SURPAS web application was built using R Shiny.
Descriptive statistics were used to analyze SURPAS usage data from UCHealth (2017-2023).

Main Results:

SURPAS was utilized in 24,431 operations across 10 surgical specialties at UCHealth.
Usage increased from 0.5% in 2017 to 10.0% in 2023.
Average 30-day mortality and morbidity risks were 1.6% and 13.8% respectively.

Conclusions:

The public SURPAS web application is expected to increase its usage.
Wider dissemination can enhance communication of surgical complication risks.