Why is accurate assessment of ASA Grade important for NBOCA?

ASA grade is a central component of NBOCA risk-adjustment, including determination of the individual clinical performance indicator – Consultant Outcome Publication. Feedback from some MDTs has indicated that the diagnosis of colorectal cancer has been used routinely to justify ASA II – despite the fact that the large majority of colorectal cancer patients have localised disease at the time of resection and not systemic disease.