Goel N, et al. - The ability of the Surgical Apgar Score (SAS) to predict serious complication (SC) following elective major cancer surgery was prospectively evaluated by analyzing demographic, comorbidity, procedure, and intraoperative data collected from 405 patients undergoing elective major cancer surgery between 2014-2017. They calculated the SAS immediately after surgery and prospectively collected outcome data. In this work, SAS showed limited ability to accurately predict risk of postoperative SC at the patient level, even though there was an overall association between SAS and higher risk of subsequent postoperative SC.