| Title: |
Applicability of the surgical risk calculator by the American College of Surgeons in the setting of German patients undergoing complete pancreatectomy: multicentre study using data from the StuDoQ|Pancreas registry |
| Authors: |
Höhn, Philipp; Runde, Fabian; Luu, Andreas Minh; Fahlbusch, Tim; Fein, Daniel; Klinger, Carsten; Uhl, Waldemar; Belyaev, Orlin; Gutt, Carsten; Köninger, Jörg; Schnitzbauer, Andreas; Schafmayer, Clemens; Farkas, Stefan; Hartwig, Werner; Torge Mees, Sören; Klammer, Frank; Glanemann, Matthias; Ghadimi, Michael; Anthuber, Matthias; Reißfelder, Christoph; Piso, Pompiliu; Padberg, Winfried; Grützmann, Robert; Niedergethmann, Marco; Pascher, Andreas; Prenzel, Klaus; Reith, Hans-Bernd; Chromik, Ansgar Michael; M Krüger, Colin; Bektas, Hüseyin; Illert, Bertram; Hommann, Merten; Ritz, Jörg-Peter; Döhrmann, Axel; Schäfer, Nico; Kraus, Thomas; Jäger, Mark; Tschmelitsch, Jörg; Fleck, Ullrich; Pauthner, Michael; Tröbs, Ute; Stier, Albrecht; Krones, Carsten; Keck, Tobias; Werner, Jens; Nüssler, Natascha; Bartsch, Detlef K; Germer, Christoph-Thomas; Friess, Helmut; Mönch, Christian |
| Source: |
BJS Open ; volume 7, issue 2 ; ISSN 2474-9842 |
| Publisher Information: |
Oxford University Press (OUP) |
| Publication Year: |
2023 |
| Description: |
Introduction Surgical risk calculators can estimate risk probabilities for postoperative outcomes utilizing patient-specific risk factors. They provide meaningful information for obtaining informed consent. The aim of the present paper was to evaluate the predictive value of the surgical risk calculators by the American College of Surgeons in German patients undergoing total pancreatectomy. Methods Data for patients who underwent total pancreatectomy between 2014 and 2018 were acquired from the Study, Documentation, and Quality Center of the German Society for General and Visceral Surgery. Risk factors were entered manually into the surgical risk calculators and calculated risks were compared with actual outcomes. Results Of the 408 patients analysed, predicted risk was higher in patients with complications except for the prediction of re-admission (P = 0.127), delayed gastric emptying (P = 0.243), and thrombosis (P = 0.256). In contrast, classification of patients into below, above, or average risk by the surgical risk calculators only produced meaningful results for discharge to nursing facility (P < 0.001), renal failure (P = 0.003), pneumonia (P = 0.001), serious complications, and overall morbidity (both P < 0.001). Assessment of discrimination and calibration showed poor results (scaled Brier scores 8.46 per cent or less). Conclusion Overall surgical risk calculator performance was poor. This finding promotes the development of a specific surgical risk calculator applicable to the German healthcare system. |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| DOI: |
10.1093/bjsopen/zrac164 |
| Availability: |
https://doi.org/10.1093/bjsopen/zrac164; https://academic.oup.com/bjsopen/article-pdf/7/2/zrac164/49457047/zrac164.pdf |
| Rights: |
https://creativecommons.org/licenses/by/4.0/ |
| Accession Number: |
edsbas.6E1CE47F |
| Database: |
BASE |