SynthesisWorld journal of surgery2010
POSSUM and its related models as predictors of postoperative mortality and morbidity in patients undergoing surgery for gastro-oesophageal cancer: a systematic review.
Synthesis in World journal of surgery, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.
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Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Systematic review and narrative synthesis of surgeons' perception of postoperative outcomes and risk.BJS open · 2020Pooled it
- Individual risk modelling for esophagectomy: a systematic review.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2014Pooled it
- Can we predict postoperative complications in octogenarians undergoing lung resection?BMC geriatrics · 2026Article
- Evaluation of the E-PASS, mE-PASS, and POSSUM scoring systems for predicting postoperative complications following radical nephrectomy.BMC surgery · 2026Article
- Head-to-Head Comparison: P-POSSUM and ACS-NSQIPCancers · 2024Article
- Comparison between Glasgow prognostic criteria and O-POSSUM/ P-POSSUM physiological indices in patients undergoing gastrectomy for gastric adenocarcinoma and the occurrency of early postoperative complications.Revista do Colegio Brasileiro de Cirurgioes · 2024Observational
- Combined and intraoperative risk modelling for oesophagectomy: A systematic review.World journal of gastrointestinal surgery · 2023Article
- Safety and benefits of major hepatectomy with extrahepatic bile duct resection in older perihilar cholangiocarcinoma patients.Langenbeck's archives of surgery · 2022Article
- Short- (30-90 days) and mid-term (1-3 years) outcomes and prognostic factors of patients with esophageal cancer undergoing surgical treatments.World journal of clinical cases · 2022Article
- Tools and scores for general and cardiovascular perioperative risk assessment: a narrative review.Revista do Colegio Brasileiro de Cirurgioes · 2022Review
- Impact of preoperative risk factors on outcome after gastrectomy.World journal of surgical oncology · 2020Article
- Predicting morbidity of liver resection.Langenbeck's archives of surgery · 2018Article
- Utility of Three Prognostic Risk Scores in Predicting Outcomes in Elderly Non-Malignant Patients after Percutaneous Gastrostomy.The journal of nutrition, health & aging · 2017Article
- Risk Assessment of Mortality Following Intraoperative Cardiac Arrest Using POSSUM and P-POSSUM in Adults Undergoing Non-Cardiac Surgery.Yonsei medical journal · 2015Article
- Impact of comorbidities on postoperative complications in patients undergoing laparoscopy-assisted gastrectomy for gastric cancer.BMC surgery · 2014Article
- [Value of modified POSSUM scoring system on predicting operation risk in elderly NSCLC patients].Zhongguo fei ai za zhi = Chinese journal of lung cancer · 2014Article
- Evaluation of the POSSUM, P-POSSUM and E-PASS scores in the surgical treatment of hilar cholangiocarcinoma.World journal of surgical oncology · 2014Article
- Reduction in gastric cancer surgical mortality over 10 years: An adverse events analysis.Annals of medicine and surgery (2012) · 2014Article
- An evaluation of POSSUM and P-POSSUM scoring in predicting post-operative mortality in a level 1 critical care setting.BMC anesthesiology · 2014Observational
- Application of Variable Life Adjusted Display (VLAD) to risk-adjusted mortality of esophagogastric cancer surgery.World journal of surgery · 2012Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundGastro-oesophageal surgery is associated with appreciable postoperative morbidity and mortality. POSSUM (Physiological and Operative Severity Score for the enUmeration of Mortality and Morbidity) and its related models P-POSSUM and O-POSSUM have been developed to predict such events in general surgery. The aim was to undertake the first systematic review of the use of these models in gastro-oesophageal surgery patients.
methodsAn online database search was carried out from 1991 to December 2008.
resultsTwenty-two published studies in gastro-oesophageal cancer surgery were identified. Twelve studies were found not to address the above aim, leaving ten relevant publications for analysis. Pooled data from these studies showed the weighted observed-to-expected ratio (O/E) for postoperative mortality using POSSUM (n = 1189), P-POSSUM (n = 2314), and O-POSSUM (n = 1755) was 0.37, 0.83, and 0.51, respectively. The weighted O/E for morbidity using POSSUM (n = 1038) was 0.86.
conclusionPOSSUM and O-POSSUM most significantly overestimated postoperative mortality in gastro-oesophageal cancer patients. In contrast, P-POSSUM had the least overestimation and may be the most useful predictor of likely postoperative mortality in these patients.
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