ArticleSurgery today2015
Original scoring system for predicting postoperative morbidity after esophagectomy for esophageal cancer.
Article in Surgery today, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.
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Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Surgical Apgar score could predict complications after esophagectomy: a systematic review and meta-analysis.Interactive cardiovascular and thoracic surgery · 2022Pooled it
- The "Weekday Effect"-Does It Impact Esophageal Cancer Surgery Outcomes?Journal of gastrointestinal cancer · 2023Article
- Combined and intraoperative risk modelling for oesophagectomy: A systematic review.World journal of gastrointestinal surgery · 2023Article
- Sarcopenia and Patient's Body Composition: New Morphometric Tools to Predict Clinical Outcome After Ivor Lewis Esophagectomy: a Multicenter Study.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2023Article
- Novel prognostic score of postoperative complications after transthoracic minimally invasive esophagectomy for esophageal cancer: a retrospective cohort study of 90 consecutive patients.Esophagus : official journal of the Japan Esophageal Society · 2019Article
- Incidence and treatment of mediastinal leakage after esophagectomy: Insights from the multicenter study on mediastinal leaks.World journal of gastroenterology · 2019Article
- Surgical Apgar Score Predicted Postoperative Morbidity After Esophagectomy for Esophageal Cancer.World journal of surgery · 2016Article
Corrections and comments
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposePostoperative morbidity remains common after esophagectomy. There are currently few tools that can be used to estimate the incidence of complications. This study aimed to create a novel scoring system for predicting postoperative morbidity.
methodsA total of 365 patients who underwent elective esophagectomy with two- or three-field lymphadenectomy for esophageal cancer were retrospectively analyzed. Patients were divided into development (n = 250) and validation datasets (n = 115). A scoring system was established by specifying the expected morbidity incidence values for all independent predictors in the development dataset, after which, the reproducibility was confirmed in the validation dataset.
resultsThe incidence of any morbidity was 44.7 %. Male sex, severe emaciation (body mass index <18), a lower performance status (grade 1 or 2), operation ≥540 min and massive bleeding (blood loss/body weight ≥20) were independent predictors of postoperative morbidity. The total of all predictive scores was calculated. The incidence of any morbidity and of severe morbidity (Clavien-Dindo classification ≥IIIb) significantly correlated with the score after dividing the scores into three groups (≤8, 10 and 11 and ≥13). This finding was also confirmed in the validation dataset.
conclusionThe current scoring system is considered to be useful for predicting postoperative morbidity after esophagectomy.
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Registered trials
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