Accurate prediction of severe postoperative complications after pancreatic surgery: POSSUM vs E‐PASS
Accurate prediction of severe postoperative complications after pancreatic surgery: POSSUM vs E‐PASS
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准确预测胰腺手术后严重术后并发症：POSSUM 与 E-PASS
DOI：
10.1002/jhbp.839
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发表时间：
2021
影响因子：
3
通讯作者：
Tajima Yoshitsugu
中科院分区：
文献类型：
--
作者：
Hayashi Hikota;Kawabata Yasunari;Nishi Takeshi;Kishi Takashi;Nakamura Kosuke;Kaji Shunsuke;Fujii Yusuke;Tajima Yoshitsugu
背景/目的很少有报告评估了胰腺手术中死亡率和发病率计数（POSSUM）以及生理能力和手术应激估计（E-PASS）的生理和手术严重程度评分之间的预测准确性差异。因此，我们评估了 POSSUM 和 E-PASS 在预测胰腺术后严重术后并发症 (PC) 方面的准确性和相似性。方法我们连续纳入了 343 名 2006 年 4 月至 2017 年 9 月期间在我科接受胰腺手术的患者。对 POSSUM 和 E-PASS 对 PCs ≥ Clavien-Dindo IIIa 级（PCs-CD ≥ IIIa）发生的预测值的差异进行非参数比较。使用受试者工作特征 (ROC) 曲线和线性回归分析检查每种工具的预测准确性和相似性。结果 45 名患者出现 PCs-CD ≥ IIIa。 E-PASS 在估计 PCs-CD ≥ IIIa 发生率方面具有显着高于 POSSUM 的预测值 (P=.002)。 E-PASS 中 ROC 分析的曲线下面积值显着高于 POSSUM（0.643 vs 0.543，P=0.014），E-PASS 与 POSSUM 的预测值呈弱正相关（R2=0.333，P<0.001）。结论生理能力和手术应激的估计有助于预测胰腺术后严重 PC，且准确度高于 POSSUM。
Background/PurposeFew reports have evaluated the differences in the predictive accuracy between the physiological and operative severity score for the enumeration of mortality and morbidity (POSSUM) and estimation of physiologic ability and surgical stress (E‐PASS) in pancreatic surgery. Thus, we evaluated the accuracy and similarity of POSSUM and E‐PASS for the prediction of severe postoperative complications (PCs) after pancreatic surgery.MethodsWe enrolled 343 consecutive patients who underwent pancreatic surgery in our department between April 2006 and September 2017. The difference in predictive values of POSSUM and E‐PASS for the occurrence of PCs ≥ Clavien‐Dindo grade IIIa (PCs‐CD ≥ IIIa) was nonparametrically compared. The predictive accuracy and similarity of each tool was examined using the receiver operating characteristic (ROC) curve and linear regression analyses.ResultsForty‐five patients developed PCs‐CD ≥ IIIa. E‐PASS had a significantly higher predictive value for estimating PCs‐CD ≥ IIIa occurrence (P= .002) than did POSSUM. The area under the curve value in ROC analysis was significantly higher in E‐PASS than in POSSUM (0.643 vs 0.543,P= .014), with a weak positive correlation in the predictive value between E‐PASS and POSSUM (R2= .333,P< .001).ConclusionEstimation of physiologic ability and surgical stress was useful for predicting severe PCs after pancreatic surgery and had a higher accuracy than POSSUM.
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影响因子：
9
作者：
Kimura, Wataru;Miyata, Hiroaki;Mori, Masaki
通讯作者：
Mori, Masaki
DOI：
10.1016/s1499-3872(16)60134-0
发表时间：
2017-04-01
影响因子：
3.3
作者：
Negoi, Ionut;Hostiuc, Sorin;Beuran, Mircea
通讯作者：
Beuran, Mircea
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影响因子：
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作者：
A. Nanashima;Takafumi Abo;K. Takagi;H. Wada;J. Arai;M. Kunizaki;K. To;H. Takeshita;S. Hidaka;T. Nagayasu
通讯作者：
T. Nagayasu
影响因子：
3
作者：
Haga, Yoshio;Wada, Yasuo;Ikenaga, Masakazu
通讯作者：
Ikenaga, Masakazu
影响因子：
3.7
作者：
Wu W;He J;Cameron JL;Makary M;Soares K;Ahuja N;Rezaee N;Herman J;Zheng L;Laheru D;Choti MA;Hruban RH;Pawlik TM;Wolfgang CL;Weiss MJ
通讯作者：
Weiss MJ