Preoperative IPMN major morbidity risk score - Evidencio
Preoperative IPMN major morbidity risk score

This simple risk score is intended to assist in preoperative surgical decision-making in patients with intraductal papillary mucinous neoplasms (IPMN). Specifically, patients without overt signs of malignancy, and for whom surgery is not urgent, the easily accessible preoperative factors in this risk score could be assessed – and possibly optimized – to improve surgical eligibility. Such an approach may enhance surgical decision-making and allow for more personalized care, potentially shifting the balance towards less aggressive clinical management, particularly when pancreatoduodenectomy is considered.

The model has moderate discriminatory performance for major morbidity and mortality (bootstrap-corrected AUC, 0.63 and 0.73), but excellent calibration (bootstrap-corrected calibration intercept and slope of –0.10 and 0.90 for major morbidity, and a bootstrap-corrected intercept and slope of –0.03 and 0.94 for mortality). Risk thresholds are deliberately not provided, as clinical decision-making should not be based only on the risk of major morbidity and mortality.

Research authors: None
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The preoperative risk of major morbidity is %

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This algorithm is provided for educational, training and information purposes. It must not be used to support medical decision making, or to provide medical or diagnostic services. Read our full disclaimer.

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