Predicting major morbidity and in-hospital morbidity in IPMN patients under - Evidencio
Predicting major morbidity and in-hospital morbidity in IPMN patients undergoing pancreatic surgery

This simple risk score is intended to assist in preoperative surgical decision-making in patients with intraductal papillary mucinous neoplasms (IPMN). Specifically, for 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 solely on the risk of major morbidity and mortality.

Autores de la investigación: Ninguno
Versión: 1.0.1
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Este algoritme se proporciona con fines educativos, formativos e informativos. No debe utilizarse para apoyar la toma de decisiones médicas ni para prestar servicios médicos o de diagnóstico. Lea nuestro Descargo de responsabilidad.

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