Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Assessment of the Accuracy of Surgical Risk Scales in Predicting Postoperative Morbidity and Mortality in Patients with Gastric Cancer

Version 1 : Received: 13 September 2023 / Approved: 14 September 2023 / Online: 14 September 2023 (11:46:27 CEST)

How to cite: Pereira, A.F.; Antunes, A.; Pereira, A.P.; Martins, S.F. Assessment of the Accuracy of Surgical Risk Scales in Predicting Postoperative Morbidity and Mortality in Patients with Gastric Cancer. Preprints 2023, 2023090975. https://doi.org/10.20944/preprints202309.0975.v1 Pereira, A.F.; Antunes, A.; Pereira, A.P.; Martins, S.F. Assessment of the Accuracy of Surgical Risk Scales in Predicting Postoperative Morbidity and Mortality in Patients with Gastric Cancer. Preprints 2023, 2023090975. https://doi.org/10.20944/preprints202309.0975.v1

Abstract

Abstract: (1) Background: Surgery is the best curative option for Gastric Cancer (GC). However, morbimortality associated with surgery still a significant problem. Thus, it is essential to determine the preoperative surgical risk, to optimize outcomes in higher risk patients. (2) Methods: Patients who underwent curative gastrectomy between January 2010 and December 2013 were included, obtaining a sample of 131 patients, and the acuity of the scales understudy was evaluated. The predictive power of the scales was evaluated through calibration and discrimination. (3) Results and Conclusions: Regarding mortality, the scales demonstrated good calibration, with POSSUM and P-POSSUM obtaining the best O:E ratio. The scales presented good discrimination, with POSSUM showing the best result. Considering morbidity, the scales showed good calibration and discrimination. POSSUM and P-POSSUM seem to have potential in predicting morbidity and mortality when applied to the studied population, but there is a need for further studies in this area.

Keywords

gastric cancer; POSSUM; P-POSSUM; O-POSSUM

Subject

Medicine and Pharmacology, Surgery

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