Combined and intraoperative risk modelling for oesophagectomy:A systematic review

作     者：James Paul Grantham Amanda Hii Jonathan Shenfine 

作者机构：Department of General SurgeryModbury HospitalModbury 5092South AustraliaAustralia Department of General Surgical UnitJersey General HospitalSaint Helier JE13QSJerseyUnited Kingdom 

出 版 物：《World Journal of Gastrointestinal Surgery》 (世界胃肠外科杂志（英文版）（电子版）)

年 卷 期：2023年第15卷第7期

页      面：1485-1500页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Oesophagectomy Risk model Oesophageal cancer Preoperative Intraoperative Morbidity Mortality 

摘      要：BACKGROUND Oesophageal cancer is the eighth most common malignancy worldwide and is associated with a poor *** remains the best prospect for a cure if diagnosed in the early disease ***,the procedure is associated with significant morbidity and mortality and is undertaken only after careful *** patient selection,counselling and resource allocation is *** risk models have been devised to guide surgeons in making these *** To evaluate which multivariate risk models,using intraoperative information with or without preoperative information,best predict perioperative oesophagectomy *** A systematic review of the MEDLINE,EMBASE and Cochrane databases was undertaken from *** search terms used were[(Oesophagectomy)AND(Model OR Predict OR Risk OR score)AND(Mortality OR morbidity OR complications OR outcomes OR anastomotic leak OR length of stay)].Articles were included if they assessed multivariate based tools incorporating preoperative and intraoperative variables to forecast patient outcomes after *** were excluded if they only required preoperative or any post-operative *** appraising univariate risk predictors such as preoperative sarcopenia,cardiopulmonary fitness and American Society of Anesthesiologists score were also *** review was conducted following the preferred reporting items for systematic reviews and meta-analyses *** captured risk models were appraised for clinical credibility,methodological quality,performance,validation and clinical *** Twenty published studies were identified which examined eleven multivariate risk *** of these combined preoperative and intraoperative data and the remaining three used only intraoperative *** two risk models were identified as promising in predicting mortality,namely the Portsmouth physiological and operative severity score for the enumeration o