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Validation of original, alternative, and updated alternative fistula risk scores after open and minimally invasive pancreatoduodenectomy in an Asian patient cohort

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dc.contributor.author강창무-
dc.contributor.author이우정-
dc.contributor.author최문석-
dc.contributor.author황호경-
dc.date.accessioned2023-04-20T08:19:01Z-
dc.date.available2023-04-20T08:19:01Z-
dc.date.issued2023-03-
dc.identifier.issn0930-2794-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/194061-
dc.description.abstractBackground: This study aimed to validate and compare the performance of the original fistula risk scores (o-FRS), alternative (a-FRS), and updated alternative FRS (ua-FRS) after open pancreatoduodenectomy (OPD) and laparoscopic pancreatoduodenectomy (LPD) in an Asian patient cohort. Methods: Data of 597 consecutive patients who underwent PD (305 OPD, 274 LPD) were collected from two tertiary centers. Model performance was assessed using the area under the receiver operating curve (AUC). Results: The overall AUC values of o-FRS, a-FRS, and ua-FRS were 0.67, 0.69, and 0.68, respectively, which were lower than those of the Western validation. Three FRS systems had similar AUC values in the overall and OPD groups, whereas ua-FRS had a higher AUC than o-FRS in the LPD group. The accuracy of ua-FRS (47.2%) was higher than that of o-FRS (39.0%) and a-FRS (19.5%) overall, but low specificity and low positive predictive value were observed regardless of the operative type across the three FRS systems. In the multivariate analysis, pathology, estimated blood loss, and body mass index were not independent risk factors for CR-POPF in the OPD and LPD groups. Conclusions: Current FRS systems have some limitations, including a relatively lower performance in an Asian cohort, low positive predictive values, and inclusion of insignificant risk factors.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherSpringer-
dc.relation.isPartOfSURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.subject.MESHHumans-
dc.subject.MESHPancreatic Fistula* / epidemiology-
dc.subject.MESHPancreatic Fistula* / etiology-
dc.subject.MESHPancreatic Fistula* / surgery-
dc.subject.MESHPancreaticoduodenectomy* / adverse effects-
dc.subject.MESHPostoperative Complications / epidemiology-
dc.subject.MESHPostoperative Complications / etiology-
dc.subject.MESHPostoperative Complications / surgery-
dc.subject.MESHPredictive Value of Tests-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHRisk Assessment-
dc.subject.MESHRisk Factors-
dc.titleValidation of original, alternative, and updated alternative fistula risk scores after open and minimally invasive pancreatoduodenectomy in an Asian patient cohort-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Surgery (외과학교실)-
dc.contributor.googleauthorBoram Lee-
dc.contributor.googleauthorYoo-Seok Yoon-
dc.contributor.googleauthorChang Moo Kang-
dc.contributor.googleauthorMunseok Choi-
dc.contributor.googleauthorJun Suh Lee-
dc.contributor.googleauthorHo Kyoung Hwang-
dc.contributor.googleauthorJai Young Cho-
dc.contributor.googleauthorWoo Jung Lee-
dc.contributor.googleauthorHo-Seong Han-
dc.identifier.doi10.1007/s00464-022-09633-9-
dc.contributor.localIdA00088-
dc.contributor.localIdA02993-
dc.contributor.localIdA05885-
dc.contributor.localIdA04497-
dc.relation.journalcodeJ02703-
dc.identifier.eissn1432-2218-
dc.identifier.pmid36229557-
dc.identifier.urlhttps://link.springer.com/article/10.1007/s00464-022-09633-9-
dc.subject.keywordLaparoscopy-
dc.subject.keywordPancreatic Fistula-
dc.subject.keywordPancreaticojejunostomy-
dc.subject.keywordPancreatoduodenectomy-
dc.subject.keywordRisk Factors-
dc.contributor.alternativeNameKang, Chang Moo-
dc.contributor.affiliatedAuthor강창무-
dc.contributor.affiliatedAuthor이우정-
dc.contributor.affiliatedAuthor최문석-
dc.contributor.affiliatedAuthor황호경-
dc.citation.volume37-
dc.citation.number3-
dc.citation.startPage1822-
dc.citation.endPage1829-
dc.identifier.bibliographicCitationSURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, Vol.37(3) : 1822-1829, 2023-03-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers

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