The predictive value of American College of Surgeon's surgical risk calculator for disposition in older patients with prostate carcinoma undergoing robot-assisted laparoscopic radical prostatectomy in PLA General Hospital of China
LU Wenning1, GAO Linggen1, LIU Chaoyang1, GAO Dewei1
1 Department of Comprehensive Surgery, the Second Medical Center, Chinese PLA Genaral Hospital,Beijing 100853, China
Abstract：Objectives： To evaluate the value of the American College of Surgeons (ACS) National Surgical Quality Improvement Program (NSQIP) surgical risk calculator (SRC) to predict complications in elderly patients with prostate carcinomas undergoing elective robot-assisted laparoscopic radical prostatectomy (RALRP) in PLA General Hospital of China.corresponding author: Methods： A chart review of patients aged ≥65 years who underwent RALRP on prostate carcinomas service at a single academic hospital from January 2016 to December 2018 was performed. Preoperative variables were collected and NSQIP surgical risk scores were calculated. The risk of any complication, serious complications, death, urinary tract infection (UTI), venous thromboembolism (VTE), cardiac event, renal complication, pneumonia and surgical site infection (SSI) were analyzed and compared with the actual patient outcomes. The logistic and c-statistic were used to evaluate the predictive value of the risk calculator. Results： This study included 693 consecutive patients. The ACSNSQIP calculator performed well for serious complications (c-statistic=0.864), any complications (c-statistic=0.827), pneumonia complications (c-statistic=0.882), cardiac complications (c-statistic=0.885), UTI (c-statistic=0.875), VTE (c-statistic=0.809), renal failure (c-statistic=0.940), SSI (c-statistic=0.818) and return operation room (c-statistic=0.798). The calculator performed the worst for predicting death (c-statistic=0.445). Conclusions： The NSQIP surgical risk calculator accurately predicts any and most complications in PLA General Hospital of China. Surgeons in hospitals of the same level in China can consult the surgical risks predicted by ACS NSQIP surgical calculators to make decisions with patients and their families.
卢文宁, 高龄根, 刘朝阳, 高德伟. 美国外科风险计算器预测老年前列腺癌患者手术风险的价值[J]. 微创泌尿外科杂志, 2020, 9(2): 125-129.
LU Wenning, GAO Linggen, LIU Chaoyang, GAO Dewei. The predictive value of American College of Surgeon's surgical risk calculator for disposition in older patients with prostate carcinoma undergoing robot-assisted laparoscopic radical prostatectomy in PLA General Hospital of China. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2020, 9(2): 125-129.
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