External Validation of the Auditing Fistula Risk Score for Pancreatoduodenectomy

Key Points

• To evaluate the Auditing Fistula Risk Score's effectiveness in predicting risks associated with pancreatoduodenectomy.
• Analyzed a large cohort from the NSQIP database
• Assessed the performance of the Auditing-FRS across different surgical approaches: open, laparoscopic, and robotic
• Evaluated discrimination and calibration metrics for risk prediction
• The Auditing-FRS showed acceptable discrimination, meaning it can effectively differentiate between patients at higher and lower risk.
• Demonstrated good calibration, indicating predictions closely matched actual outcomes
• Supports the score's application for institutional benchmarking and improving perioperative care