Key result
The P-POSSUM physiological score significantly predicted severe complications and death (OR 1.138), though the scoring system overall significantly underestimated both morbidity and 30-day mortality.
Why the study?
Does the P-POSSUM scoring system accurately predict 30-day morbidity and mortality in patients undergoing pancreatoduodenectomy?
Cohort (n=241)
No
Does the P-POSSUM scoring system accurately predict 30-day morbidity and mortality in patients undergoing pancreatoduodenectomy?
Odds Ratio: 1.138 (95% CI 1.04–1.245)
p-value: p=0.005
The P-POSSUM scoring system significantly underestimates both morbidity and mortality in patients undergoing pancreatoduodenectomy, indicating a need for careful evaluation when applying it to complex pancreatic surgery.
No takes yet. Share an insight, caveat, or question.
Caution advised applying P-POSSUM to pancreatoduodenectomy; leaves open need for recalibration or alternative models in pancreatic surgery.
Tamijmarane et al. (2008) conducted a cohort in Pancreatic surgery (Pancreatoduodenectomy) (n=241). P-POSSUM physiological score was evaluated on Severe complications and death (OR 1.138, 95% CI 1.040-1.245, p=0.005). The P-POSSUM physiological score significantly predicted severe complications and death (OR 1.138), though the scoring system overall significantly underestimated both morbidity and 30-day mortality.
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