Key result
The POSSUM score was significantly associated with perioperative complications in head and neck cancer reconstruction surgery (OR 1.11), with a cutoff value of 38.5% identifying high-risk patients.
Why the study?
Is the POSSUM score useful for assessing the risk of perioperative complications in patients undergoing head and neck cancer reconstruction surgery?
Observational (n=111)
No
Is the POSSUM score useful for assessing the risk of perioperative complications in patients undergoing head and neck cancer reconstruction surgery?
Odds Ratio: 1.11 (95% CI 1.05–1.18)
p-value: p=<0.01
The POSSUM score is a useful tool for predicting perioperative complications in head and neck cancer reconstruction surgery, with a score ≥45.9% indicating high risk.
頭頸部癌切除再建手術のリスク評価としてPOSSUMが有用性であるかを検討した。2010年1月から2011年12月までに頭頸部癌再建手術を行った188例を対象とした。POSSUMに基づいた予測式から予測合併症率を算出し，実際に生じた周術期合併症と比較した。実際に生じた周術期合併症は35例（19%）で認め，全身合併症17例（9%），SSI 20例（11%）であった。周術期合併症群と非合併症群に分けて比較した結果，POSSUMから算出した術後合併症率で有意差を認めた（p＝0.01）。頭頸部癌切除再建手術のリスク評価の指標として，POSSUMは有用である。さらにROC曲線からYouden indexを用いて算出したPOSSUMのカットオフ値は45.9%であった。すなわち，POSSUMが45.9%以上の症例は周術期合併症発生に対しhigh riskな症例であるとすることができる。
No takes yet. Share an insight, caveat, or question.
Makino et al. (2013) conducted an observational in Head and neck cancer reconstruction surgery (n=111). POSSUM score vs. No complication group was evaluated on Perioperative complications (OR 1.11, 95% CI 1.05-1.18, p=<0.01). The POSSUM score was significantly associated with perioperative complications in head and neck cancer reconstruction surgery (OR 1.11), with a cutoff value of 38.5% identifying high-risk patients.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: