Validation of the estimation of physiologic ability and surgical stress (E-PASS) score in liver surgery.

Abstract:

BACKGROUND:The estimation of physiologic ability and surgical stress (E-PASS) has been used to produce a numerical estimate of expected mortality and morbidity after elective gastrointestinal surgery. The aim of this study was to validate E-PASS in a selected cohort of patients requiring liver resections (LR). METHODS:In this retrospective study, E-PASS predictor equations for morbidity and mortality were applied to the prospective data from 243 patients requiring LR. The observed rates were compared with predicted rates using Fisher's exact test. The discriminative capability of E-PASS was evaluated using receiver-operating characteristic (ROC) curve analysis. RESULTS:The observed and predicted overall mortality rates were both 3.3% and the morbidity rates were 31.3 and 26.9%, respectively. There was a significant difference in the comprehensive risk scores for deceased and surviving patients (p = 0.043). However, the scores for patients with or without complications were not significantly different (p = 0.120). Subsequent ROC curve analysis revealed a poor predictive accuracy for morbidity. CONCLUSIONS:The E-PASS score seems to effectively predict mortality in this specific group of patients but is a poor predictor of complications. A new modified logistic regression might be required for LR in order to better predict the postoperative outcome.

journal_name

World J Surg

journal_title

World journal of surgery

authors

Banz VM,Studer P,Inderbitzin D,Candinas D

doi

10.1007/s00268-009-9989-2

subject

Has Abstract

pub_date

2009-06-01 00:00:00

pages

1259-65

issue

6

eissn

0364-2313

issn

1432-2323

journal_volume

33

pub_type

杂志文章
  • Access routes for nutritional therapy.

    abstract::Enteral nutrition (EN) and total parenteral nutrition (TPN) may provide life-sustaining therapy for surgical patients. The duration of nutritional therapy (enteral or parenteral) implies distinct access routes. We review the main aspects related to access routes for nutrient delivery. The enteral route, whenever feasi...

    journal_title:World journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1007/s002680010264

    authors: Waitzberg DL,Plopper C,Terra RM

    更新日期:2000-12-01 00:00:00

  • Self-Inflicted Abdominal Stab Wounds Have a Higher Rate of Non-therapeutic Laparotomy/Laparoscopy and a Lower Risk of Injury.

    abstract:BACKGROUND:The profile and management of self-inflicted abdominal stab wounds (SI-ASW) patients is still obscure. METHODS:The National Trauma Data Bank (2012) was queried for adults with abdominal stab wounds (n = 9544). Patients with SI-ASW (n = 1724) and non-SI-ASW (n = 7820) were compared. Predictors for non-therap...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-017-4083-7

    authors: Bugaev N,McKay K,Breeze JL,Arabian SS,Rabinovici R

    更新日期:2017-11-01 00:00:00

  • The use of flaps in the treatment of fingertip injuries.

    abstract::Fingertip injuries constitute a large portion of the traumatic injuries sustained to the hand and are frequently associated with significant disability for the patient. While many methods are available for the treatment of such injuries, quite often only certain procedures are appropriate for a particular digit in any...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/BF01675641

    authors: Foucher G,Boulas HJ,Braga Da Silva J

    更新日期:1991-07-01 00:00:00

  • The surgical strategy and the molecular analysis of patients with parathyroid cancer.

    abstract:BACKGROUND:Parathyroid cancer is a rare endocrine tumor, and the prognostic factors for this cancer remain unclear. The standard therapy is en bloc resection of the primary tumor at the time of the initial operation. However, the clinical significance of prophylactic neck dissection (PND) in the management of parathyro...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-010-0618-x

    authors: Enomoto K,Uchino S,Ito A,Watanabe S,Shibuya H,Enomoto Y,Noguchi S

    更新日期:2010-11-01 00:00:00

  • The relationship between intra-operative manometry and clinical outcome in patients operated on for gastro-esophageal reflux disease.

    abstract::Lower esophageal sphincter pressure has been assessed pre-operatively, intra-operatively,and more than 6 months postoperatively in 34 patients having antireflux surgery for gastro-esophageal reflux disease. The sphincter pressures associated with the outcome in relation to pH measured reflux and the symptoms of recurr...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/BF02071543

    authors: Jamieson GG,Myers JC

    更新日期:1992-03-01 00:00:00

  • Assessment of the availability of technology for trauma care in India.

    abstract:BACKGROUND:We sought to assess the status of availability of technology for trauma care in a state in India and to identify factors contributing to both adequate levels of availability and to deficiencies. We also sought to identify potential solutions to deficiencies in terms of health system management and product de...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-014-2805-7

    authors: Shah MT,Joshipura M,Singleton J,LaBarre P,Desai H,Sharma E,Mock C

    更新日期:2015-02-01 00:00:00

  • Impact of EMG Changes in Continuous Vagal Nerve Monitoring in High-Risk Endocrine Neck Surgery.

    abstract:BACKGROUND:Continuous vagal intraoperative neuromonitoring (CIONM) of the recurrent laryngeal nerve (RLN) may reduce the risk of RLN lesions during high-risk endocrine neck surgery such as operation for large goiter potentially requiring transsternal surgery, advanced thyroid cancer, and recurrence. METHODS:Fifty-five...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-015-3368-y

    authors: Brauckhoff K,Vik R,Sandvik L,Heimdal JH,Aas T,Biermann M,Brauckhoff M

    更新日期:2016-03-01 00:00:00

  • Adverse outcomes in patients with postoperative ascites after liver resection for hepatocellular carcinoma.

    abstract:BACKGROUND:Postoperative ascites (POA) is a common complication after liver resection (LR). The aim of the present study was to identify the risk factors for developing POA and to evaluate its clinical significance in the prognosis of patients with hepatocellular carcinoma (HCC). METHODS:We performed a retrospective a...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-011-1367-1

    authors: Chan KM,Lee CF,Wu TJ,Chou HS,Yu MC,Lee WC,Chen MF

    更新日期:2012-02-01 00:00:00

  • Vagal nerve function in obesity: therapeutic implications.

    abstract::The primal need for nutrients is satisfied by mechanisms for sensing internal stores and detecting food; ATP is the most primitive signal. With increasing density of sensory neurons and glia (the primordial brain) and the emergence of autonomic neural activity throughout the endoderm, transmitters and other signaling ...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-009-0138-8

    authors: Kral JG,Paez W,Wolfe BM

    更新日期:2009-10-01 00:00:00

  • Ultrasonographic screening for abdominal aortic aneurysm: analysis of surgical decisions for cost-effectiveness.

    abstract::A mathematic model is created to determine the economic cost per year of anticipated prolongation of life that would result from a program of abdominal ultrasonographic (US) screening for abdominal aortic aneurysm. The protocol involves US screening at age 60, 67, and 74 years with additional annual follow-up US and e...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/BF01659032

    authors: Bengtsson H,Bergqvist D,Jendteg S,Lindgren B,Persson U

    更新日期:1989-05-01 00:00:00

  • Partial splenectomy for benign splenic cysts with the aid of a Lin clamp: technical note.

    abstract:BACKGROUND:Spleen-preserving procedures deserve every effort by surgeons to reduce the risk of overwhelming postsplenectomy infection. Partial splenectomy at hospitals with restricted sources remains technically demanding. We describe our method of partial splenectomy for benign splenic cysts with the aid of a Lin clam...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-007-9240-y

    authors: Wu SC,Wang CC,Yong CC

    更新日期:2007-11-01 00:00:00

  • Patient Frailty Should Be Used to Individualize Treatment Decisions in Primary Hyperparathyroidism.

    abstract:BACKGROUND:Primary hyperparathyroidism (PHPT) is a common endocrine disorder that predominantly affects patients >60 and is increasing in prevalence. Identifying risk factors for poor outcomes after parathyroidectomy in older adults will help tailor operative decision making. The impact of frailty on surgical outcomes ...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-018-4629-3

    authors: Seib CD,Chomsky-Higgins K,Gosnell JE,Shen WT,Suh I,Duh QY,Finlayson E

    更新日期:2018-10-01 00:00:00

  • Evaluation of Trauma Care capabilities in four countries using the WHO-IATSIC Guidelines for Essential Trauma Care.

    abstract:BACKGROUND:We sought to identify affordable and sustainable methods to strengthen trauma care capabilities globally, especially in developing countries, using the Guidelines for Essential Trauma Care. These guidelines were created by the World Health Organization (WHO) and the International Society of Surgery and provi...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-005-0768-4

    authors: Mock C,Nguyen S,Quansah R,Arreola-Risa C,Viradia R,Joshipura M

    更新日期:2006-06-01 00:00:00

  • Experimental study of pylorus and pyloric vagus preserving gastrectomy.

    abstract::In an attempt to prevent the sequelae of conventional gastrectomy, such as rapid gastric emptying, dumping syndrome, intestinal content reflux, indigestion, and poor absorption, we have devised the pylorus and pyloric vagus preserving gastrectomy (PPVPG). Experimenting on 48 dogs, we found theoretic grounds for using ...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/BF01655114

    authors: Lu Y,Hoa Y,Jia S,Gao C

    更新日期:1993-07-01 00:00:00

  • Hospital management practices and availability of surgery in sub-Saharan Africa: a pilot study of three hospitals.

    abstract:BACKGROUND:Sub-Saharan Africa has a high surgical burden of disease but performs a disproportionately low volume of surgery. Closing this surgical gap will require increased surgical productivity of existing systems. We examined specific hospital management practices in three sub-Saharan African hospitals that are asso...

    journal_title:World journal of surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1007/s00268-013-2172-9

    authors: Funk LM,Conley DM,Berry WR,Gawande AA

    更新日期:2013-11-01 00:00:00

  • Epidermal growth factor receptor (EGFR) expression is associated with a worse prognosis in gastric cancer patients undergoing curative surgery.

    abstract:BACKGROUND:In gastric cancer, the recurrence rate is high even after curative surgery. A relevant issue is the identification of independent prognostic factors to select high-risk patients; such features can be used as predictive factors for tailored therapies. In this study we have investigated the role of epidermal g...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-007-9016-4

    authors: Galizia G,Lieto E,Orditura M,Castellano P,Mura AL,Imperatore V,Pinto M,Zamboli A,De Vita F,Ferraraccio F

    更新日期:2007-07-01 00:00:00

  • Meta-analysis of efficacy and safety of fast-track surgery in gastrectomy for gastric cancer.

    abstract:BACKGROUND:Fast-track surgery (FTS) is a promising program for surgical patients and has been applied to several surgical diseases. FTS is much superior to conventional perioperative care. Our aim was to evaluate and compare the safety and efficacy of FTS and conventional perioperative care for patients undergoing gast...

    journal_title:World journal of surgery

    pub_type: 杂志文章,meta分析,评审

    doi:10.1007/s00268-014-2690-0

    authors: Li YJ,Huo TT,Xing J,An JZ,Han ZY,Liu XN,Zhao QC

    更新日期:2014-12-01 00:00:00

  • Risk Factors for Postoperative Ascites in Patients Undergoing Liver Resection for Hepatocellular Carcinoma.

    abstract:BACKGROUND:Postoperative ascites is a common complication after liver resection. This study aimed to identify the risk factors for ascites in patients after liver resection and the relationship between postoperative ascites and other complications. METHODS:We retrospectively analyzed data that were obtained from 266 p...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-017-4003-x

    authors: Yoshikawa T,Nomi T,Hokuto D,Yasuda S,Kawaguchi C,Yamada T,Kanehiro H,Nakajima Y

    更新日期:2017-08-01 00:00:00

  • Cardiopulmonary assessment: is improvement needed?

    abstract::Clinical parameters alone have repeatedly been proven unreliable in assessing cardiopulmonary status, especially in hemodynamically unstable patients. To learn if we had a diagnostic problem in our hospital, we compared physician assessment of cardiac index (CI) and thoracic fluid content (TFC) to values obtained usin...

    journal_title:World journal of surgery

    pub_type: 临床试验,杂志文章

    doi:10.1007/s00268-004-2073-z

    authors: Van De Water JM,Dalton ML,Parish DC,Vogel RL,Beatty JC,Adeniyi SO

    更新日期:2005-01-01 00:00:00

  • Muscle Steatosis is an Independent Predictor of Postoperative Complications in Patients with Hepatocellular Carcinoma.

    abstract:BACKGROUND:Skeletal muscle depletion, referred to as sarcopenia, has been shown to be an independent predictor of lower disease-free and overall survivals in various kinds of diseases. The quality of skeletal muscle has recently attracted much attention as a new parameter of sarcopenia, but its impact on surgical compl...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-016-3504-3

    authors: Hamaguchi Y,Kaido T,Okumura S,Kobayashi A,Fujimoto Y,Ogawa K,Mori A,Hammad A,Hatano E,Uemoto S

    更新日期:2016-08-01 00:00:00

  • Clinical Significance of Multiple Pulmonary Metastasectomy for Hepatocellular Carcinoma.

    abstract:BACKGROUND:The lung is the most common site of extrahepatic metastasis from hepatocellular carcinoma (HCC). The aim of this study was to evaluate the significance and long-term outcomes of pulmonary metastasectomy for HCC, especially in patients with multiple nodules or repeated pulmonary recurrence. METHODS:We retros...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-015-3213-3

    authors: Mizuguchi S,Nishiyama N,Izumi N,Tsukioka T,Komatsu H,Iwata T,Tanaka S,Takemura S,Kubo S

    更新日期:2016-02-01 00:00:00

  • Health care delivery systems: effects on surgical education in the United Kingdom.

    abstract::Surgical education in the United Kingdom has evolved to meet the need of the National Health Service (NHS) for a relatively small body of consultants practicing autonomously and carrying ultimate clinical responsibility for their patients. This form of specialist practice is markedly different from that found in most ...

    journal_title:World journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1007/BF00298916

    authors: Brearley S

    更新日期:1994-09-01 00:00:00

  • Systemic and peritoneal host defense in peritonitis.

    abstract::Most of the work of host defense has been carried out in mixed patient populations. It is now clear that elective preoperative surgical patients have totally different host defense capabilities as compared to posttrauma patients or those suffering from peritonitis. Specific cell-mediated immune studies need to be repe...

    journal_title:World journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1007/BF01664871

    authors: Christou NV

    更新日期:1990-03-01 00:00:00

  • Breast cancer in Chinese women younger than age 40: are they different from their older counterparts?

    abstract:BACKGROUND:Breast cancer in young women is uncommon, but when it does occur it has been reported to have aggressive biological characteristics. The incidence of breast cancer peaks at age 40 in Hong Kong Chinese women, earlier than in Caucasians. This study is the first to report the tumor characteristics and managemen...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-008-9589-6

    authors: Kwong A,Cheung P,Chan S,Lau S

    更新日期:2008-12-01 00:00:00

  • ICU Risk Stratification Models Feasible for Use in Sub-Saharan Africa Show Poor Discrimination in Malawi: A Prospective Cohort Study.

    abstract:BACKGROUND:Critical illness disproportionately affects people in low-income countries (LICs). Efforts to improve critical care in LICs must account for differences in demographics and infrastructure compared to high-income settings. Part of this effort includes the development and validation of intensive care unit (ICU...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-019-05078-9

    authors: Prin M,Pan S,Kadyaudzu C,Li G,Charles A

    更新日期:2019-10-01 00:00:00

  • Animal models as the basis of pharmacologic intervention in trauma and sepsis patients.

    abstract::With limited resources and the current concerns about using animals for research purposes, the needs must be clear when setting up trauma and sepsis experiments for pharmacologic interventions. Such interventions are performed typically for four reasons: (1) to study the pathophysiologic role of certain mediators (whi...

    journal_title:World journal of surgery

    pub_type: 杂志文章,评审

    doi:10.1007/s002689900077

    authors: Redl H,Schlag G,Bahrami S,Yao YM

    更新日期:1996-05-01 00:00:00

  • Screening of patients with multiple endocrine neoplasia type 1 (MEN-1): a critical analysis of its value.

    abstract:BACKGROUND:Screening of multiple endocrine neoplasia type 1 (MEN-1) patients is widely recommended because one-fifth succumb to malignant neoplasms. However, recommendations for screening modalities and intervals are based mostly on nonprospective data. METHODS:Thirty-five of 48 MEN-1 patients were evaluated at least ...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-009-9983-8

    authors: Waldmann J,Fendrich V,Habbe N,Bartsch DK,Slater EP,Kann PH,Rothmund M,Langer P

    更新日期:2009-06-01 00:00:00

  • Metastatic endocrine tumors: medical treatment, surgical resection, or liver transplantation.

    abstract::We reviewed our experience with 34 patients with metastatic endocrine tumors (METs) who were treated by different modalities. Eight patients were treated by chemotherapy or chemoembolization because of stable disease or surgical contraindications. Seventeen patients underwent curative or cytoreductive surgical resecti...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s002689900138

    authors: Dousset B,Saint-Marc O,Pitre J,Soubrane O,Houssin D,Chapuis Y

    更新日期:1996-09-01 00:00:00

  • Laparoscopic cholecystectomy for gallbladder disease in patients with severe cardiovascular disease.

    abstract:BACKGROUND:Cardiovascular disease (CVD) and gallstones are reported to be strongly associated because both diseases are frequently part of a metabolic syndrome. Laparoscopic cholecystectomy (LC) has become the standard treatment for gallbladder disease around the world. Cardiovascular disease is considered as an absolu...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-009-0072-9

    authors: Liu YY,Yeh CN,Lee HL,Chu PH,Jan YY,Chen MF

    更新日期:2009-08-01 00:00:00

  • Patterns and treatment of recurrence following pulmonary resection for colorectal metastases.

    abstract:BACKGROUND:Pulmonary resection is the best therapeutic option for lung metastases from colorectal cancer (CRC) today. However, recurrences are frequent following pulmonary resection. We aimed to evaluate the recurrence pattern and treatment of initial pulmonary resection for metastases from CRC. METHODS:Data from 76 p...

    journal_title:World journal of surgery

    pub_type: 杂志文章

    doi:10.1007/s00268-015-3006-8

    authors: Yokota M,Kobayashi A,Nomura S,Nishizawa Y,Ito M,Nagai K,Saito N

    更新日期:2015-07-01 00:00:00