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Risk Scoring System for Woman Undergoing Gynecological Cancer Surgery

Purpose: To estimate the probability of an adverse event associated with gynecologic cancer surgery using the risk score of Kondalsamy-Chennakesavan et al.

Description

Kondalsamy-Chennakesavan et al developed a risk score for evaluating a woman undergoing gynecological cancer surgery. This can help to identify a woman at increased risk for an adverse event associated with surgery. The authors are from the University of


Queensland, Royal Brisbane and Women's Hospital and Radboud University in The Netherlands.

 

Adverse events: covered a range of intraoperative and postoperative problems (see Table 3, page 331).

 

Parameters:

(1) malignancy

(2) comorbidities (COPD, kidney disease, diabetes, neurological disease, peripheral vascular disease, history of prior surgery, nutritional deficiency, psychological disorder, etc)

(3) complexity of planned surgery

(4) serum SGOT

(5) body weight

(6) ASA score

 

Parameter

Finding

Points

malignancy

absent

0

 

present

1

comorbidity

0 or 1

0

 

2 or more

1

planned surgery

not complex

0

 

complex

2

 

very complex

3

serum SGOT

normal

0

 

elevated

3

body weight

low or normal

0

 

overweight

2

ASA score

0 or 1

0

 

2 or more

2

 

total score =

= SUM(points for all 6 parameters)

 

Interpretation:

• minimum score: 0

• maximum score: 14

• The higher the score the greater the risk for an adverse event.

 

X =

= (0.5 * (total score)) - 3.697

 

probability of an adverse event =

= 1 / (1 + EXP((-1) * X))


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Specialty

Objective

ICD-10