Lin et al reported 2 scores for prediction of chronic pancreatitis in adults. The authors are from Changhua Christian Hospital in Taiwan.
Patient selection: adult with acute pancreatitis
Outcome: chronic pancreatitis
Parameters:
(1) smoking
(2) age at onset
(3) alcohol abuse
(4) number of episodes of recurrent acute pancreatitis (RAP)
Parameter |
Finding |
Score 1 |
Score 2 |
smoking |
no |
0 |
0 |
|
yes |
1 |
1 |
age at onset |
< 55 years |
2 |
2 |
|
>= 55 years |
0 |
0 |
alcohol misuse |
no |
0 |
0 |
|
yes |
3 |
3 |
episodes RAP |
0 |
0 |
0 |
|
1 |
5 |
0 |
|
2 |
5 |
4 |
|
3 |
5 |
5 |
|
>= 4 |
5 |
7 |
total scores =
= SUM(points for all of the parameters)
Interpretation:
• minimum scores: 0
• maximum score 1: 11
• maximum score 2: 13
Risk Group |
Score 1 |
Score 2 |
low |
0 to 5 |
0 to 5 |
intermediate |
6 or 7 |
6 or 7 |
high |
8 to 11 |
8 to 13 |
Performance:
• Chronic pancreatitis within 5 years: area under ROC curve 0.83 for score 1 and 0.84 for score 2.
Specialty: Gastroenterology