Alternative Fistula Score (a-FRS) of Mungroop et al Following Pancreatoduodenectomy

Description

Mungroop et al reported the alternative fistula score (a-FRS) for the risk of fistula following pancreatoduodenectomy. This can help to identify a patient who is at higher risk for the complication. The authors are from multiple institutions in The Netherlands.

Patient selection: status post pancreatoduodenectomy

Parameters:

(1) texture of the pancreas

(2) pancreatic duct diameter in mm, truncated at 5

(3) body mass index (BMI) in kg per square meter

Parameter	Finding	Points
texture	soft	0.947
	not soft	0
pancreatic duct diameter	< 5	-0.385*(duct)
	>= 5	-1.925
BMI		0.0679*(BMI)

X =

= SUM(points for all 3 parameters) - 3.136

probability of fistula formation =

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

Performance:

• The area under the ROC curve is 0.75.

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Alternative Fistula Score (a-FRS) of Mungroop et al Following Pancreatoduodenectomy

Description

Specialty