DISPAIR Fistula Risk Score of Bonsdorff et al for Pancreatic Fistula After Distal Pancreatectomy

The derivation of the term DISPAIR is uncertain but DISPA may indicate distal pancreatectomy.

Patient selection: distal pancreatectomy

Outcome: clinically relevant postoperative pancreatic fistula (CR-POPF)

Parameters:

(1) pancreatic thickness (PT) at transection site in mm

(2) transection at pancreatic neck

(3) diabetes mellitus

value of X =

= SUM(points for all of the parameters) - 8.322

probability of fistula =

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

Performance:

• The area under the ROC curve is 0.9 in the derivation and 0.8 in the validation cohorts.