Abdollah et al developed a table indicated the risk of postoperative mortality following a radical cystectomy. This can help to identify a patient who may benefit from more aggressive or an alternative management. The authors are from the University of Montreal, Vita Salute San Raffaele University, Prostate Cancer Center Hamburg-Eppendorf and Cornell University.
Patient selection: radical cystectomy
Output: in-hospital postoperative mortality (POM)
Parameters:
(1) age in years
(2) Charlson comorbidity index (CCI). This probably is the index without points for "any malignancy". Otherwise the minimum index would be 2 instead of 0.
Age in Years
CCI
Percent In-Hospital Mortality
<= 59 years
0
0.7
1
1.0
2
1.4
3
1.9
>= 4
2.5
60 to 69 years
0
1.3
1
1.8
2
2.4
3
3.3
>= 4
4.4
70 to 79 years
0
2.4
1
3.2
2
4.3
3
5.8
>= 4
7.7
>= 80 years
0
4.2
1
5.6
2
7.5
3
9.9
>= 4
13.0
Performance:
• The area under the ROC curve was 0.7.
Limitations:
• The diagnoses leading to radical cystectomy were not listed.
To read more or access our algorithms and calculators, please log in or register.
