Patient selection: portal hypertension, splenectomy plus pericardial devascularization (traditional or simplified)
Outcome: 5-year overall survival after surgery
Parameters:
(1) age in years, from 20 to 80 years
(2) operative time in minutes, from 40 to 320 minutes
(3) serum ALT in IU/L, from 0 to 800 IU/L
(4) ALBI, from -3.6 to -0.6
points for age =
= (1.5 * (years)) - 30
points for operative time =
= (0.22714 * (time)) - 9.08571
points for serum ALT =
= (0.125 * (ALT))
points for ALBI =
= (28 * (ALBI)) + 100.8
total score =
= SUM(points for all 4 parameters)
Interpretation:
• minimum score: 0
• maximum score: 337.6
• The higher the score the lower the 5-year overall survival.
Score
|
Percent 5-Year Overall Survival
|
< 82.6
|
> 90%
|
82.6 to 159.4
|
X = (-0.0001903 * ((score)^2)) + (0.001653 * (score)) + 3.598
percent = 1/ (1_EXP((-1)*X))
|
> 159.4
|
< 10%
|