Puhr et al report an alarm symptom-based risk prediction score for evaluation of a localized esophagogastric adenocarcinoma. The authors are from he Medical University of Vienna.
VIOLA = Viennese risk prediction model for Oesophagogasric Localized Adenocarcinoma
NOTE: The authors also reported the VAGAS score for the same site 2 year before.
Patient selection: localized gastroesophageal adenocarcinoma (Stage 0 to 3)
Parameters:
(1) sex
(2) age in years
(3) body mass index (BMI)
(4) primary location
(5) stage
(6) stenosis on endoscopy
(7) weight loss
Parameter
Finding
Points
sex
male
0
female
1
age in years
< 30 years
0
30 to 59 years
1
>= 60 years
2
BMI
low (< 18.5 kg per sq m)
2
normal or high (>= 18.5)
0
primary location
esophagus
0
stomach
1
stage
3
2
less than 3
0
stenosis on endoscopy
no
0
yes
1
weight loss
no
0
yes
1
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 10
Total Score
Risk Category
5-Year Survival
0 to 3
low
57%
4 to 6
intermediate
24%
7 to 10
high
9%
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