Risk-prediction model of severe postoperative complications after XXXX for advanced @entity43 .

@entity43 @entity1104 @entity1
OBJECTIVES: To refine models to predict surgical morbidity and 90-day mortality after @entity1104 ( @entity1104 ) for @entity43 (EOC). METHODS: @entity1 with stage IIIC/IV EOC who underwent @entity1104 with curative intent between 1/2/2003 and 12/30/2011 were included. @entity1 characteristics, intraoperative and postoperative outcomes, and vital status were abstracted. Complications were graded using the Accordion classification. Nomograms were generated based on multivariate modeling. RESULTS: 138 (22.3%) of the 620 @entity1 who underwent @entity1104 experienced a grade>= 3 complication. Age (OR 1.21 per 10years increase in age), BMI (OR 1.35 for BMI<25kg/m(2) versus reference, OR 2.83 for BMI>= 40kg/m(2) versus reference), ASA score>= 3 (OR 1.49), stage (OR 1.69 stage IV) and surgical complexity (OR 2.32 high complexity versus intermediate) were predictive of an accordion grade>= 3 complication Within 90days of surgery, 55 (8.9%) @entity1 died. A multivariable model included age (OR 1.76 per 10year increase in age), ASA score>= 3 (OR 3.28), preoperative albumin<3.5 (OR 4.31), and BMI (OR 2.04 for BMI<25kg/m(2) versus reference, OR 3.64 for BMI>= 40kg/m(2) versus reference) was predictive of 90-day mortality. CONCLUSION: Using an independent cohort we report the importance of age, ASA score, preoperative albumin, FIGO stage, and surgical complexity, and BMI, to refine a prediction model for complications after @entity1104 for advanced EOC. This information is useful in preoperative counseling and can be utilized to aid in @entity1 -centered decision making and risk stratification.
