A pre-operative nomogram for decision making in oncological surgical emergencies

摘要: Background The purpose of the study was to propose a clinical decision-making tool for predicting mortality in patients undergoing emergency abdominal surgery with palliative intent oncology setting. Methods Identification all surgical procedures performed Department Oncologic Surgery Comprehensive Cancer Center between January 2008 and 2013. Multivariate logistic Cox regression models were used identify factors predicitve at 3 months survival probabilities. Models internally validated using bootstrapping calibration. Results The rates 30% 1 month, 46.7% 83.3% end study. One model based on albumin level P-POSSUM score (AUC: 0.725) adequately predicted months. A nomogram concordance index (CI) 0.718, following factors: WHO performance status (P = 0.02), (P < 0.01) (P < 0.01). The origin or extent carcinoma did not own sufficient pronostic impact be selected this model. Conclusions Pre-operative risk scores can developed context. Physicians counselling decision making should use these tools. J. Surg. Oncol 2014; 109:721–725. © 2014 Wiley Periodicals, Inc.