Validation of prognostic risk scores for patients undergoing resection for pancreatic cancer

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Mariam Adamu - , Department of Visceral, Thoracic and Vascular Surgery, University Hospital Carl Gustav Carus Dresden (Author)
  • Philipp Nitschke - , University Hospital Carl Gustav Carus Dresden, Department of Visceral, Thoracic and Vascular Surgery (Author)
  • Petar Petrov - , University Hospital Carl Gustav Carus Dresden, Department of Visceral, Thoracic and Vascular Surgery (Author)
  • Anke Rentsch - , University Cancer Centre Dresden (Author)
  • Marius Distler - , Department of Visceral, Thoracic and Vascular Surgery, University Hospital Carl Gustav Carus Dresden (Author)
  • Christoph Reissfelder - , University Hospital Carl Gustav Carus Dresden, Department of Visceral, Thoracic and Vascular Surgery (Author)
  • Thilo Welsch - , University Hospital Carl Gustav Carus Dresden, Department of Visceral, Thoracic and Vascular Surgery (Author)
  • Hans Detlev Saeger - , University Hospital Carl Gustav Carus Dresden, Department of Visceral, Thoracic and Vascular Surgery (Author)
  • Juergen Weitz - , Department of Visceral, Thoracic and Vascular Surgery, University Hospital Carl Gustav Carus Dresden (Author)
  • Nuh N. Rahbari - , University Hospital Carl Gustav Carus Dresden, Department of Visceral, Thoracic and Vascular Surgery (Author)

Abstract

Background/objectives: A better stratification of patients into risk groups might help to select patients who might benefit from more aggressive therapy. The aim of this study was to validate five prognostic scores in patients resected for pancreatic ductal adenocarcinoma (PDAC). Methods: Included were 307 PDAC patients who underwent resection with curative intent. Five clinical risk scores were selected and applied to our study population. Survival analyses were carried out using univariate and multivariate proportional hazards regression. Results: Prognostic stratification was strong for the Heidelberg score (p < 0.001) and the Memorial Sloan Kettering Cancer Center (MSKCC) nomogram (p = 0.001) and moderate for the Botsis score (p = 0.033). There was no significant prognostic value for the Early Mortality Risk Score (p = 0.126) and McGill Brisbane Symptom Score (p = 0.133). Positive resection margin (HR 1.53, 95% CI 1.08–2.16) and pain [pain (HR 1.40, CI 1.03–1.91), back pain (HR 1.67, 95% CI 1.08–2.57)] were independent prognostic factors on multivariate analysis. Conclusions: The Heidelberg score and MSKCC nomogram provided adequate risk stratification in our independent study cohort. Further studies in independent patient cohorts are required to achieve higher levels of validation.

Details

Original languageEnglish
Pages (from-to)585-591
Number of pages7
JournalPancreatology
Volume18
Issue number5
Publication statusPublished - Jul 2018
Peer-reviewedYes

External IDs

PubMed 29866508

Keywords

Sustainable Development Goals

Keywords

  • External validation, Oncological resection, Pancreatic cancer, Risk scores, Survival