In-hospital Mortality after Liver Resection for Hepatocellular Carcinoma: A Simple Risk Score

Jessica P. Simons MD, Sing Chau Ng MS, Joshua S. Hill MD, Shimul A. Shah MD, Zheng Zhou MD, PhD, 

Jennifer F. Tseng MD, MPH 

Accepted for oral presentation at the AHPBA Annual Meeting; in press, Cancer

Step 1. Calculate Charlson comorbidity score
Indicate "yes" for the comorbidities that the patient has. This validated algorithm (Charlson, ME et al. J Chron Dis 1987; 40(5):373-83.) assigns a point value to the various diseases. The patient's raw score will then be reassigned into the collapsed Charlson score groups for use in the risk score calculation. Group 1 is a score of zero or 1, Group 2 is a score of 2, Group 3 is a score of 3 or higher.

 

Step 2. Calculate the risk score, including the Charlson group.
Patient age, Charlson score group, planned procedure type, gender, the annual hospital volume of pancreatic resections are indicated. The point values are assigned accordingly to yield an additive score. By clicking on the "Calculate Estimated Mortality" button, this score is then assigned to the appropriate risk score group, and the mortality for that group is displayed.

Factor	Level	Point Value
Age Group	<=55 56- 75 >75
Charlson Score
Gender	Female Male
Procedure Type	RFA/Enucleation Wedge Resection Lobectomy
Hospital Type	Teaching Non-teaching