Relationship between preoperative risk score for esophageal cancer (PRSEC) and prognosis after resection of esophageal carcinoma_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

MA Jianxing , FENG Haiming , JING Tao ,  LI Bin , WANG Cheng , ZHANG Jianhua

Department of Thoracic Surgery, The Second Hospital, Lanzhou University, Lanzhou, 730000, P.R China;

Corresponding author：

LI Bin, Email: dr.leebin@qq.com

Keywords：

Esophageal cancer; preoperative risk score for esophageal cancer; esophageal resection; retrospective study

DOI：

10.7507/1007-4848.201605023

Video：

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Objective To introduce a simple preoperative risk score for esophageal cancer (PRSEC) and its relationship with the prognosis of patients who underwent resection of esophageal carcinoma. Methods We retrospectively analyzed the clinical data of 498 patients receiving resection of esophageal carcinoma between 2005 and 2015 in our hospital. They were divided into three groups (PRSEC1, PRSEC2 and PRSEC3 groups) according to the results of PRSEC (revised cardiac risk index, model for end-stage liver disease score and pulmonary function test). Their overall survival (OS) and disease-free survival (DFS) were measured to find the relationship between the PRSEC and prognosis of patients. Results The mortality, morbidity, DFS and OS were correlative with the PRSEC. Therefore the PRSEC can be used to predict the short-term outcome. The patients with score 2 or 3 had higher risk of mortality and morbidity than those with score 1. In addition, the DFS and OS of patients with higher score were shorter (P<0.001). Conclusion The PRSEC is easy and efficient and can predict the morbidity, mortality, and long-term outcomes for the patients with resection of esophageal carcinoma.

Citation： MA Jianxing, FENG Haiming, JING Tao, LI Bin, WANG Cheng, ZHANG Jianhua. Relationship between preoperative risk score for esophageal cancer (PRSEC) and prognosis after resection of esophageal carcinoma. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2017, 24(3): 188-191. doi: 10.7507/1007-4848.201605023 Copy

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13.	Rasam SA, Apte KK, Salvi SS. Infection control in the pulmonary function test laboratory. Lung India, 2015, 32(4): 359-366.
14.	Amieva-Balmori M, Mejia-Loza SM, Ramos-González R, et al. Model for end-stage liver disease-Na score or Maddrey discrimination function index, which score is best? World J Hepatol, 2015, 7(17): 2119-2126.
15.	Sobin LH, Compton CC. TNM seventh edition: what’s new, what’s changed: communication from the International Union Against Cancer and the American Joint Committee on Cancer. Cancer, 2010, 116(23): 5336-5339.
16.	Kwon SJ. Evaluation of the 7th UICC TNM Staging System of Gastric Cancer. J Gastric Cancer, 2011, 11(2): 78-85.
17.	Noble F, Curtis N, Harris S, et al. Risk assessment using a novel score to predict anastomotic leak and major complications after oesophageal resection. J Gastrointest Surg, 2012, 16(6): 1083-1095.
18.	du Rieu MC, Filleron T, Beluchon B, et al. Recurrence risk after Ivor Lewis oesophagectomy for cancer. J Cardiothorac Surg, 2013, 8: 215.
19.	Karres J, Heesakkers NA, Ultee JM, et al. Predicting 30-day mortality following hip fracture surgery: evaluation of six risk prediction models. Injury, 2015 , 46(2): 371-377.
20.	Nagabhushan JS, Srinath S, Weir F, et al. Comparison of P-POSSUM and O-POSSUM in predicting mortality after oesophagogastric resections. Postgrad Med J, 2007, 83(979): 355-358.
21.	Vanhuyse F, Maureira P, Mattei MF, et al. Use of the model for end-stage liver disease score for guiding clinical decision-making in the selection of patients for emergency cardiac transplantation. Eur J Cardiothorac Surg, 2013, 44(1): 134-138.
22.	Okazaki E, Yamamoto A, Nishida N, et al. Three-dimensional conformal radiotherapy for locally advanced hepatocellular carcinoma with portal vein tumor thrombosis: evaluating effectiveness of the model for end-stage liver disease (MELD) score compared with the Child-Pugh classification. Br J Radiol, 2016, 89(1063): 20150945.

1. Torre LA, Bray F, Siegel RL, et al. Global cancer statistics, 2012. CA Cancer J Clin, 2015, 65(2): 87-108.
2. Valmasoni M, Pierobon ES, Ruol A, et al. Endoscopic tumor length should be reincluded in the esophageal cancer staging system: analyses of 662 consecutive patients. PLoS One, 2016, 11(4): e0153068.
3. 龙梦云, 韦诗友, 黄芊, 等. 两种食管上提径路对食管癌患者术后并发症影响的系统评价和Meta分析. 中国胸心血管外科临床杂志, 2015, 22(2): 91-99.
4. Domper Arnal MJ, Ferrández Arenas Á, Lanas Arbeloa Á. Esophageal cancer: Risk factors, screening and endoscopic treatment in Western and Eastern countries. World J Gastroenterol, 2015, 21(26): 7933-43.
5. 龚太乾, 蒋耀光, 王如文, 等. 食管癌术后早期并发症及死亡原因分析. 中国胸心血管外科临床杂志, 2005, 12(3): 173-176.
6. Kataoka K , Nakamura K , Mizusawa J , et al. Variations in survival and perioperative complications between hospitals based on data from two phase Ⅲ clinical trials for oesophageal cancer. Br J Surg, 102(9): 1088-1096.
7. Huang RW, Chao YK, Wen YW, et al. Predictors of pathological complete response to neoadjuvant chemoradiotherapy for esophageal squamous cell carcinoma. World J Surg Oncol, 2014 , 12: 170.
8. Wang JY , Hong X , Chen GH , et al. Clinical application of the fast track surgery model based on preoperative nutritional risk screening in patients with esophagealcancer. Asia Pac J Clin Nutr, 2015, 24(2): 206-211.
9. Filip B, Hutanu I, Radu I, et al. Assessment of different prognostic scores for early postoperative outcomes after esophagectomy. Chirurgia (Bucur), 2014 ,109(4): 480-485.
10. Lindner K, Lübbe L, Müller AK, et al. Potential risk factors and outcomes of fistulas between the upper intestinal tract and the airway following Ivor-Lewis esophagectomy. Dis Esophagus, 2016, 10: 1111.
11. Warnell I, Chincholkar M, Eccles M. Predicting perioperative mortality after oesophagectomy: a systematic review of performance and methods of multivariate models. Br J Anaesth, 2015, 114 (1): 32-43.
12. Biccard B. Proposed research plan for the derivation of a new Cardiac Risk Index. Anesth Analg, 2015, 120(3): 543-553.
13. Rasam SA, Apte KK, Salvi SS. Infection control in the pulmonary function test laboratory. Lung India, 2015, 32(4): 359-366.
14. Amieva-Balmori M, Mejia-Loza SM, Ramos-González R, et al. Model for end-stage liver disease-Na score or Maddrey discrimination function index, which score is best? World J Hepatol, 2015, 7(17): 2119-2126.
15. Sobin LH, Compton CC. TNM seventh edition: what’s new, what’s changed: communication from the International Union Against Cancer and the American Joint Committee on Cancer. Cancer, 2010, 116(23): 5336-5339.
16. Kwon SJ. Evaluation of the 7th UICC TNM Staging System of Gastric Cancer. J Gastric Cancer, 2011, 11(2): 78-85.
17. Noble F, Curtis N, Harris S, et al. Risk assessment using a novel score to predict anastomotic leak and major complications after oesophageal resection. J Gastrointest Surg, 2012, 16(6): 1083-1095.
18. du Rieu MC, Filleron T, Beluchon B, et al. Recurrence risk after Ivor Lewis oesophagectomy for cancer. J Cardiothorac Surg, 2013, 8: 215.
19. Karres J, Heesakkers NA, Ultee JM, et al. Predicting 30-day mortality following hip fracture surgery: evaluation of six risk prediction models. Injury, 2015 , 46(2): 371-377.
20. Nagabhushan JS, Srinath S, Weir F, et al. Comparison of P-POSSUM and O-POSSUM in predicting mortality after oesophagogastric resections. Postgrad Med J, 2007, 83(979): 355-358.
21. Vanhuyse F, Maureira P, Mattei MF, et al. Use of the model for end-stage liver disease score for guiding clinical decision-making in the selection of patients for emergency cardiac transplantation. Eur J Cardiothorac Surg, 2013, 44(1): 134-138.
22. Okazaki E, Yamamoto A, Nishida N, et al. Three-dimensional conformal radiotherapy for locally advanced hepatocellular carcinoma with portal vein tumor thrombosis: evaluating effectiveness of the model for end-stage liver disease (MELD) score compared with the Child-Pugh classification. Br J Radiol, 2016, 89(1063): 20150945.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Relationship between preoperative risk score for esophageal cancer (PRSEC) and prognosis after resection of esophageal carcinoma

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