Age, ASA score, preoperative albumin, FIGO stage, surgical complexity, and body mass index all influence morbidity and mortality after primary debulking surgery (PDS) and are important factors in refining a prediction model for complications after PDS for advanced epithelial ovarian cancer (EOC), according to a study of 620 patients. The study determined:
• 22.3% of study participants who underwent PDS experienced a grade ≥3 complication.
• Within 90 days of surgery, 8.9% of patients died.
• Multivariable model included age (OR=1.76), ASA score ≥3 (OR=3.28), preoperative albumin <3.5 (OR=4.31), and BMI (OR=2.04) was predictive of 90-day mortality.
Citation: Kumar A, Janco JM, Mariani A, et al. Risk-prediction model of severe postoperative complications after primary debulking surgery for advanced ovarian cancer. [Published online ahead of print November 2, 2015]. Gynecol Oncol. doi: 10.1016/j.ygyno.2015.10.025.