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©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Mar 27, 2023; 15(3): 450-470
Published online Mar 27, 2023. doi: 10.4240/wjgs.v15.i3.450
Published online Mar 27, 2023. doi: 10.4240/wjgs.v15.i3.450
Preoperative risk modelling for oesophagectomy: A systematic review
James Paul Grantham, Department of General Surgery, Modbury Hospital, Adelaide 5092, South Australia, Australia
Amanda Hii, Department of General Surgery, Modbury Hospital, Modbury 5092, South Australia, Australia
Jonathan Shenfine, General Surgical Unit, Jersey General Hospital, Saint Helier JE1 3QS, Jersey, United Kingdom
Author contributions: Grantham JP and Shenfine J designed the research; Grantham JP and Hii A performed the research and analysed the data; Grantham JP, Hii A and Shenfine J all contributed to writing and reviewing the paper.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
PRISMA 2009 Checklist statement: The authors have read the PRISMA 2009 Checklist and the manuscript was prepared and revised according to the PRISMA 2009 Checklist.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: James Paul Grantham, MBBS, MSc, Doctor, Department of General Surgery, Modbury Hospital, Smart Road, Adelaide 5092, South Australia, Australia. jamespgrantham91@gmail.com
Received: November 21, 2022
Peer-review started: November 21, 2022
First decision: December 26, 2022
Revised: January 9, 2023
Accepted: February 22, 2023
Article in press: February 22, 2023
Published online: March 27, 2023
Peer-review started: November 21, 2022
First decision: December 26, 2022
Revised: January 9, 2023
Accepted: February 22, 2023
Article in press: February 22, 2023
Published online: March 27, 2023
Core Tip
Core Tip: The undertaking of an oesophagectomy incurs a high morbidity rate and can lead to mortality. It is therefore incumbent upon the surgeon to appropriately select and counsel prospective patients on anticipated risks. Multivariate clinical decision-making tools can be a powerful adjunct in improving this process when utilised preoperatively. In a world of countless proposed surgical risk models, choosing which model to use can prove challenging. This systematic review represents the largest and most comprehensive effort to determine which model is most relevant, valid and accurate in forecasting perioperative outcomes following oesophagectomy.