Development of a warning score for early detection of colorectal anastomotic leakage: Hype or hope?

Table 9 Distinctive aspects of the Dutch Leakage, Adams, Diagnostic Score Leakage, and E-CRALL scores

Aspect	DULK	Adams et al[12]	DIACOLE	E-CRALL
Preoperative parameters		X		X
Intraoperative parameters		X		X
Postoperative parameters	X	X	X	X
Method: Points (P)/Threshold (T)/AAN (A)	P	A	T (single)	T (daily)
Predictive ability (AUROC)	NA	0.89	0.91	0.95 (POD5)
Validation: Internal (I)/External (E)	I + E	I+E1	I	I
Early CAL detection	X			X

¹External validation was obtained from 12 consecutive pilot prospective patients. AUROC: Area under the receiver operating characteristic curve; CAL: Colorectal anastomotic leakage; DIACOLE: Diagnostic Score Leakage; DULK: Dutch Leakage score; E-CRALL: Early ColoRectAL Leakage score; NA: Not available; POD: Postoperative day.