{"@context":{"@vocab":"https://cir.nii.ac.jp/schema/1.0/","rdfs":"http://www.w3.org/2000/01/rdf-schema#","dc":"http://purl.org/dc/elements/1.1/","dcterms":"http://purl.org/dc/terms/","foaf":"http://xmlns.com/foaf/0.1/","prism":"http://prismstandard.org/namespaces/basic/2.0/","cinii":"http://ci.nii.ac.jp/ns/1.0/","datacite":"https://schema.datacite.org/meta/kernel-4/","ndl":"http://ndl.go.jp/dcndl/terms/","jpcoar":"https://github.com/JPCOAR/schema/blob/master/2.0/"},"@id":"https://cir.nii.ac.jp/crid/1361699995822298624.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.1046/j.1365-2168.1998.00663.x"}},{"identifier":{"@type":"URI","@value":"https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1046%2Fj.1365-2168.1998.00663.x"}},{"identifier":{"@type":"URI","@value":"https://academic.oup.com/bjs/article-pdf/85/6/840/59434317/bjs218.pdf"}}],"dc:title":[{"@value":"Preoperative risk analysis and postoperative mortality of oesophagectomy for resectable oesophageal cancer"}],"description":[{"type":"abstract","notation":[{"@value":"<jats:title>Abstract</jats:title>\n               <jats:sec>\n                  <jats:title>Background</jats:title>\n                  <jats:p>Postoperative mortality after oesophagectomy for oesophageal cancer depends largely on the preoperative physiological status of the patient.</jats:p>\n               </jats:sec>\n               <jats:sec>\n                  <jats:title>Methods</jats:title>\n                  <jats:p>A composite scoring system to predict the risk of oesophagectomy based on objective preoperative parameters was developed based on a retrospective review of patients operated on and evaluated prospectively in two subsequent patient groups.</jats:p>\n               </jats:sec>\n               <jats:sec>\n                  <jats:title>Results</jats:title>\n                  <jats:p>An initial retrospective multivariate analysis of 432 patients who had oesophagectomy identified a compromised general status (P&lt;0·001) and poor cardiac (P&lt;0·001), hepatic (P&lt;0·05) and respiratory (P&lt;0·05) function as independent predictors of a fatal postoperative course. Based on the relative risk associated with the individual impaired organ functions, a composite risk score was established. A prospective study in 121 patients confirmed that this composite scoring system provides a better identification of high-risk patients than any of the individual parameters. Inclusion of the composite score into the process of patient selection and choice of the procedure resulted in a decrease of postoperative mortality rate from 9·4 per cent (52 of 553) to 1·6 per cent (four of 252) (P&lt;0·001).</jats:p>\n               </jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion</jats:title>\n                  <jats:p>The risk of death after oesophagectomy for oesophageal cancer can be assessed objectively before surgery and quantified by a composite risk score. This score provides a useful tool for refining the criteria of patient selection for resection or the choice of procedure.</jats:p>\n               </jats:sec>"}]}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1380294643786538891","@type":"Researcher","foaf:name":[{"@value":"H Bartels"}],"jpcoar:affiliationName":[{"@value":"Department of Surgery, Klinikum rechts der Isar der Technischen Universität München , München,"}]},{"@id":"https://cir.nii.ac.jp/crid/1381699995822298626","@type":"Researcher","foaf:name":[{"@value":"H J Stein"}],"jpcoar:affiliationName":[{"@value":"Department of Surgery, Klinikum rechts der Isar der Technischen Universität München , München,"}]},{"@id":"https://cir.nii.ac.jp/crid/1381699995822298625","@type":"Researcher","foaf:name":[{"@value":"J R Siewert"}],"jpcoar:affiliationName":[{"@value":"Department of Surgery, Klinikum rechts der Isar der Technischen Universität München , München,"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"00071323"},{"@type":"EISSN","@value":"13652168"}],"prism:publicationName":[{"@value":"Journal of British Surgery"}],"dc:publisher":[{"@value":"Oxford University Press (OUP)"}],"prism:publicationDate":"1998-06-01","prism:volume":"85","prism:number":"6","prism:startingPage":"840","prism:endingPage":"844"},"reviewed":"false","dc:rights":["https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model"],"url":[{"@id":"https://api.wiley.com/onlinelibrary/tdm/v1/articles/10.1046%2Fj.1365-2168.1998.00663.x"},{"@id":"https://academic.oup.com/bjs/article-pdf/85/6/840/59434317/bjs218.pdf"}],"createdAt":"2003-03-11","modifiedAt":"2024-09-29","relatedProduct":[{"@id":"https://cir.nii.ac.jp/crid/1360294643786539008","@type":"Article","resourceType":"学術雑誌論文(journal article)","relationType":["isReferencedBy"],"jpcoar:relatedTitle":[{"@value":"Minimally invasive esophagectomy may contribute to low incidence of postoperative surgical site infection in patients with poor glycemic control"}]},{"@id":"https://cir.nii.ac.jp/crid/1361975840703059328","@type":"Article","resourceType":"学術雑誌論文(journal article)","relationType":["isReferencedBy"],"jpcoar:relatedTitle":[{"@value":"Minimally invasive esophagectomy and radical lymph node dissection without recurrent laryngeal nerve paralysis"}]}],"dataSourceIdentifier":[{"@type":"CROSSREF","@value":"10.1046/j.1365-2168.1998.00663.x"},{"@type":"CROSSREF","@value":"10.1007/s00423-021-02306-6_references_DOI_TRd8z06ePiKTxbnhhGDj1LnIP2J"},{"@type":"CROSSREF","@value":"10.1007/s00464-020-07372-3_references_DOI_TRd8z06ePiKTxbnhhGDj1LnIP2J"}]}