{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T04:42:12Z","timestamp":1766983332765,"version":"3.40.5"},"reference-count":29,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,12,7]],"date-time":"2023-12-07T00:00:00Z","timestamp":1701907200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100010903","name":"Key Programme","doi-asserted-by":"publisher","award":["81930119","82090050","82090053"],"award-info":[{"award-number":["81930119","82090050","82090053"]}],"id":[{"id":"10.13039\/501100010903","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Backgrounds<\/jats:title><jats:p>Distal pancreatectomy fistula risk score (D\u2010FRS) and DISPAIR\u2010FRS has not been widely validated for predicting postoperative pancreatic fistula (POPF) after distal pancreatectomy (DP).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We retrospectively analysed 104 patients undergoing DP. The predictive value of the D\u2010FRS and DISPAIR\u2010FRS were compared. Risk factors associated with POPF were investigated by multivariate analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of the 104 patients, 23 (22.1%) were categorized into the POPF group (all grade B). The areas under the ROC (AUCs) of the D\u2010FRS (preoperative), D\u2010FRS (intraoperative), and DISPAIR\u2010FRS were 0.737, 0.809, and 0.688, respectively. Stratified by the D\u2010FRS (preoperative), the POPF rates in low\u2010risk, intermediate\u2010risk, and high\u2010risk groups were 5%, 22.6%, and 36.4%, respectively. By the D\u2010FRS (intraoperative), the POPF rates in low\u2010risk, intermediate\u2010risk, and high\u2010risk groups were 8.8%, 47.1%, and 47.4%, respectively. By the DISPAIR\u2010FRS, the POPF rates in low\u2010risk, intermediate\u2010risk, and extreme\u2010high\u2010risk groups were 14.8%, 23.8% and 62.5%, respectively. Body mass index and main pancreatic duct diameter were independent risk factors of POPF both in preoperative (<jats:italic>P<\/jats:italic>\u2009=\u20090.014 and <jats:italic>P<\/jats:italic>\u2009=\u20090.033, respectively) and intraoperative (<jats:italic>P<\/jats:italic>\u2009=\u20090.015 and <jats:italic>P<\/jats:italic>\u2009=\u20090.039) multivariate analyses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Both the D\u2010FRS (preoperative), D\u2010FRS (intraoperative), and DISPAIR\u2010FRS has good performance in POPF prediction after DP. The risk stratification was not satisfactory in current Asian cohort.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.18819","type":"journal-article","created":{"date-parts":[[2023,12,8]],"date-time":"2023-12-08T06:42:23Z","timestamp":1702017743000},"page":"667-673","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Comparing the distal pancreatectomy fistula risk score (<scp>D\u2010FRS<\/scp>) and <scp>DISPAIR\u2010FRS<\/scp> for predicting pancreatic fistula after distal pancreatectomy"],"prefix":"10.1111","volume":"94","author":[{"given":"Bingjun","family":"Tang","sequence":"first","affiliation":[{"name":"Hepato\u2010pancreato\u2010biliary Center, Beijing Tsinghua Changgung Hospital, Key laboratory of Digital Intelligence Hepatology (Ministry of Education), School of Medicine Tsinghua University  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pengfei","family":"Wang","sequence":"additional","affiliation":[{"name":"Hepato\u2010pancreato\u2010biliary Center, Beijing Tsinghua Changgung Hospital, Key laboratory of Digital Intelligence Hepatology (Ministry of Education), School of Medicine Tsinghua University  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiming","family":"Ma","sequence":"additional","affiliation":[{"name":"Hepato\u2010pancreato\u2010biliary Center, Beijing Tsinghua Changgung Hospital, Key laboratory of Digital Intelligence Hepatology (Ministry of Education), School of Medicine Tsinghua University  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jun","family":"Shi","sequence":"additional","affiliation":[{"name":"Hepato\u2010pancreato\u2010biliary Center, Beijing Tsinghua Changgung Hospital, Key laboratory of Digital Intelligence Hepatology (Ministry of Education), School of Medicine Tsinghua University  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shizhong","family":"Yang","sequence":"additional","affiliation":[{"name":"Hepato\u2010pancreato\u2010biliary Center, Beijing Tsinghua Changgung Hospital, Key laboratory of Digital Intelligence Hepatology (Ministry of Education), School of Medicine Tsinghua University  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jianping","family":"Zeng","sequence":"additional","affiliation":[{"name":"Hepato\u2010pancreato\u2010biliary Center, Beijing Tsinghua Changgung Hospital, Key laboratory of Digital Intelligence Hepatology (Ministry of Education), School of Medicine Tsinghua University  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Canhong","family":"Xiang","sequence":"additional","affiliation":[{"name":"Hepato\u2010pancreato\u2010biliary Center, Beijing Tsinghua Changgung Hospital, Key laboratory of Digital Intelligence Hepatology (Ministry of Education), School of Medicine Tsinghua University  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-7703-8406","authenticated-orcid":false,"given":"Xuedong","family":"Wang","sequence":"additional","affiliation":[{"name":"Hepato\u2010pancreato\u2010biliary Center, Beijing Tsinghua Changgung Hospital, Key laboratory of Digital Intelligence Hepatology (Ministry of Education), School of Medicine Tsinghua University  Beijing China"},{"name":"Research Unit of Precision Hepatobiliary Surgery Paradigm Chinese Academy of Medical Sciences  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,12,7]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"e86","article-title":"Distal pancreatectomy fistula risk score (D\u2010FRS): development and international validation","volume":"22","author":"De Pastena M","year":"2022","journal-title":"Ann. 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