News & Events 

 

4/14/2015: A Message from Louis Messina, MD, Chief, Division of Vascular Surgery

I am pleased to announce the appointment of Andres Schanzer, MD, as the first director of the UMass Memorial Center for the Treatment of Complex Aortic Disease. Under Dr. Schanzer’s leadership, the center brings together physicians from multiple specialties including vascular surgery, cardiac surgery, cardiology and anesthesiology, all of whom share a passion and expertise in the treatment of complex aortic disease.


» Click to read more news about UMass Surgery

 

In-hospital Mortality after Liver Resection for Hepatocellular Carcinoma: A Simple Risk Score

Jessica P. Simons MD, Sing Chau Ng MS, Joshua S. Hill MD, Shimul A. Shah MD, Zheng Zhou MD, PhD, 

Jennifer F. Tseng MD, MPH 

Accepted for oral presentation at the AHPBA Annual Meeting; in press, Cancer

 

Step 1. Calculate Charlson comorbidity score
Indicate "yes" for the comorbidities that the patient has. This validated algorithm (Charlson, ME et al. J Chron Dis 1987; 40(5):373-83.) assigns a point value to the various diseases. The patient's raw score will then be reassigned into the collapsed Charlson score groups for use in the risk score calculation. Group 1 is a score of zero or 1, Group 2 is a score of 2, Group 3 is a score of 3 or higher.

Comorbidities

Points

AIDS
Cerebrovascular Disease
Chronic Pulmonary Disease
Congestive Heart Failure
Connective Tissue/Rheumatic Disease
Dementia
Diabetes Without End Organ Damage
Diabetes With End Organ Damage
Hemiplegia
Liver Disease Mild to Moderate
Liver Disease Severe
Myocardial Infarction
Peripheral Vascular Disease
Renal Disease
Ulcer Disease
Charlson Group Score

 

Step 2. Calculate the risk score, including the Charlson group.
Patient age, Charlson score group, planned procedure type, gender, the annual hospital volume of pancreatic resections are indicated. The point values are assigned accordingly to yield an additive score. By clicking on the "Calculate Estimated Mortality" button, this score is then assigned to the appropriate risk score group, and the mortality for that group is displayed.

Factor

Level

Point Value

Age Group
Charlson Score
Gender
Procedure Type
Hospital Type
HCC_Score_Groups