Back to Search
Start Over
Comparison of the performance of risk scoring systems for tumor bleeding in patients with inoperable gastric cancer
- Source :
- Endoscopy. 52:359-367
- Publication Year :
- 2020
- Publisher :
- Georg Thieme Verlag KG, 2020.
-
Abstract
- Background The Glasgow – Blatchford bleeding score (GBS) and admission and full Rockall scores are widely used risk scoring systems to stratify risk and determine the need for intervention in patients with upper gastrointestinal bleeding. We evaluated the performance of these risk scoring systems in patients with gastric cancer and tumor bleeding. Methods This retrospective study included patients with inoperable gastric cancer who presented with tumor bleeding at the National Cancer Center, Korea, between 2001 and 2015. The GBS, and admission and full Rockall scores were calculated. Primary outcome was the performance of the risk scoring systems in predicting the need for urgent interventions (endoscopic therapy, transarterial embolization, and surgery). The risk factors associated with urgent intervention were analyzed. Results Of 357 patients with tumor bleeding, 118 (33.1 %; 116 endoscopic therapy, 2 trans-arterial embolization) required urgent intervention. The full Rockall score was better at predicting the need for urgent intervention (area under the receiver operating characteristic curve = 0.78; P Conclusions The full Rockall score was superior to the GBS and admission Rockall score in predicting the need for urgent intervention for tumor bleeding. Thus, endoscopic evaluation is required to determine the need for urgent intervention in patients with gastric cancer and tumor bleeding.
- Subjects :
- medicine.medical_specialty
business.industry
medicine.medical_treatment
Gastroenterology
Cancer
Retrospective cohort study
medicine.disease
Surgery
03 medical and health sciences
0302 clinical medicine
030220 oncology & carcinogenesis
Predictive value of tests
Severity of illness
medicine
030211 gastroenterology & hepatology
Upper gastrointestinal bleeding
Embolization
business
Rockall score
Risk assessment
Subjects
Details
- ISSN :
- 14388812 and 0013726X
- Volume :
- 52
- Database :
- OpenAIRE
- Journal :
- Endoscopy
- Accession number :
- edsair.doi...........369199e0ab9c880956217c105111a14c