GBDKVA score: a scoring system for preoperative risk assessment of adrenal tumors ≤6cm.

IF 3.9 2区医学 Q2 ENDOCRINOLOGY & METABOLISM

Frontiers in Endocrinology Pub Date : 2025-03-17 eCollection Date: 2025-01-01 DOI:10.3389/fendo.2025.1418535

Siwei Yang, Xianrui Yang, Zhili Yao, Qi Guo, Zekai Hou, Chenyu Wang, Ronghao Cui, Zhun Wang, Gang Li, Changyi Quan, Yuanjie Niu, Yan Zhao, Shaosan Kang, Qiliang Cai

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引用次数: 0

Abstract

Objectives: To propose a comprehensive scoring system for adrenal tumors ≤ 6cm and evaluate its rationality and validity.

Materials and methods: This study retrospectively analyzed 268 patients with primary adrenal tumors who underwent laparoscopic surgery from January 2018 to December 2022 and all of them met the inclusion criteria. Evaluation scores were calculated for gender (G), body mass index (BMI) (B), tumor diameter (D), the relative position of the tumor to the kidney (K), the relative position of the tumor and the blood vessels (V) and the tumor location in the adrenal gland (A). Then, the total scores were correlated with the operation results, so as to verify the feasibility of GBDKVA in evaluating the surgical risk.

Results: The GBDKVA score showed a consistent and statistically significant correlation with operation time (OT) and blood loss (BL), as well as a correlation with postoperative complications in patients (p < 0.01), but no significant correlation was found with recovery time of gastrointestinal function, bed rest days, indwelling drainage tube days and postoperative hospitalization time were opposite.

Conclusions: GBDKVA score is reliable for preoperative risk assessment of patients with adrenal tumors ≤6cm.

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来源期刊

Frontiers in Endocrinology Medicine-Endocrinology, Diabetes and Metabolism

CiteScore

5.70

自引率

9.60%

发文量

3023

审稿时长

14 weeks

期刊介绍： Frontiers in Endocrinology is a field journal of the "Frontiers in" journal series. In today’s world, endocrinology is becoming increasingly important as it underlies many of the challenges societies face - from obesity and diabetes to reproduction, population control and aging. Endocrinology covers a broad field from basic molecular and cellular communication through to clinical care and some of the most crucial public health issues. The journal, thus, welcomes outstanding contributions in any domain of endocrinology. Frontiers in Endocrinology publishes articles on the most outstanding discoveries across a wide research spectrum of Endocrinology. The mission of Frontiers in Endocrinology is to bring all relevant Endocrinology areas together on a single platform.