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The following is a summary of “A risk nomogram for assessing complications in patients undergoing surgical procedures for cervical cancer. Does baseline quality of life play a role?,” published in the May 2025 issue of Journal of Obstetrics and Gynecology Research by García et al.
Researchers conducted a retrospective study to specify the incidence of surgical complications and identify predictors, emphasizing the role of baseline QoL.
They enrolled 100 patients with cervical cancer who had surgery at a tertiary hospital between January 2010 and January 2019. Baseline QoL was evaluated using the Functional Assessment Cancer Therapy–cervix questionnaire. Surgical complications were predicted with a binary logistic regression model. Data was analyzed using R software.
The results showed surgical complications occurred in 54% of patients, primarily postoperatively. No significant difference in QoL scores was found between those with and without complications (P= 0.753). The prediction model demonstrated good calibration (Hosmer–Lemeshow P= 0.999), no multicollinearity (variance inflation factor = 1.01), and moderate accuracy (C-index = 0.67). History of cesarean section and pelvic lymphadenectomy were significant predictors.
Investigators concluded that surgical complications were frequent, with cesarean section history and pelvic lymphadenectomy increasing risk, while baseline QoL did not predict complications.
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