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17 November 2022 : Clinical Research  

Identification and Validation of a Novel Model: Predicting Short-Term Complications After Local Flap Surgery for Skin Tumor Removal

Zhengnan Zhao1ABCDEF, Yue Tao1B, Xinjian Xiang1C, Zexu Liang1B, Yu Zhao1A*

DOI: 10.12659/MSM.938002

Med Sci Monit 2022; 28:e938002

Table 1 Demographic and clinical characteristics of the complications group and no complications group.

Variablen (%)
Complications (n=72)No complications (n=344)Total (n=416)P value
Sex0.316
 Female33 (15.5%)180 (84.5%)213 (51.2%)
 Male39 (19.2%)164 (80.8%)203 (48.8%)
Age (years)0.556
 Mean±SD60.53±21.2358.80±28.4259.10±27.30
BMI (kg/m)0.005
Mean±SD23.44±4.0122.02±3.8222.27±3.89
Diabetes0.313
 Yes7 (24.1%)22 (75.9%)29 (7.0%)
 No65 (16.8%)322 (83.2%)387 (93.0%)
Smoking history0.011
 Yes10 (34.5%)19 (65.5%)29 (7.0%)
 No62 (16.0%)325 (84.0%)387 (93.0%)
Hypertension0.32
 Yes30 (19.7%)122 (80.3%)152 (36.5%)
 No42 (15.9%)222 (84.1%)264 (63.5%)
Secondary-operation<0.001
 Yes29 (28.2%)74 (71.8%)103 (24.8%)
 No43 (13.7%)270 (86.3%)313 (75.2%)
Defect-area (cm)<0.001
 Median (IQR)16.5 (9–29.5)6 (3–11.75)7 (4–14.75)
Anemia0.183
 Yes13 (23.6%)42 (76.4%)55 (13.2%)
 No59 (16.3%)302 (83.7%)361 (86.8%)
Hypoproteinemia0.003
 Yes9 (40.9%)13 (59.1%)22 (5.3%)
 No63 (16.0%)331 (84.0%)394 (94.7%)
Low-prealbumin0.01
 Yes14 (31,1%)31 (68.9%)45 (10.8%)
 No58 (15.6%)313 (84.4%)371 (89.2%)
GLU0.392
 Median (IQR)5.41 (4.82–5.99)5.34 (4.92–5.83)5.35 (4.92–5.84
WBC0.59
 Mean±SD6.28±2.026.16±1.706.18±1.76
Infringement-of-bone<0.001
 Yes15 (48.4%)16 (51.6%)31 (7.5%)
 No57 (14.8%)328 (85.2%)385 (92.5%)
Surgical position<0.001
 Face26 (11.0%)211 (89.0%)237 (57%)
 Scalp16 (24.2%)50 (75.8%)66 (15.9%)
 Chest-wall2 (13.3%)13 (86.7%)15 (3.6%)
 Waist2 (16.7%)10 (83.3%)12 (2.9%)
 Back0 (0.0%)10 (100.0%)10 (2.4%)
 Foot4 (44.4%)5 (55.6%)9 (2.2%)
 Joint3 (42.9%)4 (57.1%)7 (1.7%)
 Perineum2 (28.6%)5 (71.4%)7 (1.7%)
 Lower-leg2 (28.6%)5 (71.4%)7 (1.7%)
 Hips3 (50.0%)3 (50.0%)6 (1.4%)
 Retrocochlear1 (16.7%)5 (83.3%)6 (1.4%)
 Abdomen1 (16.7%)5 (83.3%)6 (1.4%)
 Neck0 (0.0%)5 (100%)5 (1.2%)
 Thigh2 (50.0%)2 (50.0%)4 (1.0%)
 Finger0 (0.0%)4 (100.0%)4 (1.0%)
 Toe1 (25.0%)3 (75.0%)4 (1.0%)
 Groin-area2 (66.7%)1 (33.3%)3 (0.7%)
 Forearm2 (66.7%)1 (33.3%)3 (0.7%)
 Upper-arm0 (0.0%)2 (100.0%)2 (0.5%)
 Back-of-hand2 (100.0%)0 (0.0%)2 (0.5%)
 Palm1 (100.0%)0 (0.0%)1 (0.2%)
Pathologic nature of the lesion<0.001
 Basal cell carcinoma10 (9.3%)97 (90.7%)107 (25.7%)
 Squamous cell carcinoma25 (32.9%)51 (67.1%)76 (18.3%)
 Nevus3 (6.5%)43 (93.5%)46 (11.1%)
 Keratoacanthoma2 (5.3%)36 (94.7%)38 (9.1%)
 Cicatricial tissue2 (9.1%)20 (90.9%)22 (5.3%)
 Seborrheic keratosis1 (5.6%)17 (94.4%)18 (4.3%)
 Neurofibroma8 (57.1%)6 (42.9%)14 (3.4%)
 Dermatofibrosarcoma-protuberans2 (20.0%)8 (80.0%)10 (2.4%)
 Other soft tissue sarcoma# 8 (66.7%)4 (33.3%)12 (2.9%)
 Hyperkeratosis0 (0.0%)12 (100.0%)12 (100.0%)
 Solar keratosis0 (0.0%)8 (100.0%)8 (1.9%)
 Malignant melanoma3 (50.0%)3 (50.0%)6 (1.4%)
 Wart1 (25.0%)3 (75.0%)4 (1.0%)
Others## 7 (16.3%)36 (83.7%)43 (10.3%)
# Including: hemangiosarcoma*1, myxoid fibrosarcoma*2, synovial sarcoma*1, undifferentiated sarcoma*1, sarcomatoid carcinomas*2, malignant mesenchymal sarcomas*2, and fibrosarcoma*3.
## Including: xanthoma*2, fibroma*4, hemangioma*4, Pagets disease*3, sweat gland tumor*6, epidermoid cyst*3, lipoma*3, calcification*9, Bowen disease*1, Merkel cell carcinoma*1, epithelial tumor*1, sebaceous gland hyperplasia*1, hamartoma*1, basal cell papilloma*1, high-grade serous carcinoma*1, Pleomorphic adenoma*1, plexus schwannoma*1.
BMI – body mass index; GLU – glucose; WBC – white blood cell.

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750