Preoperative and early postoperative albumin thresholds, rather than ΔAlb, predict severe complications after colorectal cancer surgery: a multifactorial model and nomogram - Takeaways - MDSpire

Preoperative and early postoperative albumin thresholds, rather than ΔAlb, predict severe complications after colorectal cancer surgery: a multifactorial model and nomogram

  • By

  • Lu Wang

  • Rui-Rui Lyu

  • Yue Ding

  • Ze-Qing Gao

  • Li-Qin Deng

  • July 13, 2026

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  • 1

    Severe complications occurred in 14.2% of 932 colorectal cancer surgery patients analyzed in this study.

  • 2

    ΔAlb showed no significant association with severe complications, indicating limited predictive value.

  • 3

    Preoperative albumin <35 g/L and POD2 nadir albumin <28.5 g/L were identified as independent risk factors for severe complications.

  • 4

    Other independent predictors included age >65 years, ASA ≥3, preoperative NRS2002 ≥2, and rocuronium dose ≥117.5 mg.

  • 5

    A nomogram integrating these factors demonstrated good discrimination and calibration for predicting severe complications.

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