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

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

JOURNAL=Frontiers in Endocrinology

VOLUME=Volume 16 - 2025

YEAR=2025

URL=https://www.frontiersin.org/journals/endocrinology/articles/10.3389/fendo.2025.1418535

DOI=10.3389/fendo.2025.1418535

ISSN=1664-2392

ABSTRACT=ObjectivesTo propose a comprehensive scoring system for adrenal tumors ≤ 6cm and evaluate its rationality and validity.Materials and methodsThis 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.ResultsThe 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.ConclusionsGBDKVA score is reliable for preoperative risk assessment of patients with adrenal tumors ≤6cm.