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The history of the Child-Turcotte-Pugh score has a mystery
Yesterday, I sent out a #meded #tweetorial on #cirrhosis prognosis that began with the story of how the Child Class
But did you know that Child was the SECOND to describe the class system?
Yesterday, I sent out a #meded #tweetorial on #cirrhosis prognosis that began with the story of how the Child Class
But did you know that Child was the SECOND to describe the class system?
Child and Turcotte published their score in a texbook chapter in 1963.(Fig1)
Who reads texbooks?
But Wantz and Payne published their score 1st, in 1961, in the the @nejm(Fig2)
It is basically no different than Child's score(Fig3)
And the outcomes predicted were the same(Fig4)
Who reads texbooks?
But Wantz and Payne published their score 1st, in 1961, in the the @nejm(Fig2)
It is basically no different than Child's score(Fig3)
And the outcomes predicted were the same(Fig4)
Apparently, Wantz/Payne were old colleagues of Child, and while I could find a nice biography of Wantz (link.springer.com/content/pdf/10…), I could not find anything about Dr. Mary Ann Payne. If anyone knows more about this pioneer in liver surgery, please let me know
It's an open q how the Child Class became Child's Class & Wantz/Payne were left out. One argument I saw: It was Turcotte's use of slick actuarial tables/charts. Not sure I buy that. How these things get settled is a mystery. I tried to do an @AdamRodmanMD, but my skills r ltd
