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Development of the CAMUS Intra- and Postoperative Risk and Difficulty Estimation Indices Risk Prediction Tool for
Christopher Soliman1, Patrick Y Wuethrich2, Jochen Walz3
1Department of Urology, The University of Melbourne, Royal Melbourne Hospital, Parkville, Victoria, Australia.
European Urology Open Science
|September 17, 2025
Summary
This study introduces the CAMUS Intra- and Postoperative Risk and Difficulty Estimation Indices (IPRADES) tool to predict outcomes in urological surgery. IPRADES enhances surgical planning and patient safety by assessing patient, organ, and surgery factors.
Area of Science:
- Urology
- Surgical Outcomes Research
- Medical Informatics
Background:
- Predicting perioperative outcomes and surgical complexity in major urological procedures remains challenging.
- Accurate risk stratification is crucial for optimizing preoperative planning and patient management.
Purpose of the Study:
- To develop and validate the CAMUS Intra- and Postoperative Risk and Difficulty Estimation Indices (IPRADES) tool.
- To enhance preoperative planning and risk stratification for major urological procedures.
- To systematically evaluate patient-, organ-, and surgery-specific factors influencing surgical outcomes.
Main Methods:
- Expert consensus via Delphi survey to identify key parameters.
- Data collection from the CAMUS Collaboration and prospective databases.
- Development of a nomogram using multivariable regression and internal validation.
Main Results:
- Identification of key parameters influencing surgical difficulty and complications.
- Development of a weighted risk prediction model for perioperative outcomes.
- Validation of the model's predictive accuracy using statistical measures and internal validation.
Conclusions:
- The CAMUS IPRADES tool will refine surgical planning and optimize resource allocation.
- It will enhance patient counseling and enable surgeon/institutional benchmarking.
- The tool aims to advance the quality and safety of urological surgeries through data-driven risk assessment.

