The Fistula Risk Score Application
Clinical decision support for clinically relevant postoperative pancreatic fistula (CR-POPF) after pancreatoduodenectomy (Whipple procedure). Enter the four FRS elements to see the risk and the best-practice mitigation for the case in front of you.
Log in or create a profile to use the calculator and start your case log.
FRS risk zones
| Risk Zone | FRS | CR-POPF |
|---|---|---|
| Negligible | 0 | 1.3% |
| Low | 1–2 | 5.0% |
| Moderate | 3–6 | 16.8% |
| High | 7–10 | 33.7% |
Reference CR-POPF rate in each risk zone.
What Fistula Risk Score gives your practice
A single place for CR-POPF risk assessment, best-practice mitigation, and your own case data — grounded in the Pancreas Fistula Study Group’s published work.
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Risk assessment tool. Enter the four FRS elements for an immediate, tailored risk appraisal — by risk zone, FRS number, or exact scenario.
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Best-practice mitigation. See the mitigation strategies suited to the situation in front of you, each backed by literature.
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Your case log. Track your own FRS risk, outcomes, and mitigation choices over time — a personal audit of your practice.
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Bibliography. A contemporary bibliography grounded in the Pancreas Fistula Study Group’s published work.
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Direct literature access. PubMed links for every reference, plus free PDFs for select key papers.
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Masterclass podcast. An hour of Cold Steel’s “Masterclass on Pancreatic Fistula”, for the bigger picture.
Also on your phone
A companion app puts the calculator and your case log on your phone.
