The use of comprehensive complication Index® in pancreatic surgery: a comparison with the Clavien-Dindo system in a high volume center
| Autor: | Carlo Ingaldi, Cristina Mosconi, Francesco Minni, Giovanni Brandi, Nico Pagano, Laura Alberici, Mariacristina Di Marco, Andrea Palloni, Riccardo Casadei, Davide G. Grego, Emilio De Raffele, Claudio Ricci |
|---|---|
| Přispěvatelé: | Ricci C., Ingaldi C., Grego D.G., Alberici L., De Raffele E., Pagano N., Mosconi C., Di Marco M., Palloni A., Brandi G., Minni F., Casadei R. |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
animal structures 030230 surgery Logistic regression Severity of Illness Index Pancreatic surgery 03 medical and health sciences Postoperative Complications Pancreatectomy 0302 clinical medicine Primary outcome Interquartile range Humans Medicine Digestive System Surgical Procedures Hepatology business.industry Gastroenterology Area under the curve Odds ratio Length of Stay nervous system diseases Surgery Standard error 030220 oncology & carcinogenesis Postoperative Complication business Complication psychological phenomena and processes Human |
| Zdroj: | HPB. 23:618-624 |
| ISSN: | 1365-182X |
| DOI: | 10.1016/j.hpb.2020.09.002 |
| Popis: | Background: The Clavien-Dindo classification (CDC) system and Comprehensive Complication Index (CCI®) are both widely used methods for reporting the burden of postoperative complications. This study aimed to compare the accuracy of the CDC and CCI® in predicting outcomes associated with pancreatic surgery. Methods: The CCI® and CDC were applied to 668 patients who underwent pancreatic resection. Length of postoperative stay (LOS) was chosen as the primary outcome variable. The comparison between CCI® and CDC was made with the Spearman test, reporting þs with standard error (SE) and logistic regression, reporting the Odds Ratio (OR) and Area Under the Curve with SE. Results: The median value with the interquartile range (IQR) of CCI® was 20.9 (0–29.6). Both CCI® (þs = 0.609) and CDC (0.590) were significantly (P < 0.001) correlated to LOS. CCI (OR 1.056 and OR 1.052) and CDC (OR 1.978, and OR 1.994) predicted (P < 0.001) LOS over the median and 75th percentile. The accuracy of CCI® was superior to CDC for LOS over 50th (0.785 vs. 0.740; P = 0.004) and over 75th (0.835 vs. 0.761; P < 0.001) percentile. Conclusion: The accuracy of CCI® in measuring the complicated postoperative course was superior to CDC, correctly classifying eight patients every ten tested. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|