The comprehensive complication index: a novel continuous scale to measure surgical morbidity.
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TLDR
The CCI summarizes all postoperative complications and is more sensitive than existing morbidity endpoints and may serve as a standardized and widely applicable primary endpoint in surgical trials and other interventional fields of medicine.Abstract:
Objective:To develop and validate a comprehensive complication index (CCI) that integrates all events with their respective severity.Background:Reporting of surgical complications is inconsistent and often incomplete. Most studies fail to provide information about the severity of complications, or iread more
Citations
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Recommendations for laparoscopic liver resection: a report from the second international consensus conference held in Morioka
Go Wakabayashi,Daniel Cherqui,David A. Geller,Joseph E. Buell,Hironori Kaneko,Ho-Seong Han,Horacio J. Asbun,Nicholas O'Rourke,Minoru Tanabe,Alan J. Koffron,Allan Tsung,Olivier Soubrane,Marcel Autran C. Machado,Brice Gayet,Roberto Troisi,Patrick Pessaux,Ronald M. van Dam,Olivier Scatton,Mohammad Abu Hilal,Giulio Belli,Choon Hyuck David Kwon,Bjørn Edwin,Gi Hong Choi,Luca Aldrighetti,Xiujun Cai,Sean Clemy,Kuo-Hsin Chen,Michael R. Schoen,Atsushi Sugioka,Chung-Ngai Tang,Paulo Herman,Juan Pekolj,Xiao Ping Chen,Ibrahim Dagher,William R. Jarnagin,Masakazu Yamamoto,Russell W. Strong,Palepu Jagannath,Chung Mau Lo,Pierre-Alain Clavien,Norihiro Kokudo,Jeffrey Barkun,Steven M. Strasberg +42 more
TL;DR: The Second International Consensus Conference on Laparoscopic Liver Resections (LLR) was held in Morioka, Japan, from October 4 to 6, 2014 to evaluate the current status of laparoscopic liver surgery and to provide recommendations to aid its future development.
Journal ArticleDOI
Laparoscopic Versus Open Resection for Colorectal Liver Metastases: The OSLO-COMET Randomized Controlled Trial.
Åsmund Avdem Fretland,Vegar Johansen Dagenborg,Gudrun Maria Waaler Bjørnelv,Airazat M. Kazaryan,Ronny Kristiansen,Morten W. Fagerland,John Hausken,Tor Inge Tønnessen,Andreas Abildgaard,Leonid Barkhatov,Leonid Barkhatov,Sheraz Yaqub,Bård I. Røsok,Bjørn Atle Bjørnbeth,Marit Helen Andersen,Kjersti Flatmark,Kjersti Flatmark,Eline Aas,Bjørn Edwin +18 more
TL;DR: In patients undergoing parenchyma-sparing liver resection for colorectal metastases, laparoscopic surgery was associated with significantly less postoperative complications compared to open surgery.
Journal ArticleDOI
Cirse Quality Assurance Document and Standards for Classification of Complications: The Cirse Classification System.
Dimitrios K. Filippiadis,Christoph A. Binkert,Olivier Pellerin,Olivier Pellerin,Ralf-Thorsten Hoffmann,Antonín Krajina,Philippe L. Pereira +6 more
TL;DR: The purpose of this CIRSE guideline is to provide a classification system of complications based on combining outcome and severity of sequelae, and the ultimate challenge will be the adoption of this system by practitioners in different countries and health economies within the European Union and beyond.
Journal ArticleDOI
The ability of prehabilitation to influence postoperative outcome after intra-abdominal operation: A systematic review and meta-analysis.
Jonathan Moran,Emer Guinan,Paul McCormick,J. O. Larkin,David Mockler,Juliette Hussey,Jeanne Moriarty,Fiona Wilson +7 more
TL;DR: Prehabilitation appears to be beneficial in decreasing the incidence of postoperative complications; however, more high-quality studies are needed to validate its use in the preoperative setting.
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The comprehensive complication index: a novel and more sensitive endpoint for assessing outcome and reducing sample size in randomized controlled trials.
Ksenija Slankamenac,Nina Nederlof,Patrick Pessaux,Jeroen de Jonge,Bas P. L. Wijnhoven,Stefan Breitenstein,Christian E. Oberkofler,Rolf Graf,Milo A. Puhan,Pierre-Alain Clavien +9 more
TL;DR: This study demonstrates superiority of the CCI to traditional endpoints and may serve as an appealing endpoint for future RCTs and may reduce the sample size.
References
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Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey.
TL;DR: The new complication classification appears reliable and may represent a compelling tool for quality assessment in surgery in all parts of the world.
Journal Article
EuroQol : a new facility for the measurement of health-related quality of life
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The Clavien-Dindo classification of surgical complications: five-year experience.
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TL;DR: This 5-year evaluation provides strong evidence that the classification of complications is valid and applicable worldwide in many fields of surgery, and subjective, inaccurate, or confusing terms such as “minor or major” should be removed from the surgical literature.
Journal ArticleDOI
A Surgical Safety Checklist to Reduce Morbidity and Mortality in a Global Population
Alex B. Haynes,Thomas G. Weiser,Thomas G. Weiser,William R. Berry,Stuart R. Lipsitz,Abdel-Hadi S. Breizat,E. Patchen Dellinger,Teodoro Herbosa,Sudhir Joseph,Pascience L. Kibatala,Marie Carmela,Mc Lapitan,Alan Merry,Krishna Moorthy,R. Reznick,Bryce R. Taylor,Atul A. Gawande +16 more
TL;DR: Implementation of the checklist was associated with concomitant reductions in the rates of death and complications among patients at least 16 years of age who were undergoing noncardiac surgery in a diverse group of hospitals.
Journal ArticleDOI
A methodological framework for assessing health indices
Bram Kirshner,Gordon H. Guyatt +1 more
TL;DR: This work explores the implications of index purpose for each stage of instrument development: selection of the item pool, item scaling, item reduction, determination of reliability, of validity, and of responsiveness.