ArticleWorld journal of surgery2015
Reporting of adverse events in surgical trials: critical appraisal of current practice.
Article in World journal of surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
15 citing papers in PubMed, 46 citations in OpenAlex.
- Article
- Article
- [Oncological operation reports: minimum requirements, legal aspects and future developments].Chirurgie (Heidelberg, Germany) · 2025Review
- Systematic recording and discussion of intraoperative adverse events using ClassIntra: results of a qualitative context analysis before implementation.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2025Article
- Safety of arthroscopic rotator cuff repair: using a core event set for clinician and patient assessment of risks in a multicenter cohort study.BMJ surgery, interventions, & health technologies · 2025Article
- Let's talk about complications.Surgical neurology international · 2025Article
- Deep learning-based surgical phase recognition in laparoscopic cholecystectomy.Annals of hepato-biliary-pancreatic surgery · 2024Article
- The clinical significance of intraoperative adverse events in laparoscopic radical hysterectomies for early-stage cervical cancer.BMC women's health · 2024Article
- Clavien-Dindo, comprehensive complication index and classification of intraoperative adverse events: a uniform and holistic approach in adverse event registration for (deep) endometriosis surgery.Human reproduction open · 2023Article
- Strengthening the reporting of harms of all interventions in clinical trials.The Medical journal of Australia · 2022Article
- Complications in laparoscopic and robotic-assisted surgery: definitions, classifications, incidence and risk factors - an up-to-date review.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2021Review
- Reliability of the Modified Clavien-Dindo-Sink Complication Classification System in Pediatric Orthopaedic Surgery.JB & JS open access · 2018Article
- Can Surgeons Adequately Capture Adverse Events Using the Spinal Adverse Events Severity System (SAVES) and OrthoSAVES?Clinical orthopaedics and related research · 2017Observational
- Definition and Classification of Intraoperative Complications (CLASSIC): Delphi Study and Pilot Evaluation.World journal of surgery · 2015Article
- Which clinical scenarios do surgeons record as complications? A benchmarking study of seven hospitals.BMJ open · 2015Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundReporting of surgical outcomes is important for healthcare decision making and includes the reporting of complications. Several classifications have been proposed and validated for postoperative, but not intraoperative, complications. The aim of the present study is to assess the current practice of complication reporting in surgical trials.
methodsWe evaluated the reporting of intra- and postoperative complications in all registered randomized controlled trials that included investigate surgery or invasive interventions in at least one study arm and were published in 2010 in the Annals of Surgery, JAMA Surgery, and the British Journal of Surgery.
resultsA total of 46 trials were identified; intra- and postoperative complications were reported separately in 42 % and pooled in 15 %. In 37 % intraoperative, in 2 % postoperative, and in 4 % both intra- and postoperative, complications were not reported at all. Exact definitions were provided in 13 % for intraoperative and in 50 % for postoperative complications. A classification was used in 9 % for intra- and in 54 % for postoperative complications, most frequently according to severity. The type of intervention (surgical vs. other) or whether the primary outcome was the assessment of complications had no significant impact on reporting definitions of adverse events.
conclusionsIntraoperative complications are frequently pooled with postoperative complications, ill-defined, or not reported at all, hampering informed decision making. As further research, we propose to develop and validate a classification of intraoperative complications. This will facilitate the evaluation of safety and the continuous quality control of surgical interventions with the ultimate goal to contribute to patient safety.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.