ArticleWorld journal of surgery2021
Comprehensive Complication Index or Clavien-Dindo Classification: Which is Better for Evaluating the Severity of Postoperative Complications Following Pancreatectomy?
Article in World journal of surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Impact of Mobilization Facilitated by Wearable Device Enhanced Patient Monitoring/Electrophysiology Pod-Based Feedback on Postoperative Complications Following Colorectal Cancer Surgery: Randomized Controlled Trial.JMIR mHealth and uHealth · 2026Trial
- Development and validation of a comprehensive complication index for predicting outcomes in fournier's gangrene.Irish journal of medical science · 2026Article
- Assessing complications following pancreatoduodenectomy: the Comprehensive Complication Index versus the Clavien-Dindo classification.BJS open · 2025Article
- Evaluation of the Comprehensive Complication Index Versus the Clavien-Dindo Classification for Predicting Clinical Outcomes After Cardiac Surgery in Adult Patients.Journal of cardiovascular development and disease · 2025Article
- Article
- Postoperative complications following surgery for congenital hyperinsulinism and insulinomas in pediatric patients.Pediatric surgery international · 2025Article
- The use of a novel complication reporting system: the comprehensive complication index in thulium laser enucleation of the prostate.European journal of medical research · 2025Article
- Pediatric pancreatectomy for neoplasms: indications, outcomes, and implementation of minimally invasive surgery in a Ukrainian tertiary center.BMC pediatrics · 2025Article
- A comprehensive study on postoperative complications and postoperative pancreatic fistula in sporadic non-functional pancreatic neuroendocrine tumors: A retrospective cohort study.Annals of hepato-biliary-pancreatic surgery · 2025Article
- Article
- Impact of hypoalbuminemia on outcomes following pancreaticoduodenectomy: a NSQIP retrospective cohort analysis of 25,848 patients.Surgical endoscopy · 2024Article
- Optimal surgical management of unifocal vs. multifocal NF-PNETs: a respective cohort study.World journal of surgical oncology · 2024Article
- Preoperative anaemia in distal pancreatectomy: a propensity-score matched analysis.Langenbeck's archives of surgery · 2024Article
- Comparison between Comprehensive Complication Index (CCI®) and Clavien-Dindo Classification for laparoscopic single-stage treatment of choledocholithiasis with concomitant cholelithiasis.Langenbeck's archives of surgery · 2023Article
- Impact of COVID-19 Pandemic Lockdown on the Prognosis, Morbidity, and Mortality of Patients Undergoing Elective and Emergency Abdominal Surgery: A Retrospective Cohort Study in a Tertiary Center, Saudi Arabia.International journal of environmental research and public health · 2022Article
- Impact of post-hepatectomy liver failure on morbidity and short- and long-term survival after major hepatectomy.BJS open · 2022Article
- Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundComplications are important indicators of immediate postoperative outcomes. The Clavien-Dindo classification (CDC) is a widely used index for the classification of surgical complications. More recently, the comprehensive complication index (CCI) has also been introduced for classifying postoperative complications. The aim of this study was to compare the relationship of CCI and CDC with clinical or economic parameters.
methodsThe study prospectively enrolled patients from April 2015 to October 2016. Two hundred and twenty-two patients underwent pancreatectomy during the enrolled period. Complications were ranked according to CDC and CCI indices. After analyzing the correlation between CCI and CDC, the correlations of length of stay (LOS) and cost with CCI and CDC were compared. Finally, differences between the correlation coefficients of CDC and CCI parameters were calculated.
resultsComplications occurred in 211 patients (95.0%). The correlation between CDC and CCI was r = 0.938. (p < 0.001) Compared to the CDC, CCI showed significantly stronger correlations with LOS and cost of complications (LOS: CCI vs. CDC, r = 0.725 vs. r = 0.630, p < 0.001; cost: CCI vs. CDC, r = 0.774 vs. r = 0.723, p < 0.001).
conclusionCCI is a more accurate classification index, compared to CDC, for evaluating the risk of postoperative complications.
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