Evidence map›Paper›PMID 33917529›Full record

ArticleCancers2021

Clinical Validation of the Comprehensive Complication Index in Colon Cancer Surgery.

Nicolò Tamini, Davide Bernasconi, Lorenzo Ripamonti, Giulia Lo Bianco, Marco Braga, Luca Nespoli

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.6field-weighted citation impact, top 30% of its field
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
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  8. [Research Updates: Standardized Reporting and Evaluation Instruments for Postoperative Complications].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2022
    Review
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Nicolò TaminiSchool of Medicine and Surgery, University Milano-Bicocca, 20900 Monza, Italy.ORCID 0000-0003-3917-6831
Davide BernasconiSchool of Medicine and Surgery, University Milano-Bicocca, 20900 Monza, Italy.ORCID 0000-0001-8771-5428
Lorenzo RipamontiSchool of Medicine and Surgery, University Milano-Bicocca, 20900 Monza, Italy.ORCID 0000-0002-3762-4285
Giulia Lo BiancoSchool of Medicine and Surgery, University Milano-Bicocca, 20900 Monza, Italy.
Marco BragaSchool of Medicine and Surgery, University Milano-Bicocca, 20900 Monza, Italy.
Luca NespoliSchool of Medicine and Surgery, University Milano-Bicocca, 20900 Monza, Italy.ORCID 0000-0002-4945-5677
Azienda Ospedaliera San Gerardo · ITUniversity of Milano-Bicocca · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

(1) Introduction: To date, the sensitivity of the Comprehensive Complication Index (CCI) in a homogeneous cohort of colonic resections for oncologic purposes has not been reported. The present study aims to compare the CCI with the conventional Clavien-Dindo classification (CDC) in colon cancer patients. (2) Methods: The clinical data of patients submitted to an elective colectomy for adenocarcinoma were retrieved from a prospectively maintained database. Postoperative complications and length of stay were reviewed, and CDC and CCI scores were calculated for each patient. The association of the CCI and the CDC with the length of stay, prolongation of stay and readmission rate were assessed and compared. (3) Results: The overall postoperative morbidity was 26.9%. In particular, 157 (20.4%) patients had more than one complication. A strong correlation between the two scoring systems was observed (r = 99.4%; 95%CI: 99.3-99.5%). In multivariate analysis, CCI had a higher predictive ability for all endpoints. Regarding subgroup analysis, the difference between the CCI and CDC was progressively increased when evaluating outcome measures in complicated and multi-complicated patients. (4) Conclusion: Both scoring systems adequately report the overall burden of postoperative complications. The CCI showed a greater ability than the CDC to predict hospital stay, particularly in patients with multiple postoperative complications.

Indexed as

CCIClavien–Dindocolon cancerComprehensive Complication Indexpostoperative complications

Identifiers

PMID33917529
PMCPMC8038800
OpenAlexW3140071414

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.