ArticleAnnals of surgical treatment and research2021
Predictive factors of high comprehensive complication index in colorectal cancer patients using Enhanced Recovery After Surgery protocol: role as a safety net in early discharge.
Article in Annals of surgical treatment and research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Machine learning model for predicting a high comprehensive complication index following rectal cancer surgery.Updates in surgery · 2026Article
- Application of Enhanced Recovery After Surgery in high-risk patients undergoing colon cancer surgery: a retrospective cohort study.Annals of surgical treatment and research · 2026Article
- Role and importance of quality control in improving compliance of enhanced recovery after surgery to overcome postoperative complications.BMC surgery · 2026Article
- Modified Clavien-Dindo Classification for Adverse Events in Otolaryngology-Head and Neck Surgery.JAMA network open · 2025Article
- Utility of C-reactive protein on the fourth postoperative day to detect complications beyond anastomotic dehiscence.International journal of colorectal disease · 2025Observational
- Nomogram for predicting the development of pneumonia after colorectal cancer surgery.Scientific reports · 2025Article
- Postoperative systemic inflammation after major abdominal surgery: patient-centred outcomes.Anaesthesia · 2023Article
- ERAS in Cardiac Surgery: Wishful Thinking or Reality.Turkish journal of anaesthesiology and reanimation · 2023Article
- Effect of prehabilitation on patients with frailty undergoing colorectal cancer surgery: a systematic review and meta-analysis.Annals of surgical treatment and research · 2023Article
- Factors associated with postoperative systemic inflammation in patients after major abdominal surgery.Saudi journal of anaesthesiaArticle
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7 authors.
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Abstract
purposeThis study was performed to evaluate complications using comprehensive complication index (CCI) in colorectal cancer patients with implementation of the Enhanced Recovery After Surgery (ERAS) protocol, and to investigate the predictive factors associated with high morbidity rates. It can be used as a safety net in determining the timing of discharge.
methodsA total of 335 consecutive patients who underwent elective colorectal cancer surgery between January 2017 and December 2017 at a single tertiary center were enrolled. Postoperative complications were defined as occurring within 30 days after surgery. The predictive factor analysis for the high CCI group was also performed.
resultsIn total, 116 patients experienced postoperative complications. Wound-related complications and postoperative ileus were the most common. The mean CCI for overall colorectal cancer surgery was 9.1 ± 16.7. Patients featuring low CCI (<26.2) were 297 (88.7%) and high CCI were 38 (11.3%). In multivariable analysis, obstructive colorectal cancer (odds ratio, 3.278; 95% confidence interval, 1.217-8.829; P = 0.019) and CRP value on postoperative day (POD) 3-4 (odds ratio, 1.152; 95% confidence interval, 1.036-1.280; P < 0.010) were significant predictors for high CCI.
conclusionThe clinical usefulness of CCI in colorectal cancer patients with the ERAS protocol was verified, and it can be used for surgical quality control. More cautious care is needed and the timing of discharge should be carefully determined for patients with obstructive colorectal cancer or POD 3-4 CRP of ≥6.47 mg/dL.
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