ArticleVeterinary surgery : VS2023
Comparison of two postoperative complication grading systems after treatment of stifle and shoulder instability in 68 dogs.
Article in Veterinary surgery : VS, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Postoperative Antibiotics Do Not Prevent Surgical Site Infections After Routine Ophthalmic Soft Tissue Surgeries in Dogs-A Retrospective Study.Veterinary ophthalmology · 2026Article
- Comparison of two postoperative complication grading systems following an elective orthopedic procedure in dogs.Frontiers in veterinary science · 2026Article
- The use of 6-0 glycomer 631 for perineal urethrostomy in male cats: 314 cases (2013-2023).Frontiers in veterinary science · 2025Article
- Monofilament anti-rotational suture combined with TPLO to prevent pivot shift: surgical technique and novel TPLO plate design.Frontiers in veterinary science · 2025Article
- Comparison of two postoperative complication grading systems after treatment of stifle and shoulder instability in 68 dogs.Veterinary surgery : VS · 2023Article
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Authors and funding
5 authors.
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No grant is acknowledged in the PubMed record.
Abstract
objective(1) To adapt and apply the Clavien-Dindo (aCD) postoperative complication grading system to dogs experiencing complications following a single orthopedic procedure. (2) To compare the reliability of the Clavien-Dindo system to the Cook complication grading system. STUDY
designRetrospective study. SAMPLE POPULATION: Sixty-eight client-owned dogs.
methodsScenarios derived from complications following TightRope stabilization of the stifle and shoulder were graded by four ACVS-boarded surgeons using two systems; the Cook 3-point scale and the aCD 5-point scale. Because the aCD system distinguishes complications from outcomes ("sequelae" or "failure to cure"), two data sets were created: one with (n = 76) and without (n = 67) inclusion of "sequelae" and "failure to cure" cases. Interobserver reliability was evaluated using intraclass correlation coefficient (ICC) calculations.
resultsSeventy-six scenarios from 68 records were evaluated. The ICC of the aCD system was 0.620 consistent with moderate reliability. The reliability of the Cook system was good, with an ICC of 0.848. Exclusion of cases with "sequelae" or "failure to cure" resulted in excellent reliability of the aCD system (ICC = 0.975) and good reliability of the Cook systems (ICC = 0.857).
conclusionThe aCD grading system was less reliable than the Cook system when evaluating all cases but more reliable when evaluating cases of complications excluding "sequelae" and "failures to cure". CLINICAL SIGNIFICANCE: The Cook grading system is reliably good in grading postoperative complications in dogs. The aCD system can also be used to assess postoperative complications with excellent reliability but is less reliable when distinguishing complications from other postoperative outcomes.
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