Evidence map›Paper›PMID 40910324›Full record

ArticleThe Canadian journal of urology2025

Improving surgical outcome reporting in lithiasis surgery: a comparative analysis of comprehensive complication index and clavien-dindo classification.

Stamatios Katsimperis, Lazaros Tzelves, Georgios Feretzakis, Themistoklis Bellos, Panagiotis Deligiannis, Andreas Skolarikos, Athanasios Papatsoris, Iraklis Mitsogiannis

Abstract readComparative Study
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In one paragraph

Article in The Canadian journal of urology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Stamatios KatsimperisSecond Department of Urology, National and Kapodistrian University of Athens, Sismanogleio Hospital, Athens, 15126, Greece.
Lazaros TzelvesSecond Department of Urology, National and Kapodistrian University of Athens, Sismanogleio Hospital, Athens, 15126, Greece.
Georgios FeretzakisSchool of Science and Technology, Hellenic Open University, Patras, 26335, Greece.
Themistoklis BellosSecond Department of Urology, National and Kapodistrian University of Athens, Sismanogleio Hospital, Athens, 15126, Greece.
Panagiotis DeligiannisSecond Department of Urology, National and Kapodistrian University of Athens, Sismanogleio Hospital, Athens, 15126, Greece.
Andreas SkolarikosSecond Department of Urology, National and Kapodistrian University of Athens, Sismanogleio Hospital, Athens, 15126, Greece.
Athanasios PapatsorisSecond Department of Urology, National and Kapodistrian University of Athens, Sismanogleio Hospital, Athens, 15126, Greece.
Iraklis MitsogiannisSecond Department of Urology, National and Kapodistrian University of Athens, Sismanogleio Hospital, Athens, 15126, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAccurate complication reporting in endourology remains challenging, with the Clavien-Dindo Classification and Comprehensive Complication Index being the most commonly used systems. This study aimed to compare surgical outcomes and complication reporting in ureterolithotripsy (URL), percutaneous nephrolithotomy (PCNL), and extracorporeal shock wave lithotripsy (ESWL) using both systems.

methodsThis prospective, single-center, non-interventional study included 473 patients undergoing URL, PCNL, or ESWL from October 2022 to October 2024. Demographic, stone-related, and procedural variables were recorded. Complications were classified using the CDC, and cumulative morbidity was assessed using CCI. Statistical analyses, including univariate and multivariate regression, were performed to identify predictors of higher CCI scores.

resultsPCNL was associated with the highest complication rates, including an 11% transfusion rate. ESWL had the lowest complication burden, while URL demonstrated intermediate risk. CCI scores correlated positively with length of stay (LOS; r = 0.47), highlighting its ability to capture overall morbidity. Multivariate analysis identified stone size, operating time, and positive urine culture as significant predictors of higher CCI scores. The CCI provided a more comprehensive representation of morbidity compared to the CDC.

conclusionsCCI demonstrates superior sensitivity in evaluating postoperative morbidity compared to CDC, particularly in more invasive procedures such as PCNL. Standardized reporting frameworks incorporating CCI may enhance surgical outcome assessment in endourology.

Indexed as

LithotripsyNephrolithotomy, PercutaneousPostoperative ComplicationsAdultAgedFemaleHumansMaleMiddle AgedProspective StudiesTreatment Outcomecomprehensive complication indexendourologykidney stoneslithiasis surgerysurgical outcomes

Identifiers

PMID40910324

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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.