ArticleBJS open2025
Assessing complications following pancreatoduodenectomy: the Comprehensive Complication Index versus the Clavien-Dindo classification.
Article in BJS open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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Who cites it
1 citing paper in PubMed.
- The Impact of Obesity on Intraoperative, Oncological, and Postoperative Endpoints in Robotic Pancreaticoduodenectomy.World journal of surgery · 2026Article
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Authors and funding
10 authors.
Funding
Abstract
backgroundThis study aimed to compare the accuracy of the Comprehensive Complication Index (CCI) with that of the Clavien-Dindo classification in patients undergoing pancreatoduodenectomy.
methodsA two-centre, retrospective study was undertaken that included patients who underwent pancreatoduodenectomy between 2008 and 2022. Three approaches were used to assess the two complication scores: the Spearman rank test, yielding the correlation coefficient (r), the area under the curve with 95% confidence intervals, and a mixed-effects model and a generalized mixed-effects model that yielded odds ratios and β-coefficients.
resultsA total of 596 patients were included. The CCI and Clavien-Dindo classification demonstrated no correlation with 90-day mortality (r = - 0.021, 0.618; and r = -0.003, P = 0.951) but a significant correlation with length of hospital stay (r = 0.620, P < 0.001; and r = 0.605, P < 0.001) and with 90-day readmission rate (r = 0.148, P < 0.001; and r = 0.120, P = 0.005). The accuracy of the CCI was superior to that of the Clavien-Dindo classification for length of hospital stay dichotomized at the 75th (P = 0.022) and 90th (P < 0.001) percentiles. The CCI significantly improved the effect of the Clavien-Dindo classification (random effect, P < 0.001) in the mixed-effects and generalized mixed-effects logistic regression analyses.
conclusionCompared with the Clavien-Dindo classification, the CCI appeared to be more accurate in terms of its association with a prolonged hospital stay and 90-day readmission rate. The CCI should complement the Clavien-Dindo classification in clinical and research settings.
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