Portal de Periódicos da CAPES

Use of Clavien-Dindo Classification in Reporting and Grading Complications after Urological Surgical Procedures: Analysis of 2010 to 2012

2013; Lippincott Williams & Wilkins; Volume: 190; Issue: 4 Linguagem: Inglês

10.1016/j.juro.2013.04.025

1527-3792

Peter Yoon, Venu Chalasani, Henry H. Woo,

Cardiac, Anesthesia and Surgical Outcomes

No AccessJournal of UrologyAdult Urology1 Oct 2013Use of Clavien-Dindo Classification in Reporting and Grading Complications after Urological Surgical Procedures: Analysis of 2010 to 2012 Peter D. Yoon, Venu Chalasani, and Henry H. Woo Peter D. YoonPeter D. Yoon More articles by this author , Venu ChalasaniVenu Chalasani More articles by this author , and Henry H. WooHenry H. Woo More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2013.04.025AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We determined the use of the Clavien-Dindo classification in urological articles. We also assessed the recent trend in the use of different postoperative complication reporting classifications by authors in major journals from 2010 to 2012. Materials and Methods: We reviewed all articles from 5 major urological journals published between January 2010 and October 2012. All studies reporting surgical outcomes were included in analysis and individually assessed after retrieving the full text. We recorded the use of complication classifications with particular emphasis on the Clavien-Dindo classification. Results: A total of 907 articles mentioned surgical outcomes, of which 137 reported no complications. A descriptive classification was the most common method (483 of 770 articles or 62.7%), followed by the Clavien-Dindo classification (256 of 770 or 33.3%). Use of the Clavien-Dindo classification in articles from all 5 journals that discussed surgical outcomes increased from 21.4% in 2010 to 50.2% in 2012. Of the 770 articles 287 (37.3%) used any standardized criteria for surgical outcome reporting in 2010 to 2012. Of the 287 articles that reported surgical outcomes the Clavien-Dindo classification was used in 256 (89.5%). Conclusions: Increasing use of classification systems was seen in the most recently published articles. When a system was adopted by authors, the Clavien-Dindo classification was used most frequently. While there has been increased use of standardized reporting systems in articles mentioning surgical complications, there is room for increased implementation. References 1 : Reporting and grading of complications after urologic surgical procedures: an ad hoc EAU guidelines panel assessment and recommendations. Eur Urol2012; 61: 341. Google Scholar 2 : Proposed classification of complications of surgery with examples of utility in cholecystectomy. Surgery1992; 111: 518. Google Scholar 3 : Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg2004; 240: 205. Google Scholar 4 : The Clavien-Dindo classification of surgical complications: five-year experience. Ann Surg2009; 250: 187. Google Scholar 5 : Severity grading of surgical complications. Ann Surg2009; 250: 197. Google Scholar 6 : Classification of complications: is the Clavien-Dindo classification the gold standard?. Eur Urol2012; 62: 256. Google Scholar 7 : An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint terminology and classification of the complications related directly to the insertion of prostheses (meshes, implants, tapes) and grafts in female pelvic floor surgery. Neurourol Urodyn2011; 30: 2. Google Scholar 8 : Categorisation of complications and validation of the Clavien score for percutaneous nephrolithotomy. Eur Urol2012; 62: 246. Google Scholar 9 : Quality of complication reporting in the surgical literature. Ann Surg2002; 235: 803. Google Scholar 10 : A report of the Vancouver Forum on the care of the live organ donor: lung, liver, pancreas, and intestine data and medical guidelines. Transplantation2006; 81: 1373. Google Scholar 11 : Standards for surgical complication reporting in urologic oncology: time for a change. Urology2007; 69: 221. Google Scholar 12 : The modified Clavien system: a plea for a standardized reporting system for surgical complications. Eur Urol2010; 57: 387. Google Scholar © 2013 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byGregg J, Bhalla R, Cook J, Kang C, Dmochowski R, Talbot T and Barocas D (2017) An Evidence-Based Protocol for Antibiotic Use Prior to Cystoscopy Decreases Antibiotic Use without Impacting Post-Procedural Symptomatic Urinary Tract Infection RatesJournal of Urology, VOL. 199, NO. 4, (1004-1010), Online publication date: 1-Apr-2018.Jacobson D, Thomas J, Pope J, Tanaka S, Clayton D, Brock J and Adams M (2016) Update on Continent Catheterizable Channels and the Timing of their ComplicationsJournal of Urology, VOL. 197, NO. 3 Part 2, (871-876), Online publication date: 1-Mar-2017.Dwyer M, Dwyer J, Cannon G, Stephany H, Schneck F and Ost M (2015) The Clavien-Dindo Classification of Surgical Complications is Not a Statistically Reliable System for Grading Morbidity in Pediatric UrologyJournal of Urology, VOL. 195, NO. 2, (460-464), Online publication date: 1-Feb-2016.Gelpi-Hammerschmidt F, Tinay I, Allard C, Su L, Preston M, Trinh Q, Kibel A, Wang Y, Chung B and Chang S (2015) The Contemporary Incidence and Sequelae of Rhabdomyolysis Following Extirpative Renal Surgery: A Population Based AnalysisJournal of Urology, VOL. 195, NO. 2, (399-405), Online publication date: 1-Feb-2016.Brandao L, Zargar H, Laydner H, Akca O, Autorino R, Ko O, Samarasekera D, Li J, Rabets J, Krishnan J, Haber G, Kaouk J and Stein R (2014) 30-Day Hospital Readmission after Robotic Partial Nephrectomy—Are We Prepared for Medicare Readmission Reduction Program?Journal of Urology, VOL. 192, NO. 3, (677-681), Online publication date: 1-Sep-2014. Volume 190Issue 4October 2013Page: 1271-1274Supplementary Materials Advertisement Copyright & Permissions© 2013 by American Urological Association Education and Research, Inc.Keywordsurologyclassificationpostoperative complicationsperiodicals as topicurological surgical proceduresMetricsAuthor Information Peter D. Yoon More articles by this author Venu Chalasani More articles by this author Henry H. Woo More articles by this author Expand All Advertisement PDF downloadLoading ...