Complications, Postoperative Clinical Trial
Official title:
Clinical Validation and Evaluation of Reliability of Comprehensive Complication Index (CCI) for Recording Percutaneous Nephrolithotomy Complications
Postoperative complications should be reported systematically, objectively and reproducibly. The Clavien-Dindo Classification (CDC), first described in 2004, is the most popular classification system still in use today for assessing perioperative morbidity and mortality. In 2018, the European Association of Urology (EAU) validated this classification, which was originally defined for general surgery operations, for urological operations as well. There are aspects of the CDC that can be critical and weak. The CDC's main weakness is that in the vast majority of studies it only considers the most serious complications. Minor complications are often overlooked and the overall complication burden is therefore underestimated. Because of this vulnerability, it is difficult to compare complications from different patients. For example, it cannot be determined whether a patient with two Grade I complications has higher postoperative morbidity than a patient with one Grade II complication. To address these limitations, the Comprehensive Complications Index (CCI) was defined in 2013 as a new and more comprehensive scoring system for surgical complications. The CCI is essentially an index based on the CDC, but sums all postoperative complications by severity and scores them on an interval scale. It is scored from 0 (no complications) to 100 (patient's death) for each patient. CCI in Urology Practice; Validated for Radical Cystectomy, Radical Prostatectomy, Radical Nephroureterectomy, Partial Nephrectomy. In recent years, validation studies of this index have been carried out in endourological surgeries.
Status | Not yet recruiting |
Enrollment | 644 |
Est. completion date | April 30, 2023 |
Est. primary completion date | April 30, 2023 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - To have a medical indication for percutaneous kidney stone surgery - To have given consent to participate in the study - To be18 years of age or older Exclusion Criteria: - To be under the age of 18 - Not to have given consent to participate in the study - Not to have a medical indication for percutaneous kidney stone surgery - To Have an orthopedic disorder that prevents him from undergoing percutaneous kidney stone surgery - To have a hematological disorder that prevents percutaneous kidney stone surgery - To have a malignancy that prevents percutaneous kidney stone surgery - To have a serious cardiac and respiratory comorbidities that prevent percutaneous kidney stone surgery |
Country | Name | City | State |
---|---|---|---|
Turkey | Zonguldak Bülent Ecevit University, school of medicine | Zonguldak |
Lead Sponsor | Collaborator |
---|---|
Marmara University | Abant Izzet Baysal University, Acibadem University, Alanya Alaaddin Keykubat University, Ankara Training and Research Hospital, Ankara University, Basaksehir Cam & Sakura Sehir Hospital, Baskent University, Cukurova University, Dokuz Eylul University, Eskisehir Osmangazi University, Gazi University, Hacettepe University, Hitit University, Inonu University, Istanbul University, Izmir Metropolitan Municipality Esrefpasa Hospital, Koç University, Ondokuz Mayis University, Samsun Education and Research Hospital, Zonguldak Bulent Ecevit University |
Turkey,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | The Comprehensive Complication Index | The comprehensive complications index was proposed as a novel comprehensive scoring system for surgical complications in 2013. It's scoring complications on an interval scale between 0 (no complication) and 100 (death of the patient) for each patient. | within 2 months post-procedure | |
Primary | Clavien-Dindo-Classification score | The Clavien-Dindo-Classification (CDC), first described in 2004, is the most popular classification system for assessing perioperative morbidity and mortality. | within 2 months post-procedure |
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