Rectal Diseases
Conditions
Brief summary
Postoperative complications after rectal resection can worsen the short-term postoperative outcomes and the long-term survival. This study aims to compare the comprehensive complication index (CCI) and the commonly used Clavien-Dindo classification (CDC) in predicting postoperative outcomes after rectal resection.
Interventions
DIAGNOSTIC_TESTComprehensive complication index (CCI)
Comprehensive complication index (CCI)
DIAGNOSTIC_TESTClavien-Dindo-Classification (CDC)
Clavien-Dindo-Classification (CDC)
Sponsors
Cantonal Hospital of St. Gallen
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Inclusion criteria
* All patients with rectal resection at the Cantonal Hospital of St.Gallen between 2012 and June 2024.
Exclusion criteria
* Missing CCI data * Missing CDC data * Incomplete 30-day follow-up * Decline to have their information included in the scientific data analysis * Age under 18 years
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Length of hospital stay | Periprocedural | The predictive ability of the comprehensive-complication index and the Clavien-Dindo classification regarding the length of hospital stay after rectal resection will be compared through an area under the curve (AUC) analysis. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| 30-day readmission rate | 30 days | The predictive ability of the comprehensive-complication index and the Clavien-Dindo classification regarding the 30-day readmission rate after rectal resection will be compared through an area under the curve (AUC) analysis. |
| 90-day mortality | 90 days | The predictive ability of the comprehensive-complication index and the Clavien-Dindo classification regarding the 90-day mortality after rectal resection will be compared through an area under the curve (AUC) analysis. |
| Overall survival | 5 years | The patients 5-year overall survival will be compared between patients with low comprehensive-complication index and high comprehensive-complication index. A high comprehensive-complication score was defined as a score above the median score of the patients with a Clavien-Dinco classification grad 3a complication. |
| Comprehensive measure | 30 days | Evaluation of the comprehensive measure of the comprehensive-complications index through analysis of the number and severity of all complications for patients with multiple complications. Comparison of the range of the comprehensice complications-index score in patients with the same Clavien-Dindo classification. |
Countries
Switzerland
Outcome results
None listed