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To test the applicability of the Clavien-Dindo Classification (CDC) in an LMIC setting and to compare the prevalence and severity of complications in patients <60 and ≥60 years of age a retrospective medical records review is used.
Background: Colorectal cancer (CRC) is increasing in Low- and Middle-Income Countries (LMIC) as part of the ongoing epidemiological transition. Surgery is the main treatment and the global health agenda is increasingly putting focus on improving the safety and quality of surgical care in low-resource settings. The current systems for measuring surgical quality are mainly customized for high-income countries.
Aim: To test the applicability of the Clavien-Dindo Classification (CDC) in an LMIC setting. Additionally, to compare the prevalence and severity of complications in patients <60 and ≥60 years of age.
Material and methods: Retrospective medical records review for postoperative complications and severity grading using the CDC.
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| Measure | Description | Time Frame |
|---|---|---|
| Clavien-Dindo Grade | Postoperative complications graded by the Clavien-Dindo Classification. | February 2020 to March 2020 |
| Measure | Description | Time Frame |
|---|---|---|
| Age comparison | Comparison of prevalence and severity of complications between patients <60 and ≥60 years of age. | February 2020 to March 2020 |
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Inclusion Criteria:
Exclusion Criteria:
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100 consecutive patients retrospectively collected from the medical journals at Colombo South Teaching Hospital in Colombo, Sri Lanka.
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| Name | Affiliation | Role |
|---|---|---|
| David Ljungman, MD PhD | Dep. of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg.. | Study Director |
| Stina Lindholm, MD | Sahlgrenska Academy, University of Gothenburg. | Principal Investigator |
| Sofia Lindskogen, MD | Sahlgrenska Academy, University of Gothenburg. | Principal Investigator |
| Göran Kurlberg, Asoc prof | Dep. of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg. | Study Director |
| Bawantha Gamage, MD | Dep. of Surgery, Colombo South Teaching Hospital, University of Sri Jayewardenepura. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Gothenburg, Sahlgrenska Academy | Gothenburg | Sweden |
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot_SAP_ICF | Yes | Yes | Yes | Study Protocol, Statistical Analysis Plan, and Informed Consent Form | Dec 1, 2021 | Dec 8, 2021 | Prot_SAP_ICF_000.pdf |
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| ID | Term |
|---|---|
| D015179 | Colorectal Neoplasms |
| D011183 | Postoperative Complications |
| D000073296 | Noncommunicable Diseases |
| ID | Term |
|---|---|
| D007414 | Intestinal Neoplasms |
| D005770 | Gastrointestinal Neoplasms |
| D004067 | Digestive System Neoplasms |
| D009371 | Neoplasms by Site |
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| D009369 | Neoplasms |
| D004066 | Digestive System Diseases |
| D005767 | Gastrointestinal Diseases |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |
| D012002 | Rectal Diseases |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D020969 | Disease Attributes |