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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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| CCI |
| ||
| CDC |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Comprehensive complication index (CCI) | Diagnostic Test | Comprehensive complication index (CCI) |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Length of hospital stay | 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. | Periprocedural |
| Measure | Description | Time Frame |
|---|---|---|
| 30-day readmission rate | 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. | 30 days |
| 90-day mortality |
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Inclusion Criteria:
Exclusion Criteria:
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All patients with rectal resection at the Cantonal Hospital of St.Gallen between 2012 and June 2024.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| HOCH Health Ostschweiz, Kantonsspital St.Gallen | Sankt Gallen | St.Gallen | 9000 | Switzerland |
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| ID | Term |
|---|---|
| D012002 | Rectal Diseases |
| ID | Term |
|---|---|
| D007410 | Intestinal Diseases |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
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| Clavien-Dindo-Classification (CDC) |
| Diagnostic Test |
Clavien-Dindo-Classification (CDC) |
|
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. |
| 90 days |
| Overall survival | 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. | 5 years |
| Comprehensive measure | 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. | 30 days |