Prediction of Postoperative Outcomes After Rectal Resection by the Comprehensive Complication Index (CCI)

Cantonal Hospital of St. Gallen958 enrolled

Overview

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.

Study Type

OBSERVATIONAL

Enrollment

958

Conditions

Rectal Diseases

Interventions

Comprehensive complication index (CCI)DIAGNOSTIC_TEST

Comprehensive complication index (CCI)

Clavien-Dindo-Classification (CDC)DIAGNOSTIC_TEST

Clavien-Dindo-Classification (CDC)

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

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

Locations (1)

HOCH Health Ostschweiz, Kantonsspital St.Gallen

Sankt Gallen, St.Gallen, Switzerland

Outcomes

Primary Outcomes

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.

Time frame: Periprocedural

Secondary Outcomes

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.

Time frame: 30 days

90-day mortality

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.

Time frame: 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.

Time frame: 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.

Time frame: 30 days

Data from ClinicalTrials.gov

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