The Comprehensive Complication Index for Advanced Monitoring of Complications Following Endoscopic Surgery of the Lower Urinary Tract

• DOI: 10.1089/end.2020.0825
• Publication Date: 2020-11-23T05:11:06Z
• Authors: Frank Waldbillig; Malin Nientiedt; Karl-Friedrich Ko...; Britta Grüne; Jost von Hardenberg; Philipp Nuhn; Maurice Stephan M...; Maximilian C. Kri...
• Keywords: Male; 03 medical and health sciences; Postoperative Complications; 0302 clinical medicine; Transurethral Resection of Prostate; Humans; Cystectomy; Urinary Tract; Severity of Illness Index; 3. Good health

Purpose: To evaluate the Comprehensive Complication Index (CCI) for reporting complications in lower urinary tract transurethral procedures and compare it with Clavien–Dindo classification (CDC). Materials Methods: A total of 450 consecutive patients were included into analyses [150 each resection bladder tumors (TURBT), prostate (TURP), enucleation using Tm:YAG, (ThuLEP)]. Complications assessed according to modified CDC. The CCI was calculated a freely accessible online tool. Descriptive statistics correlation applied quantify operational differences length stay (LOS) between CDC CCI. Sample size calculations hypothetical clinical trials contrasted application. Results: Overall n = 150 (33.3%) within first 60 days after operation identified. Of these, 125 (83.4%) minor up grade IIIa. complications, 57 (12.6%) experienced more than one complication. Here, cumulative led an upgrade at least 33 patients. Hence, 22.0% cases, highest underestimated degree complications. showed higher LOS compared (all r > 0.2, all p-values ≤0.0001). Using instead sample calculation resulted strong reduction required number three interventions (percentage patient decrease: −93.2% TURBT, −71.8% TURP, −81.1% ThuLEP). Conclusion: gives precise interpretation postinterventional ThuLEP. application may reduce will relieve their recruitment future.