Editorial comment: different perspectives on severity of postoperative morbidity
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Decreasing postoperative complications remains a challenging objective for all surgeons. To do so, there is the need for adequate recording of all postoperative events, and a grading system by severity. The Clavien-Dindo scale of complications  has gained wide acceptance among the surgical community. More recently, a novel metric for morbidity, the Comprehensive Complication Index (CCI®) , has been developed and further validated (with values from 0 = no complication to 100 = death) [3, 4] to measure the entire postoperative morbidity from the day of surgery until the majority of all complications are expected to have occured (e.g., 3 months after liver surgery ) or beyond. The strong correlation of the CCI® with total cost reflects the comprehensive nature of the CCI® .
In their article, Panwar et al.  argue that the CCI® gives “inappropriately high scores” to patients with multiple lower grade complications, compared to one single complication with a higher...
KeywordsComprehensive Complication Index Complication Severity Score CCI Postoperative complications Morbidity
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