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2016 ; 46
(6
): 668-85
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Extended Clavien-Dindo classification of surgical complications: Japan Clinical
Oncology Group postoperative complications criteria
#MMPMID26289837
Katayama H
; Kurokawa Y
; Nakamura K
; Ito H
; Kanemitsu Y
; Masuda N
; Tsubosa Y
; Satoh T
; Yokomizo A
; Fukuda H
; Sasako M
Surg Today
2016[Jun]; 46
(6
): 668-85
PMID26289837
show ga
PURPOSE: Prior to publication of the Clavien-Dindo classification in 2004, there
were no grading definitions for surgical complications in either clinical
practice or surgical trials. This report establishes supplementary criteria for
this classification to standardize the evaluation of postoperative complications
in clinical trials. METHODS: The Japan Clinical Oncology Group (JCOG)
commissioned a committee. Members from nine surgical study groups (gastric,
esophageal, colorectal, lung, breast, gynecologic, urologic, bone and soft
tissue, and brain) specified postoperative complications experienced commonly in
their fields and defined more detailed grading criteria for each complication in
accordance with the general grading rules of the Clavien-Dindo classification.
RESULTS: We listed 72 surgical complications experienced commonly in surgical
trials, focusing on 17 gastroenterologic complications, 13 infectious
complications, six thoracic complications, and several other complications. The
grading criteria were defined simply and were optimized for surgical
complications. CONCLUSIONS: The JCOG postoperative complications criteria (JCOG
PC criteria) aim to standardize the terms used to define adverse events (AEs) and
provide detailed grading guidelines based on the Clavien-Dindo classification. We
believe that the JCOG PC criteria will allow for more precise comparisons of the
frequency of postoperative complications among trials across many different
surgical fields.