Extended Clavien-Dindo classification of surgical complications: Japan Clinical Oncology Group postoperative complications criteria.
Extended Clavien-Dindo classification of surgical complications: Japan Clinical Oncology Group postoperative complications criteria.
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DOI：
10.1007/s00595-015-1236-x
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发表时间：
2016-06
期刊：
影响因子：
2.5
通讯作者：
Sasako M
中科院分区：
文献类型：
--
作者：
Katayama H;Kurokawa Y;Nakamura K;Ito H;Kanemitsu Y;Masuda N;Tsubosa Y;Satoh T;Yokomizo A;Fukuda H;Sasako M
在 2004 年 Clavien-Dindo 分类发布之前，临床实践或手术试验中都没有手术并发症的分级定义。本报告建立了该分类的补充标准，以规范临床试验中术后并发症的评估。日本临床肿瘤学组 (JCOG) 委托成立了一个委员会。来自九个外科研究组（胃、食管、结直肠、肺、乳腺、妇科、泌尿科、骨和软组织以及脑）的成员详细说明了各自领域常见的术后并发症，并根据 Clavien-Dindo 分类的一般分级规则为每种并发症定义了更详细的分级标准。我们列出了手术试验中常见的 72 种手术并发症，重点关注 17 种胃肠道并发症、13 种感染性并发症、6 种胸部并发症和几种其他并发症。分级标准定义简单，并针对手术并发症进行了优化。 JCOG 术后并发症标准（JCOG PC 标准）旨在标准化用于定义不良事件 (AE) 的术语，并根据 Clavien-Dindo 分类提供详细的分级指南。我们相信，JCOG PC 标准将能够更精确地比较许多不同手术领域的试验中术后并发症的发生频率。
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. 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. 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. 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.