From the Guidelines
Clavier Dindo is not a recognized medical term, but it appears to be a reference to the Clavien-Dindo classification system, which is a standardized system used to grade surgical complications. The Clavien-Dindo classification system is used to categorize post-operative complications based on the intervention required to address them, ranging from Grade I (minor complications requiring minimal intervention) to Grade V (death) 1. This system is widely used in the surgical community to assess and report post-operative complications, and it has been validated in several studies as a reliable and effective tool for evaluating the quality of surgical care 1. The system includes five grades of complications, with Grade I being the least severe and Grade V being the most severe, and it also includes a cumulative burden metric that ranges from 0 (no complication) to 100 (death) 1.
Key Points of the Clavien-Dindo Classification System
- Grade I: Any deviation from the postoperative course without the need for pharmacological treatment or surgical, radiological or endoscopic intervention
- Grade II: Requiring pharmacological treatment other than allowed for grade I
- Grade III: Requiring surgical, endoscopic or radiological intervention
- Grade IV: Life-threatening complication requiring intensive care unit management
- Grade V: Patient demise
The Clavien-Dindo classification system is an important tool for evaluating the quality of surgical care and for identifying areas for improvement in patient outcomes 1. It is also used to compare the outcomes of different surgical procedures and to evaluate the effectiveness of different treatment strategies 1.
Importance of the Clavien-Dindo Classification System
- Allows for standardized reporting of post-operative complications
- Enables comparison of outcomes between different surgical procedures and treatment strategies
- Helps to identify areas for improvement in patient outcomes
- Provides a reliable and effective tool for evaluating the quality of surgical care 1
From the Research
Definition of Clavien-Dindo Classification
- The Clavien-Dindo classification is a system used to grade the severity of postoperative complications 2, 3, 4, 5, 6.
- It is a standardized tool that allows for the assessment and reporting of complications in a uniform manner.
Application of Clavien-Dindo Classification
- The classification system has been applied in various surgical disciplines, including general surgery 2, pancreatic surgery 3, head and neck reconstruction 4, and colorectal cancer resection 6.
- It has been used to evaluate the severity of complications after different types of surgical procedures, such as distal pancreatectomy 5 and total pharyngolaryngectomy 4.
Grades of Clavien-Dindo Classification
- The classification system consists of five grades:
- Grade I: minor complications that do not require intervention
- Grade II: complications that require pharmacological intervention
- Grade III: complications that require surgical, endoscopic, or radiological intervention
- Grade IV: life-threatening complications that require intensive care
- Grade V: death 2, 3, 4, 5, 6.
Benefits of Clavien-Dindo Classification
- The classification system allows for the comparison of surgical outcomes among different surgeons, centers, and therapies 4.
- It provides a simple and objective way to report complications and evaluate the severity of postoperative morbidity 5.
- The system has been shown to be associated with long-term overall survival in elderly patients after radical colorectal cancer resection 6.