Estimating the Morbidity of Robot-Assisted Radical Cystectomy Using the Comprehensive Complication Index: Data from the Asian Robot-Assisted Radical Cystectomy Consortium
Issued Date
2025-04-01
Resource Type
eISSN
20726694
Scopus ID
2-s2.0-105002595922
Journal Title
Cancers
Volume
17
Issue
7
Rights Holder(s)
SCOPUS
Bibliographic Citation
Cancers Vol.17 No.7 (2025)
Suggested Citation
Yuanming A.L., Na F.T.B., Tiwari R., Chan T.K.N., Teoh J.Y.C., Kang S.H., Patel M.I., Muto S., Yang C.K., Hatakeyama S., Kijvikai K., Chen H., Ohyama C., Horie S., Chan E.S.Y., Lee L.S. Estimating the Morbidity of Robot-Assisted Radical Cystectomy Using the Comprehensive Complication Index: Data from the Asian Robot-Assisted Radical Cystectomy Consortium. Cancers Vol.17 No.7 (2025). doi:10.3390/cancers17071157 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/109641
Title
Estimating the Morbidity of Robot-Assisted Radical Cystectomy Using the Comprehensive Complication Index: Data from the Asian Robot-Assisted Radical Cystectomy Consortium
Author's Affiliation
Sengkang General Hospital
Ramathibodi Hospital
Juntendo University Graduate School of Medicine
The University of Sydney School of Medicine
Renji Hospital
Korea University College of Medicine
Hirosaki University School of Medicine
Singapore General Hospital
Veterans General Hospital-Taichung Taiwan
Westmead Hospital
Chinese University of Hong Kong
Ramathibodi Hospital
Juntendo University Graduate School of Medicine
The University of Sydney School of Medicine
Renji Hospital
Korea University College of Medicine
Hirosaki University School of Medicine
Singapore General Hospital
Veterans General Hospital-Taichung Taiwan
Westmead Hospital
Chinese University of Hong Kong
Corresponding Author(s)
Other Contributor(s)
Abstract
Robot-assisted radical cystectomy (RARC) can lead to surgical complications. Grading systems, like the Clavien–Dindo classification (CDC), measure only the most serious issue and might not reflect the cumulative burden of complications. We studied whether another tool, the comprehensive complication index (CCI), could provide a more complete picture of complications. Using data from multiple hospitals, we found that the CCI did not significantly improve the predictions of post-operative outcomes, such as longer hospital stays or higher readmission rates, compared to CDC. This is likely because most patients experienced only a few complications. Our findings suggest that while the CCI may have benefits, its usefulness likely depends on the specific surgical setting and patient population.