Estimating the Morbidity of Robot-Assisted Radical Cystectomy Using the Comprehensive Complication Index: Data from the Asian Robot-Assisted Radical Cystectomy Consortium

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.