Modified Clavien–Dindo–sink classification system for adolescent idiopathic scoliosis
Purpose The Clavien–Dindosink (CDS) classification system provides more treatment-focused granularity than subjective methods of describing surgical complications; however, it has not been validated in posterior spinal fusion (PSF) for adolescent idiopathic scoliosis (AIS). The purpose of this study...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Guissé, Ndéye F. [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2021 |
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| Schlagwörter: |
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| Anmerkung: |
© Scoliosis Research Society 2021 |
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| Übergeordnetes Werk: |
Enthalten in: Spine deformity - Amsterdam [u.a.] : Elsevier, 2013, 10(2021), 1 vom: 05. Aug., Seite 87-95 |
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| Übergeordnetes Werk: |
volume:10 ; year:2021 ; number:1 ; day:05 ; month:08 ; pages:87-95 |
| Links: |
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| DOI / URN: |
10.1007/s43390-021-00394-4 |
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| Katalog-ID: |
SPR045933367 |
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| 100 | 1 | |a Guissé, Ndéye F. |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Modified Clavien–Dindo–sink classification system for adolescent idiopathic scoliosis |
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| 520 | |a Purpose The Clavien–Dindosink (CDS) classification system provides more treatment-focused granularity than subjective methods of describing surgical complications; however, it has not been validated in posterior spinal fusion (PSF) for adolescent idiopathic scoliosis (AIS). The purpose of this study was to modify the CDS system for application in patients with AIS undergoing PSF to assess its inter- and intra-rater reliability for describing complications faced by this population. Methods A review of all complications specific to patients with AIS captured in a large multicenter international database was performed. All complications were classified according to CDS, modified by addition of “prolonged initial hospital stay” as a criterion for Grade II. A survey of this complication list and an additional 20 clinical vignettes (sent out on two occasions) was sent to nine spinal deformity surgeons. Weighted kappa values were used to determine inter- and intra-rater reliability. Results The Fleiss κ value for interrater reliability among 5 respondents grading all AIS complications was 0.8 (very good). For each grade, interrater reliability was very good, with an overall range of 0.8–1. The overall kappa value for intrarater reliability among eight respondents grading 20 vignettes was between 0.6 (good) and 0.9 (very good). Conclusion The modified CDS classification system has very good interrater and intrarater reliability in describing complications following PSF in patients with AIS. This system may be of greater utility for reporting outcomes than a “major” versus “minor” complication system and can serve as a valuable tool for improving surgical practices and patient outcomes in this population. Level of evidence IV case series. | ||
| 650 | 4 | |a Adolescent idiopathic scoliosis |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Postoperative complication |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Posterior spinal fusion |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Clavien–Dindo-sink classification |7 (dpeaa)DE-He213 | |
| 700 | 1 | |a Stone, Joseph D. |4 aut | |
| 700 | 1 | |a Keil, Lukas G. |4 aut | |
| 700 | 1 | |a Bastrom, Tracey P. |4 aut | |
| 700 | 1 | |a Erickson, Mark A. |4 aut | |
| 700 | 1 | |a Yaszay, Burt |4 aut | |
| 700 | 1 | |a Cahill, Patrick J. |4 aut | |
| 700 | 1 | |a Parent, Stefan |4 aut | |
| 700 | 1 | |a Gabos, Peter G. |4 aut | |
| 700 | 1 | |a Newton, Peter O. |4 aut | |
| 700 | 1 | |a Glotzbecker, Michael P. |4 aut | |
| 700 | 1 | |a Kelly, Michael P. |4 aut | |
| 700 | 1 | |a Pahys, Joshua M. |4 aut | |
| 700 | 1 | |a Fletcher, Nicholas D. |0 (orcid)0000-0003-3479-9845 |4 aut | |
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10.1007/s43390-021-00394-4 doi (DE-627)SPR045933367 (SPR)s43390-021-00394-4-e DE-627 ger DE-627 rakwb eng Guissé, Ndéye F. verfasserin aut Modified Clavien–Dindo–sink classification system for adolescent idiopathic scoliosis 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Scoliosis Research Society 2021 Purpose The Clavien–Dindosink (CDS) classification system provides more treatment-focused granularity than subjective methods of describing surgical complications; however, it has not been validated in posterior spinal fusion (PSF) for adolescent idiopathic scoliosis (AIS). The purpose of this study was to modify the CDS system for application in patients with AIS undergoing PSF to assess its inter- and intra-rater reliability for describing complications faced by this population. Methods A review of all complications specific to patients with AIS captured in a large multicenter international database was performed. All complications were classified according to CDS, modified by addition of “prolonged initial hospital stay” as a criterion for Grade II. A survey of this complication list and an additional 20 clinical vignettes (sent out on two occasions) was sent to nine spinal deformity surgeons. Weighted kappa values were used to determine inter- and intra-rater reliability. Results The Fleiss κ value for interrater reliability among 5 respondents grading all AIS complications was 0.8 (very good). For each grade, interrater reliability was very good, with an overall range of 0.8–1. The overall kappa value for intrarater reliability among eight respondents grading 20 vignettes was between 0.6 (good) and 0.9 (very good). Conclusion The modified CDS classification system has very good interrater and intrarater reliability in describing complications following PSF in patients with AIS. This system may be of greater utility for reporting outcomes than a “major” versus “minor” complication system and can serve as a valuable tool for improving surgical practices and patient outcomes in this population. Level of evidence IV case series. Adolescent idiopathic scoliosis (dpeaa)DE-He213 Postoperative complication (dpeaa)DE-He213 Posterior spinal fusion (dpeaa)DE-He213 Clavien–Dindo-sink classification (dpeaa)DE-He213 Stone, Joseph D. aut Keil, Lukas G. aut Bastrom, Tracey P. aut Erickson, Mark A. aut Yaszay, Burt aut Cahill, Patrick J. aut Parent, Stefan aut Gabos, Peter G. aut Newton, Peter O. aut Glotzbecker, Michael P. aut Kelly, Michael P. aut Pahys, Joshua M. aut Fletcher, Nicholas D. (orcid)0000-0003-3479-9845 aut Enthalten in Spine deformity Amsterdam [u.a.] : Elsevier, 2013 10(2021), 1 vom: 05. Aug., Seite 87-95 (DE-627)747142815 (DE-600)2717704-X 2212-1358 nnns volume:10 year:2021 number:1 day:05 month:08 pages:87-95 https://dx.doi.org/10.1007/s43390-021-00394-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_105 GBV_ILN_110 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 10 2021 1 05 08 87-95 |
| spelling |
10.1007/s43390-021-00394-4 doi (DE-627)SPR045933367 (SPR)s43390-021-00394-4-e DE-627 ger DE-627 rakwb eng Guissé, Ndéye F. verfasserin aut Modified Clavien–Dindo–sink classification system for adolescent idiopathic scoliosis 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Scoliosis Research Society 2021 Purpose The Clavien–Dindosink (CDS) classification system provides more treatment-focused granularity than subjective methods of describing surgical complications; however, it has not been validated in posterior spinal fusion (PSF) for adolescent idiopathic scoliosis (AIS). The purpose of this study was to modify the CDS system for application in patients with AIS undergoing PSF to assess its inter- and intra-rater reliability for describing complications faced by this population. Methods A review of all complications specific to patients with AIS captured in a large multicenter international database was performed. All complications were classified according to CDS, modified by addition of “prolonged initial hospital stay” as a criterion for Grade II. A survey of this complication list and an additional 20 clinical vignettes (sent out on two occasions) was sent to nine spinal deformity surgeons. Weighted kappa values were used to determine inter- and intra-rater reliability. Results The Fleiss κ value for interrater reliability among 5 respondents grading all AIS complications was 0.8 (very good). For each grade, interrater reliability was very good, with an overall range of 0.8–1. The overall kappa value for intrarater reliability among eight respondents grading 20 vignettes was between 0.6 (good) and 0.9 (very good). Conclusion The modified CDS classification system has very good interrater and intrarater reliability in describing complications following PSF in patients with AIS. This system may be of greater utility for reporting outcomes than a “major” versus “minor” complication system and can serve as a valuable tool for improving surgical practices and patient outcomes in this population. Level of evidence IV case series. Adolescent idiopathic scoliosis (dpeaa)DE-He213 Postoperative complication (dpeaa)DE-He213 Posterior spinal fusion (dpeaa)DE-He213 Clavien–Dindo-sink classification (dpeaa)DE-He213 Stone, Joseph D. aut Keil, Lukas G. aut Bastrom, Tracey P. aut Erickson, Mark A. aut Yaszay, Burt aut Cahill, Patrick J. aut Parent, Stefan aut Gabos, Peter G. aut Newton, Peter O. aut Glotzbecker, Michael P. aut Kelly, Michael P. aut Pahys, Joshua M. aut Fletcher, Nicholas D. (orcid)0000-0003-3479-9845 aut Enthalten in Spine deformity Amsterdam [u.a.] : Elsevier, 2013 10(2021), 1 vom: 05. Aug., Seite 87-95 (DE-627)747142815 (DE-600)2717704-X 2212-1358 nnns volume:10 year:2021 number:1 day:05 month:08 pages:87-95 https://dx.doi.org/10.1007/s43390-021-00394-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_105 GBV_ILN_110 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 10 2021 1 05 08 87-95 |
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10.1007/s43390-021-00394-4 doi (DE-627)SPR045933367 (SPR)s43390-021-00394-4-e DE-627 ger DE-627 rakwb eng Guissé, Ndéye F. verfasserin aut Modified Clavien–Dindo–sink classification system for adolescent idiopathic scoliosis 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Scoliosis Research Society 2021 Purpose The Clavien–Dindosink (CDS) classification system provides more treatment-focused granularity than subjective methods of describing surgical complications; however, it has not been validated in posterior spinal fusion (PSF) for adolescent idiopathic scoliosis (AIS). The purpose of this study was to modify the CDS system for application in patients with AIS undergoing PSF to assess its inter- and intra-rater reliability for describing complications faced by this population. Methods A review of all complications specific to patients with AIS captured in a large multicenter international database was performed. All complications were classified according to CDS, modified by addition of “prolonged initial hospital stay” as a criterion for Grade II. A survey of this complication list and an additional 20 clinical vignettes (sent out on two occasions) was sent to nine spinal deformity surgeons. Weighted kappa values were used to determine inter- and intra-rater reliability. Results The Fleiss κ value for interrater reliability among 5 respondents grading all AIS complications was 0.8 (very good). For each grade, interrater reliability was very good, with an overall range of 0.8–1. The overall kappa value for intrarater reliability among eight respondents grading 20 vignettes was between 0.6 (good) and 0.9 (very good). Conclusion The modified CDS classification system has very good interrater and intrarater reliability in describing complications following PSF in patients with AIS. This system may be of greater utility for reporting outcomes than a “major” versus “minor” complication system and can serve as a valuable tool for improving surgical practices and patient outcomes in this population. Level of evidence IV case series. Adolescent idiopathic scoliosis (dpeaa)DE-He213 Postoperative complication (dpeaa)DE-He213 Posterior spinal fusion (dpeaa)DE-He213 Clavien–Dindo-sink classification (dpeaa)DE-He213 Stone, Joseph D. aut Keil, Lukas G. aut Bastrom, Tracey P. aut Erickson, Mark A. aut Yaszay, Burt aut Cahill, Patrick J. aut Parent, Stefan aut Gabos, Peter G. aut Newton, Peter O. aut Glotzbecker, Michael P. aut Kelly, Michael P. aut Pahys, Joshua M. aut Fletcher, Nicholas D. (orcid)0000-0003-3479-9845 aut Enthalten in Spine deformity Amsterdam [u.a.] : Elsevier, 2013 10(2021), 1 vom: 05. Aug., Seite 87-95 (DE-627)747142815 (DE-600)2717704-X 2212-1358 nnns volume:10 year:2021 number:1 day:05 month:08 pages:87-95 https://dx.doi.org/10.1007/s43390-021-00394-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_105 GBV_ILN_110 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 10 2021 1 05 08 87-95 |
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10.1007/s43390-021-00394-4 doi (DE-627)SPR045933367 (SPR)s43390-021-00394-4-e DE-627 ger DE-627 rakwb eng Guissé, Ndéye F. verfasserin aut Modified Clavien–Dindo–sink classification system for adolescent idiopathic scoliosis 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Scoliosis Research Society 2021 Purpose The Clavien–Dindosink (CDS) classification system provides more treatment-focused granularity than subjective methods of describing surgical complications; however, it has not been validated in posterior spinal fusion (PSF) for adolescent idiopathic scoliosis (AIS). The purpose of this study was to modify the CDS system for application in patients with AIS undergoing PSF to assess its inter- and intra-rater reliability for describing complications faced by this population. Methods A review of all complications specific to patients with AIS captured in a large multicenter international database was performed. All complications were classified according to CDS, modified by addition of “prolonged initial hospital stay” as a criterion for Grade II. A survey of this complication list and an additional 20 clinical vignettes (sent out on two occasions) was sent to nine spinal deformity surgeons. Weighted kappa values were used to determine inter- and intra-rater reliability. Results The Fleiss κ value for interrater reliability among 5 respondents grading all AIS complications was 0.8 (very good). For each grade, interrater reliability was very good, with an overall range of 0.8–1. The overall kappa value for intrarater reliability among eight respondents grading 20 vignettes was between 0.6 (good) and 0.9 (very good). Conclusion The modified CDS classification system has very good interrater and intrarater reliability in describing complications following PSF in patients with AIS. This system may be of greater utility for reporting outcomes than a “major” versus “minor” complication system and can serve as a valuable tool for improving surgical practices and patient outcomes in this population. Level of evidence IV case series. Adolescent idiopathic scoliosis (dpeaa)DE-He213 Postoperative complication (dpeaa)DE-He213 Posterior spinal fusion (dpeaa)DE-He213 Clavien–Dindo-sink classification (dpeaa)DE-He213 Stone, Joseph D. aut Keil, Lukas G. aut Bastrom, Tracey P. aut Erickson, Mark A. aut Yaszay, Burt aut Cahill, Patrick J. aut Parent, Stefan aut Gabos, Peter G. aut Newton, Peter O. aut Glotzbecker, Michael P. aut Kelly, Michael P. aut Pahys, Joshua M. aut Fletcher, Nicholas D. (orcid)0000-0003-3479-9845 aut Enthalten in Spine deformity Amsterdam [u.a.] : Elsevier, 2013 10(2021), 1 vom: 05. Aug., Seite 87-95 (DE-627)747142815 (DE-600)2717704-X 2212-1358 nnns volume:10 year:2021 number:1 day:05 month:08 pages:87-95 https://dx.doi.org/10.1007/s43390-021-00394-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_105 GBV_ILN_110 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 10 2021 1 05 08 87-95 |
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10.1007/s43390-021-00394-4 doi (DE-627)SPR045933367 (SPR)s43390-021-00394-4-e DE-627 ger DE-627 rakwb eng Guissé, Ndéye F. verfasserin aut Modified Clavien–Dindo–sink classification system for adolescent idiopathic scoliosis 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Scoliosis Research Society 2021 Purpose The Clavien–Dindosink (CDS) classification system provides more treatment-focused granularity than subjective methods of describing surgical complications; however, it has not been validated in posterior spinal fusion (PSF) for adolescent idiopathic scoliosis (AIS). The purpose of this study was to modify the CDS system for application in patients with AIS undergoing PSF to assess its inter- and intra-rater reliability for describing complications faced by this population. Methods A review of all complications specific to patients with AIS captured in a large multicenter international database was performed. All complications were classified according to CDS, modified by addition of “prolonged initial hospital stay” as a criterion for Grade II. A survey of this complication list and an additional 20 clinical vignettes (sent out on two occasions) was sent to nine spinal deformity surgeons. Weighted kappa values were used to determine inter- and intra-rater reliability. Results The Fleiss κ value for interrater reliability among 5 respondents grading all AIS complications was 0.8 (very good). For each grade, interrater reliability was very good, with an overall range of 0.8–1. The overall kappa value for intrarater reliability among eight respondents grading 20 vignettes was between 0.6 (good) and 0.9 (very good). Conclusion The modified CDS classification system has very good interrater and intrarater reliability in describing complications following PSF in patients with AIS. This system may be of greater utility for reporting outcomes than a “major” versus “minor” complication system and can serve as a valuable tool for improving surgical practices and patient outcomes in this population. Level of evidence IV case series. Adolescent idiopathic scoliosis (dpeaa)DE-He213 Postoperative complication (dpeaa)DE-He213 Posterior spinal fusion (dpeaa)DE-He213 Clavien–Dindo-sink classification (dpeaa)DE-He213 Stone, Joseph D. aut Keil, Lukas G. aut Bastrom, Tracey P. aut Erickson, Mark A. aut Yaszay, Burt aut Cahill, Patrick J. aut Parent, Stefan aut Gabos, Peter G. aut Newton, Peter O. aut Glotzbecker, Michael P. aut Kelly, Michael P. aut Pahys, Joshua M. aut Fletcher, Nicholas D. (orcid)0000-0003-3479-9845 aut Enthalten in Spine deformity Amsterdam [u.a.] : Elsevier, 2013 10(2021), 1 vom: 05. Aug., Seite 87-95 (DE-627)747142815 (DE-600)2717704-X 2212-1358 nnns volume:10 year:2021 number:1 day:05 month:08 pages:87-95 https://dx.doi.org/10.1007/s43390-021-00394-4 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_105 GBV_ILN_110 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_647 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 10 2021 1 05 08 87-95 |
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English |
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Enthalten in Spine deformity 10(2021), 1 vom: 05. Aug., Seite 87-95 volume:10 year:2021 number:1 day:05 month:08 pages:87-95 |
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Enthalten in Spine deformity 10(2021), 1 vom: 05. Aug., Seite 87-95 volume:10 year:2021 number:1 day:05 month:08 pages:87-95 |
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Adolescent idiopathic scoliosis Postoperative complication Posterior spinal fusion Clavien–Dindo-sink classification |
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Guissé, Ndéye F. @@aut@@ Stone, Joseph D. @@aut@@ Keil, Lukas G. @@aut@@ Bastrom, Tracey P. @@aut@@ Erickson, Mark A. @@aut@@ Yaszay, Burt @@aut@@ Cahill, Patrick J. @@aut@@ Parent, Stefan @@aut@@ Gabos, Peter G. @@aut@@ Newton, Peter O. @@aut@@ Glotzbecker, Michael P. @@aut@@ Kelly, Michael P. @@aut@@ Pahys, Joshua M. @@aut@@ Fletcher, Nicholas D. @@aut@@ |
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2021-08-05T00:00:00Z |
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The purpose of this study was to modify the CDS system for application in patients with AIS undergoing PSF to assess its inter- and intra-rater reliability for describing complications faced by this population. Methods A review of all complications specific to patients with AIS captured in a large multicenter international database was performed. All complications were classified according to CDS, modified by addition of “prolonged initial hospital stay” as a criterion for Grade II. A survey of this complication list and an additional 20 clinical vignettes (sent out on two occasions) was sent to nine spinal deformity surgeons. Weighted kappa values were used to determine inter- and intra-rater reliability. Results The Fleiss κ value for interrater reliability among 5 respondents grading all AIS complications was 0.8 (very good). For each grade, interrater reliability was very good, with an overall range of 0.8–1. The overall kappa value for intrarater reliability among eight respondents grading 20 vignettes was between 0.6 (good) and 0.9 (very good). Conclusion The modified CDS classification system has very good interrater and intrarater reliability in describing complications following PSF in patients with AIS. This system may be of greater utility for reporting outcomes than a “major” versus “minor” complication system and can serve as a valuable tool for improving surgical practices and patient outcomes in this population. 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Guissé, Ndéye F. |
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Guissé, Ndéye F. misc Adolescent idiopathic scoliosis misc Postoperative complication misc Posterior spinal fusion misc Clavien–Dindo-sink classification Modified Clavien–Dindo–sink classification system for adolescent idiopathic scoliosis |
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Modified Clavien–Dindo–sink classification system for adolescent idiopathic scoliosis Adolescent idiopathic scoliosis (dpeaa)DE-He213 Postoperative complication (dpeaa)DE-He213 Posterior spinal fusion (dpeaa)DE-He213 Clavien–Dindo-sink classification (dpeaa)DE-He213 |
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misc Adolescent idiopathic scoliosis misc Postoperative complication misc Posterior spinal fusion misc Clavien–Dindo-sink classification |
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misc Adolescent idiopathic scoliosis misc Postoperative complication misc Posterior spinal fusion misc Clavien–Dindo-sink classification |
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Modified Clavien–Dindo–sink classification system for adolescent idiopathic scoliosis |
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Guissé, Ndéye F. |
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Guissé, Ndéye F. Stone, Joseph D. Keil, Lukas G. Bastrom, Tracey P. Erickson, Mark A. Yaszay, Burt Cahill, Patrick J. Parent, Stefan Gabos, Peter G. Newton, Peter O. Glotzbecker, Michael P. Kelly, Michael P. Pahys, Joshua M. Fletcher, Nicholas D. |
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modified clavien–dindo–sink classification system for adolescent idiopathic scoliosis |
| title_auth |
Modified Clavien–Dindo–sink classification system for adolescent idiopathic scoliosis |
| abstract |
Purpose The Clavien–Dindosink (CDS) classification system provides more treatment-focused granularity than subjective methods of describing surgical complications; however, it has not been validated in posterior spinal fusion (PSF) for adolescent idiopathic scoliosis (AIS). The purpose of this study was to modify the CDS system for application in patients with AIS undergoing PSF to assess its inter- and intra-rater reliability for describing complications faced by this population. Methods A review of all complications specific to patients with AIS captured in a large multicenter international database was performed. All complications were classified according to CDS, modified by addition of “prolonged initial hospital stay” as a criterion for Grade II. A survey of this complication list and an additional 20 clinical vignettes (sent out on two occasions) was sent to nine spinal deformity surgeons. Weighted kappa values were used to determine inter- and intra-rater reliability. Results The Fleiss κ value for interrater reliability among 5 respondents grading all AIS complications was 0.8 (very good). For each grade, interrater reliability was very good, with an overall range of 0.8–1. The overall kappa value for intrarater reliability among eight respondents grading 20 vignettes was between 0.6 (good) and 0.9 (very good). Conclusion The modified CDS classification system has very good interrater and intrarater reliability in describing complications following PSF in patients with AIS. This system may be of greater utility for reporting outcomes than a “major” versus “minor” complication system and can serve as a valuable tool for improving surgical practices and patient outcomes in this population. Level of evidence IV case series. © Scoliosis Research Society 2021 |
| abstractGer |
Purpose The Clavien–Dindosink (CDS) classification system provides more treatment-focused granularity than subjective methods of describing surgical complications; however, it has not been validated in posterior spinal fusion (PSF) for adolescent idiopathic scoliosis (AIS). The purpose of this study was to modify the CDS system for application in patients with AIS undergoing PSF to assess its inter- and intra-rater reliability for describing complications faced by this population. Methods A review of all complications specific to patients with AIS captured in a large multicenter international database was performed. All complications were classified according to CDS, modified by addition of “prolonged initial hospital stay” as a criterion for Grade II. A survey of this complication list and an additional 20 clinical vignettes (sent out on two occasions) was sent to nine spinal deformity surgeons. Weighted kappa values were used to determine inter- and intra-rater reliability. Results The Fleiss κ value for interrater reliability among 5 respondents grading all AIS complications was 0.8 (very good). For each grade, interrater reliability was very good, with an overall range of 0.8–1. The overall kappa value for intrarater reliability among eight respondents grading 20 vignettes was between 0.6 (good) and 0.9 (very good). Conclusion The modified CDS classification system has very good interrater and intrarater reliability in describing complications following PSF in patients with AIS. This system may be of greater utility for reporting outcomes than a “major” versus “minor” complication system and can serve as a valuable tool for improving surgical practices and patient outcomes in this population. Level of evidence IV case series. © Scoliosis Research Society 2021 |
| abstract_unstemmed |
Purpose The Clavien–Dindosink (CDS) classification system provides more treatment-focused granularity than subjective methods of describing surgical complications; however, it has not been validated in posterior spinal fusion (PSF) for adolescent idiopathic scoliosis (AIS). The purpose of this study was to modify the CDS system for application in patients with AIS undergoing PSF to assess its inter- and intra-rater reliability for describing complications faced by this population. Methods A review of all complications specific to patients with AIS captured in a large multicenter international database was performed. All complications were classified according to CDS, modified by addition of “prolonged initial hospital stay” as a criterion for Grade II. A survey of this complication list and an additional 20 clinical vignettes (sent out on two occasions) was sent to nine spinal deformity surgeons. Weighted kappa values were used to determine inter- and intra-rater reliability. Results The Fleiss κ value for interrater reliability among 5 respondents grading all AIS complications was 0.8 (very good). For each grade, interrater reliability was very good, with an overall range of 0.8–1. The overall kappa value for intrarater reliability among eight respondents grading 20 vignettes was between 0.6 (good) and 0.9 (very good). Conclusion The modified CDS classification system has very good interrater and intrarater reliability in describing complications following PSF in patients with AIS. This system may be of greater utility for reporting outcomes than a “major” versus “minor” complication system and can serve as a valuable tool for improving surgical practices and patient outcomes in this population. Level of evidence IV case series. © Scoliosis Research Society 2021 |
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Modified Clavien–Dindo–sink classification system for adolescent idiopathic scoliosis |
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https://dx.doi.org/10.1007/s43390-021-00394-4 |
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Stone, Joseph D. Keil, Lukas G. Bastrom, Tracey P. Erickson, Mark A. Yaszay, Burt Cahill, Patrick J. Parent, Stefan Gabos, Peter G. Newton, Peter O. Glotzbecker, Michael P. Kelly, Michael P. Pahys, Joshua M. Fletcher, Nicholas D. |
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Stone, Joseph D. Keil, Lukas G. Bastrom, Tracey P. Erickson, Mark A. Yaszay, Burt Cahill, Patrick J. Parent, Stefan Gabos, Peter G. Newton, Peter O. Glotzbecker, Michael P. Kelly, Michael P. Pahys, Joshua M. Fletcher, Nicholas D. |
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10.1007/s43390-021-00394-4 |
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2024-07-03T19:14:41.578Z |
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| score |
7.4018183 |