Proposal for a New Tool for Postoperative Surgical Complications Assessment: The Pediatric Clavien-Dindo Classification (PCDC)

jpedsurg.org

Currently, there is no validated reporting system for postoperative complications in pediatric surgery [1,2]. The Clavien-Dindo classification (CDC) is the most commonly used for postoperative surgical complications (Table 1) [1,3]. This tool was developed and validated for adult general abdominal surgery [3]. However, the CDC is frequently adopted in other specialties, even within the field of pediatric surgery [1]. Moreover, according to a recent systematic review CDC was used in all the pediatric studies that adopted a reporting system for postoperative complications [1].

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Article · Apr 2024 · 1 min read

In brief

This article proposes adapting the adult Clavien-Dindo classification for pediatric surgical complications. Currently no validated pediatric-specific system exists, despite CDC being widely used in pediatric studies without formal validation for this population.

No validated postoperative complication reporting system exists specifically for pediatric surgery.
Clavien-Dindo Classification (CDC) was developed for adult abdominal surgery but is widely adopted in pediatrics.
A pediatric-specific adaptation (PCDC) is proposed to address limitations of applying adult criteria to children.
Systematic reviews show CDC is the most commonly used system in pediatric surgical complication studies.
Standardized pediatric complication reporting could improve quality assessment and research comparability.

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