Madadi-Sanjani Omid, Ure Benno M
Department of Pediatric Surgery, Hannover Medical School, Hannover, Germany.
Eur J Pediatr Surg. 2024 Apr;34(2):182-188. doi: 10.1055/a-2196-1755. Epub 2023 Oct 23.
Procedure-related registries in general surgical practice offer a platform for prospective trials, the pooling of data, and detailed outcome analysis. Recommendations by the Idea, Development, Exploration, Assessment, and Long-term follow-up (IDEAL) collaboration and Outcome4Medicine have further improved the uniform reporting of complications and adverse events.In the pediatric surgical network, disease-specific registries for rare and inherited congenital anomalies are gaining importance, fostering international collaborations on studies of low-incidence diseases. However, to date, reporting of complications in the pediatric surgical registries has been inconsistent. Therefore, the European Reference Network for Rare Inherited and Congenital Anomalies (ERNICA) recently endorsed the validation of the first severity grading system for children. The planned reform of the European Paediatric Surgical Audit (EPSA) registry, which includes the implementation of the Clavien-Madadi classification, represents a further effort to establish uniform outcome reporting.This article provides an overview of experiences with surgical registries and complication reporting, along with the potential application of this knowledge to future pediatric surgical practice.
普通外科实践中的手术相关登记处为前瞻性试验、数据汇总和详细的结果分析提供了一个平台。由理念、开发、探索、评估和长期随访（IDEAL）合作组织及医学结果（Outcome4Medicine）提出的建议进一步改进了并发症和不良事件的统一报告。在儿科手术网络中，针对罕见和遗传性先天性异常的疾病特异性登记处正变得越来越重要，促进了关于低发病率疾病研究的国际合作。然而，迄今为止，儿科手术登记处对并发症的报告一直不一致。因此，欧洲罕见遗传性和先天性异常参考网络（ERNICA）最近认可了首个儿童严重程度分级系统的验证。欧洲儿科手术审计（EPSA）登记处的计划改革，包括实施Clavien-Madadi分类，是为建立统一结果报告所做的进一步努力。本文概述了手术登记处和并发症报告的经验，以及这些知识在未来儿科手术实践中的潜在应用。
