フクナガ　ユタカ   Yutaka Fukunaga   福永　豊    所属   川崎医科大学  医学部 臨床医学　形成外科学    職種   講師
論文種別	原著
言語種別	英語
査読の有無	査読あり
表題	The Comprehensive Complication Index in Postoperative Assessment After Head and Neck Reconstruction.
掲載誌名	正式名：Journal of surgical oncology 略　 称：J Surg Oncol ISSNコード：10969098/00224790
掲載区分	国外
巻・号・頁	132(6),pp.1086-1096
著者・共著者	Takeaki Hidaka, Shimpei Miyamoto, Yutaka Fukunaga, Azusa Oshima, Takeshi Shinozaki, Kazuto Matsuura, Takuya Higashino
発行年月	2025/11
概要	BACKGROUND:Postoperative complications significantly impact outcomes in head and neck free-flap reconstruction. The comprehensive complication index (CCI) offers a continuous measure of complication burden but is rarely applied in head and neck surgery compared to the Clavien-Dindo Classification (CDC).METHODS:This retrospective study analyzed 354 patients who underwent head and neck free-flap reconstruction. Complications were graded using the CDC, and the CCI was calculated. Multivariable linear regression was used to identify risk factors for increased CCI values.RESULTS:A total of 413 complications were observed in 252 patients. Analysis using the CCI identified mandibular reconstruction, diabetes mellitus, and prolonged operative time as significant risk factors for increased complication burden, while analysis using the CDC identified only prolonged operative time.CONCLUSIONS:The CCI provides a comprehensive assessment of postoperative morbidity and demonstrates potential for improved evaluation of complication burden in head and neck free-flap reconstruction.LEVEL OF EVIDENCE:Level IV.CLINICAL TRIAL REGISTRATION:This study was registered in the UMIN Clinical Trials Registry as UMIN000055625 (http://www.umin.ac.jp/ctr).
DOI	10.1002/jso.70077
PMID	40916658