Publication Name	World Journal of Gastroenterology
Manuscript ID	47738
Country	Spain

Category	Gastroenterology & Hepatology
Manuscript Type	Editorial
Article Title	Postoperative complications in gastrointestinal surgery: A “hidden” basic quality indicator
Manuscript Source	Invited Manuscript
All Author List	Roberto de la Plaza Llamas and José M Ramia
Funding Agency and Grant Number
Corresponding Author	Roberto de la Plaza Llamas, FACS, MD, MSc, PhD, Associate Professor, Doctor, Medical Assistant, Surgeon, Surgical Oncologist, Department of General and Digestive Surgery, Hospital Universitario de Guadalajara, Calle del donante de sangre s/n, Guadalajara 19002, Spain. dlplr@yahoo.es
Key Words	Morbidity; Postoperative complications; Health policy; Comprehensive Complication Index; Clavien-Dindo Classification; Complication Severity Score
Core Tip	Postoperative complications represent a basic quality indicator for measuring surgical outcomes, but at present they are not systematically recorded. A more thorough assessment of their impact could help to determine the real morbidity, establish measures for improvement, increase efficiency and identify benchmarking services. The use of the Clavien Dindo Classification of Complications and the Comprehensive Complication Index would allow us to compare them. Surgical staff must be encouraged to report and classify complications and to record 90-d morbidity rates in all patients. External audits are necessary, and ensuring transparency in the reporting of the results is an urgent obligation.
Citation	De la Plaza Llamas R, Ramia JM. Postoperative complications in gastrointestinal surgery: A “hidden” basic quality indicator. World J Gastroenterol 2019; 25(23): 2833-2838

Received	2019-03-22 01:33
Peer-Review Started	2019-03-22 06:45
To Make the First Decision	2019-04-08 01:02
Return for Revision	2019-04-08 05:44
Revised	2019-04-11 18:45
Second Decision	2019-04-19 07:40
Accepted by Journal Editor-in-Chief
Accepted by Company Editor-in-Chief	2019-04-20 01:43
Articles in Press	2019-04-20 01:43
Publication Fee Transferred
Edit the Manuscript by Language Editor	2019-04-25 21:11
Typeset the Manuscript	2019-06-19 03:52

ISSN	1007-9327 (print) and 2219-2840 (online)
Open Access	This is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
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