Clinical trial · Observational
Comparing CCI and POSSUM for Predicting Oncogynecologic Surgery Complications
A Comparison of the Charlson Comorbidity Index (CCI) vs POSSUM Score for Prediction of Perioperative Complications in Patients Undergoing Oncogynecologic Surgery
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
With the global rates of gynecologic cancers on the rise, optimizing perioperative care is imperative. Accurate risk prediction is essential for enhancing patient care, directing preoperative interventions, and facilitating informed decision-making in oncology. This research compares two widely-used risk assessment tools: the Charlson Comorbidity Index (CCI) and the Physiological and Operative Severity Score for the enUmeration of Mortality and Morbidity (POSSUM), in predicting perioperative outcomes. The CCI predominantly addresses comorbidities, providing simplicity and broad applicability, while POSSUM incorporates both physiological and operative factors for a more comprehensive risk assessment. Despite their application across various surgical specialties, the specific utility of these tools in onco-gynecologic surgery remains insufficiently explored. The study aims to evaluate the effectiveness of CCI and POSSUM in predicting perioperative complications, with a focus on the incidence of these complications, length of hospital stay, and 30-day mortality. The implementation of these risk tools may enhance multidisciplinary risk management, thus improving patient outcomes in gynecologic oncology surgery.
Conditions
Conditions (3)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Gynecologic Surgical Procedures | — | UNRESOLVED | — |
| Perioperative Care | — | UNRESOLVED | — |
| Risk Assessment | — | UNRESOLVED | — |
Interventions
Interventions (2)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| CCI score | Other | — | UNRESOLVED |
| POSSUM score | Other | — | UNRESOLVED |
Design
Arms and outcomes
Arms (0)
[]Primary outcomes (1)
- measure
- Comparison of CCI and POSSUM to predict perioperative complications
- timeFrame
- from the date of starting surgery to the date of hospital discharge, up to 30 days
- description
- To compare the prediction of perioperative anesthetic and surgical morbidity by the Charlson-Comorbidity Index versus POSSUM score in patients undergoing elective onco-gynecological surgery
Secondary outcomes (11)
- measure
- Intraoperative hypotension
- timeFrame
- Within 24 hours from starting of surgery
- description
- Intraoperative complications related to anesthesia: intraoperative hypotension
- measure
- Quantity of intraoperative blood loss
- timeFrame
- Within 24 hours from starting of surgery
- description
- Intraoperative blood loss estimated by anesthetic personnel
Eligibility
Eligibility (as posted)
- Sex
- Female
- Minimum age
- 18 Years
Show eligibility criteria text
Inclusion Criteria: * Age \> 18 years * Patient underwent elective onco-gynecologic surgery Exclusion Criteria: * Patient required emergency surgery from any indication * Patient chart that not contained primary outcome data eg. absent of the anesthetic record
References
Publications (0)
Data not yet available