Abstract
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.
Keywords
Clavien–Madadi classification - ERNICA - EPSA - surgical registries
