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Preoperative patient characteristics were the most important predictors of postoperative mortality in a large study of the Veterans Aairs database, but operative complexity became a significant predictor with highly complex procedures [ 12].
Studies of surgical outcomes can be confounded by operative complexity.
We hypothesized that analyzing same-day procedures (SDPs) would provide a useful step toward including operative complexity in risk adjustment.
This is known to vary between surgeons, and can also be influenced by patient selection and operative complexity.
Consequently, there will always be a necessity for inpatient hysteroscopy under general anaesthetic, and this cohort of women are at higher risk of complications due to increasing operative complexity, higher incidence of cervical stenosis, postmenopausal cervical atrophy and co-morbidities [7].
Procedures will be classified according to their operative complexity as per the British United Provident Association BUPAA) schedule of procedures.
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A requirement for pre-operative and post-operative radiographs in all patients would create operational complexity, e.g., funding for the investigation.
Conditions independently associated with POPA were pre-operative patient complexity and duration of surgery.
This system that was developed we termed the Operative Score of Complexity index.
Adoption of image-guided surgical techniques has been limited to date amid concerns of increased operative time and complexity of the technology [ 2].
Due to the number and complexity of operative ERCPs performed, radiologists are increasingly faced with urgent requests for investigation of suspected post-procedural complications, which often have similar clinical and laboratory manifestations.
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