Published online Jun 21, 2019. doi: 10.3748/wjg.v25.i23.2833
Peer-review started: March 22, 2019
First decision: April 5, 2019
Revised: April 11, 2019
Accepted: April 19, 2019
Article in press: April 21, 2019
Published online: June 21, 2019
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.