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Deriving Clavien-Dindo Classification from Administrative Data: Development and External Validation in Hepatobiliary Surgery.

2026-05-28, Annals of surgery (10.1097/SLA.0000000000007105) (online)
Stylianos Tzedakis, Louis Romengas, Diana Berzan, Charlotte Ronde-Roupie, Heithem Jeddou, Alix Dhote, Charles De Ponthaud, Andrea Lazzati, Agathe Guilloux, Safi Dokmak, Mickaël Lesurtel, David Fuks, and Sandrine Katsahian (?)
Routine electronic health records (HER)/administrative data could enable time- and cost-efficient, real-time surveillance and health-economic evaluation of hepatobiliary postoperative complications, yet no validated algorithm currently exists. We aimed to develop and externally validate an interpretable procedure-code-based, internationally portable algorithm classifying 30-day complications by Clavien-Dindo (CDC) grades and to compare its performance to machine learning (ML) approaches.
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