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An observational study of the timing of surgery, use of laparoscopy and outcomes for acute cholecystitis in the USA and UK
- Source :
- Surgical Endoscopy. 32:3055-3063
- Publication Year :
- 2018
- Publisher :
- Springer Science and Business Media LLC, 2018.
-
Abstract
- BACKGROUND: Evidence supports early laparoscopic cholecystectomy for acute cholecystitis. Differences in treatment patterns between the USA and UK, associated outcomes and resource utilization are not well understood. METHODS: In this retrospective, observational study using national administrative data, emergency patients admitted with acute cholecystitis were identified in England (Hospital Episode Statistics 1998-2012) and USA (National Inpatient Sample 1998-2011). Proportions of patients who underwent emergency cholecystectomy, utilization of laparoscopy and associated outcomes including length of stay (LOS) and complications were compared. The effect of delayed treatment on subsequent readmissions was evaluated for England. RESULTS: Patients with a diagnosis of acute cholecystitis totaled 1,191,331 in the USA vs. 288 907 in England. Emergency cholecystectomy was performed in 628,395 (52.7% USA) and 45,299 (15.7% England) over the time period. Laparoscopy was more common in the USA (82.8 vs. 37.9%; p
- Subjects :
- Male
Laparoscopic surgery
medicine.medical_treatment
Cholecystitis, Acute
030230 surgery
law.invention
Postoperative Complications
0302 clinical medicine
Randomized controlled trial
law
Laparoscopy
QUALITY IMPROVEMENT PROGRAM
medicine.diagnostic_test
Incidence
Incidence (epidemiology)
COST
Middle Aged
ACUTE GALLBLADDER-DISEASE
Quality
Cholecystectomy, Laparoscopic
England
030220 oncology & carcinogenesis
Female
Life Sciences & Biomedicine
medicine.medical_specialty
CHOLECYSTECTOMY
International comparisons
Operative Time
AMERICAN-COLLEGE
Time-to-Treatment
03 medical and health sciences
MANAGEMENT
medicine
Humans
Retrospective Studies
Science & Technology
ACUTE GALLSTONE DISEASE
business.industry
General surgery
1103 Clinical Sciences
Length of Stay
medicine.disease
United States
RANDOMIZED-TRIAL
Acute cholecystitis
HEALTH-CARE
Cholecystitis
Surgery
Cholecystectomy
Observational study
business
HOSPITAL EPISODE STATISTICS
Abdominal surgery
Subjects
Details
- ISSN :
- 14322218 and 09302794
- Volume :
- 32
- Database :
- OpenAIRE
- Journal :
- Surgical Endoscopy
- Accession number :
- edsair.doi.dedup.....3721a8d141c2e14595a78b493bc59358