Evidence map›Paper›PMID 14517123›Full record

ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2003

Risk of emergency admission while awaiting elective cholecystectomy.

Boris Sobolev, Dale Mercer, Peter Brown, Mark FitzGerald, Diederick Jalink, Ralph Shaw

Registry-linked trialAbstract read
In one paragraph

Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05745077 (Using Data to Achieve Surgical Health Equity in the Community), which is not on this map. Cited by 23 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05745077 nacompletednot on this mapstarted 2023, after this paper: background citation

Using Data to Achieve Surgical Health Equity in the Community

TypeinterventionalSponsorUniversity of PennsylvaniaRan2023 to 2024Enrolled60ConditionsGallbladder DiseaseArmsTelemedicine Consultation, Traditional Care
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Early Cholecystectomy Is Superior to Delayed Cholecystectomy for Acute Cholecystitis: a Meta-analysis.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2015
    Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Critical Care Aspects of Gallstone Disease.Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2019
    Article
  12. Article
  13. Process mapping as a framework for performance improvement in emergency general surgery.Canadian journal of surgery. Journal canadien de chirurgie · 2018
    Article
  14. Article
  15. Acute Cholecystitis.Viszeralmedizin · 2015
    Review
  16. Article
  17. General surgery 2.0: the emergence of acute care surgery in Canada.Canadian journal of surgery. Journal canadien de chirurgie · 2010
    Article
  18. English NHS waiting times: what next?Journal of the Royal Society of Medicine · 2009
    Article
  19. Article
  20. Risk of incarceration of inguinal hernia among infants and young children awaiting elective surgery.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2008
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Boris SobolevCentre for Clinical Epidemiology and Evaluation, Vancouver Hospital, BC. sobolev@interchange.ubc.ca
Dale Mercer
Peter Brown
Mark FitzGerald
Diederick Jalink
Ralph Shaw

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is uncertainty regarding the frequency of adverse events while on a surgical waiting list. We assess the relationship between the duration of wait for cholecystectomy and the risk of emergency admission.

methodsWe analyzed time to emergency admission in a group of 761 patients who underwent cholecystectomy after being seen in clinic for biliary colic and placed on waiting lists at 2 acute care centres in Ontario, from 1997 to 2000.

resultsEmergency admissions due to worsening symptoms occurred in 51 patients (6.7%) waiting for elective cholecystectomy. The weekly rate of emergency admission was low during the first 19 weeks on the list, but increased almost by a factor of 3 after 20 weeks (rate ratio 2.7; 95% confidence interval 2.0-3.7). Relative to the first 4 weeks on the list, the rate was 1.6 times higher after 20 weeks, 2 times higher after 28 weeks and 7 times higher after 40 weeks.

interpretationThe probability that a patient on a waiting list will be admitted for emergency cholecystectomy consistently increases with the duration of wait, particularly after 20 weeks.

Indexed as

CholecystectomyEmergenciesWaiting ListsAdultAgedConfidence IntervalsFemaleHumansMaleMiddle AgedOntarioRisk FactorsTime Factors

Identifiers

PMID14517123
PMCPMC202282

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.