Evidence map›Paper›PMID 15985239›Full record

ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract

Pain persists in many patients five years after removal of the gallbladder: observations from two randomized controlled trials of symptomatic, noncomplicated gallstone disease and acute cholecystitis.

Morten Vetrhus, Tewelde Berhane, Odd Søreide, Karl Søndenaa

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01190280 (Indications for Gallbladder Surgery in Gallstone Disease), which is not on this map. Cited by 29 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 5 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.

NCT01190280 completednot on this map

Indications for Gallbladder Surgery in Gallstone Disease

TypeobservationalSponsorHaraldsplass Deaconess HospitalRan1991 to 2010Enrolled500ConditionsGallstonesArmsCholecystectomy operation
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. Acute cholecystitis.BMJ clinical evidence · 2014
    Pooled it
  3. Pooled it
  4. Acute cholecystitis.BMJ clinical evidence · 2011
    Pooled it
  5. Acute cholecystitis.BMJ clinical evidence · 2008
    Pooled it
  6. Trial
  7. Trial
  8. Article
  9. Observational
  10. Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Review
  16. Safety of early same-admission laparoscopic cholecystectomy for acute mild biliary pancreatitis. A retrospective study for acute pancreatitis.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2022
    Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Morten VetrhusDepartment of Surgery, Stavanger University Hospital, Stavanger, Norway. mvetrhus@chello.no
Tewelde Berhane
Odd Søreide
Karl Søndenaa

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

After removal of the gallbladder, pain may persist in some patients. To study this condition, 124 patients from two randomized trials, including those with symptomatic noncomplicated gallbladder stones (n = 90) and acute cholecystitis (n = 34), were interviewed, while 139 patients (90%) excluded from both trials responded to a questionnaire 5 years after the operation. Thirty-four patients (27%) of those randomized had pain; 23 (18%) had diffuse, steady pain; and 11 (9%) had pain attacks resembling their preoperative symptoms. A significant dominance of diffuse pain occurred in women (P = 0.024), especially those younger than 60 years (P = 0.004). A tendency for the diffuse type to be dominant was also present in the group of female patients with symptomatic noncomplicated gallbladder stones (P = 0.052). Of the excluded patients, 18% (25/139) had pain, but 88% of them (96% of the men and 87% of the women) were satisfied with the result of the operation. The overall number of patients with postoperative pain was 22% (59/263). We conclude that persisting abdominal pain 5 years after the operation was mainly of a nonspecific type, found mostly in younger women who had had noncomplicated gallstone disease. Eighty-eight percent of the excluded patients declared themselves satisfied with the result of cholecystectomy.

Indexed as

AdultAgedAged, 80 and overAge DistributionCholecystectomyCholecystitisCholelithiasisFemaleFollow-Up StudiesHumansMaleMiddle AgedPain MeasurementPostoperative PainProbabilityRandomized Controlled Trials as Topic

Identifiers

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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.