Evidence map›Paper›PMID 20824273›Full record

ArticleWorld journal of surgery2010

Changing approaches to cholecystectomy in elderly patients: a 10-year retrospective study in Taiwan.

Hon-Yi Shi, King-Teh Lee, Yih-Huei Uen, Chong-Chi Chiu, Hao-Hsien Lee

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Article in World journal of surgery, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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5 · Who and what money

Authors and funding

5 authors.

Hon-Yi ShiGraduate Institute of Healthcare Administration, Kaohsiung Medical University, Kaohsiung, Taiwan.
King-Teh Lee
Yih-Huei Uen
Chong-Chi Chiu
Hao-Hsien Lee

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe prevalence of symptomatic gallbladder diseases increases with age. The present study evaluated cholecystectomy risk factors and hospital resource utilization in an elderly (aged 60 years and older) population of patients who had undergone open cholecystectomy (OC) or laparoscopic cholecystectomy (LC).

methodsThe study analyzed 20,538 OC and 29,318 LC procedures performed in Taiwan from 1996 to 2007. Odds ratio (OR) and 95% confidence interval were calculated to assess the relative change rate. Regression models were employed to predict length of stay (LOS) and total surgical cost.

resultsPatient characteristics associated with increased likelihood of undergoing LC were age 60-69 years, female gender, and lack of current co-morbidities. Length of stay associated with both OC and LC decreased during the study period. Total surgical cost for elderly OC patients increased during the study period, whereas that for elderly LC patients declined. Compared to OC patients, LC patients had significantly larger changes in LOS (-2.27 days) and total surgical cost ($ -368.64 U.S. dollars) (p < 0.001). The following factors were associated with considerable increases in both LOS and total surgical cost: advanced age, female gender, presence of one or more co-morbidities, treatment in a regional or a district hospital, and long LOS.

conclusionsDecreases in hospital resource utilization were larger in elderly LC patients than in elderly OC patients. Health care providers and patients should observe that hospital resource utilization may depend on hospital attributes as well as patient attributes. These analytical results should be applicable to similar elderly populations in other countries.

Indexed as

AgedAged, 80 and overCholecystectomyCholecystectomy, LaparoscopicFemaleGallbladder DiseasesHealth ResourcesHospitalsHumansMaleMiddle AgedRetrospective StudiesRisk FactorsTaiwan

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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.