Evidence map›Paper›PMID 21445669›Full record

ArticleWorld journal of surgery2011

Safety measures during cholecystectomy: results of a nationwide survey.

K T Buddingh, H S Hofker, H O ten Cate Hoedemaker, G M van Dam, R J Ploeg, V B Nieuwenhuijs

Open access · hybridAbstract readComparative Study
In one paragraph

Article in World journal of surgery, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
3.0field-weighted citation impact, top 9% of its field
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 44 citations in OpenAlex.

  1. Guideline
  2. Pooled it
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  5. Review
  6. Observational
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  10. THE CRITICAL VIEW OF SAFETY PREVENTS THE APPEARANCE OF BILIARY INJURIES? ANALYSIS OF A SURVEY.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2018
    Observational
  11. Article
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  15. The critical view of safety and routine intraoperative cholangiography complement each other as safety measures during cholecystectomy.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2011
    Article
  16. The second 'gallbladder operation'.Journal of minimal access surgery
    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

6 authors at 1 institution in 1 country.

K T BuddinghDepartment of Surgery, University Medical Centre Groningen, P. O. Box 30.001, 9700 RB, Groningen, The Netherlands.
H S Hofker
H O ten Cate Hoedemaker
G M van Dam
R J Ploeg
V B Nieuwenhuijs
University Medical Center Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to identify safety measures practiced by Dutch surgeons during laparoscopic cholecystectomy.

methodAn electronic questionnaire was sent to all members of the Dutch Society of Surgery with a registered e-mail address.

resultsThe response rate was 40.4% and 453 responses were analyzed. The distribution of the respondents with regard to type of hospital was similar to that in the general population of Dutch surgeons. The critical view of safety (CVS) technique is used by 97.6% of the surgeons. It is documented by 92.6%, mostly in the operation report (80.0%), but often augmented by photography (42.7%) or video (30.2%). If the CVS is not obtained, 50.9% of surgeons convert to the open approach, 39.1% continue laparoscopically, and 10.0% perform additional imaging studies. Of Dutch surgeons, 53.2% never perform intraoperative cholangiography (IOC), 41.3% perform it incidentally, and only 2.6% perform it routinely. A total of 105 bile duct injuries (BDIs) were reported in 14,387 cholecystectomies (0.73%). The self-reported major BDI rate (involving the common bile duct) was 0.13%, but these figures need to be confirmed in other studies.

conclusionThe CVS approach in laparoscopic cholecystectomy is embraced by virtually all Dutch surgeons. The course of action when CVS is not obtained varies. IOC seems to be an endangered skill as over half the Dutch surgeons never perform it and the rest perform it only incidentally.

Indexed as

Clinical CompetenceCholangiographyCholecystectomy, LaparoscopicCommon Bile DuctCross-Sectional StudiesFemaleHumansIntraoperative ComplicationsMaleMonitoring, IntraoperativeNetherlandsPractice Patterns, Physicians'Risk AssessmentSafety ManagementSurveys and QuestionnairesTreatment Outcome

Identifiers

PMID21445669
PMCPMC3092925
OpenAlexW1987161604

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.