ArticleDeutsches Arzteblatt international2015
Deaths Following Cholecystectomy and Herniotomy: An Analysis of Nationwide German Hospital Discharge Data From 2009 to 2013.
Article in Deutsches Arzteblatt international, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Comparison of Efficacy and Safety of Endoscopic Retrograde Cholangiopancreatography in Choledocholithiasis Patients at Different Age Groups: A Meta-Analysis.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2025Pooled it
- Are We Overtesting? Rethinking Routine Blood Work After Low-Risk Laparoscopic Cholecystectomy: A Retrospective Study.Medicina (Kaunas, Lithuania) · 2025Article
- Determinants of prehospital and in-hospital delay in patients with symptomatic carotid stenosis and their influence on the outcome after elective carotid endarterectomy.Stroke and vascular neurology · 2025Article
- Association Between Hospital Policy on Local Versus General Anesthesia, and Outcomes of Carotid Endarterectomy: Secondary Data Analysis of the German Statutory Carotid Quality Assurance Database.Stroke (Hoboken, N.J.) · 2024Article
- Association of Centre Quality Certification with Characteristics of Patients, Management, and Outcomes Following Carotid Endarterectomy or Carotid Artery Stenting.Journal of clinical medicine · 2024Article
- Determinants of Pre- and Post-Procedural Neurological Assessment, and Outcome of Carotid Endarterectomy or Stenting.Journal of clinical medicine · 2024Article
- A nationwide population-based study on the clinical and economic burden of anastomotic leakage in colorectal surgery.Langenbeck's archives of surgery · 2023Article
- A POPULATION STUDY ON GENDER AND ETHNICITY DIFFERENCES IN GALLBLADDER DISEASE IN BRAZIL.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2022Article
- Routine postoperative blood tests fail to reliably predict procedure-related complications after laparoscopic cholecystectomy.Langenbeck's archives of surgery · 2021Article
- Heart Failure Is a Poor Prognosis Risk Factor in Patients Undergoing Cholecystectomy: Results from a Spanish Data-Based Analysis.Journal of clinical medicine · 2021Article
- Acute Appendicitis: Trends in Surgical Treatment—A Population-Based Study of Over 800 000 Patients.Deutsches Arzteblatt international · 2021Observational
- Management of complicated gallstones in the elderly: comparing surgical and non-surgical treatment options.Gastroenterology report · 2019Article
- Hospital Incidence and In-Hospital Mortality of Surgically and Interventionally Treated Aortic Dissections: Secondary Data Analysis of the Nationwide German Diagnosis-Related Group Statistics From 2006 to 2014.Journal of the American Heart Association · 2019Article
- [Impact of medical TV series on surgical hospital patient's perception of reality].Der Unfallchirurg · 2018Article
- Left Gastric Artery Embolization for Weight Loss-a Dead-End Procedure.Obesity surgery · 2018Article
- [Operative treatment of diabetics with vascular complications : Secondary data analysis of diagnosis-related groups statistics from 2005 to 2014 in Germany].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2018Article
- Incidence, Treatment and Mortality in Patients with Abdominal Aortic Aneurysms.Deutsches Arzteblatt international · 2017Article
- Reservations Regarding the Suitability of the DRG System.Deutsches Arzteblatt international · 2016Article
- In Reply.Deutsches Arzteblatt international · 2016Article
- Administrative Data Should Be Questioned.Deutsches Arzteblatt international · 2016Article
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Abstract
backgroundIn 2010, 158 000 cholecystectomies and 207 000 herniotomies (without bowel surgery) were performed in Germany as inpatient procedures, generally on a routine, elective basis. Deaths following such operations are rare events. We studied the potential association of death after cholecystectomy or herniotomy with risk factors that could have been detected beforehand, and we examined the types of complications that were documented in these cases.
methodsUsing nationwide hospital discharge data (DRG statistics) for the years 2009-2013, we analyzed the characteristics of patients who died in the hospital after undergoing a cholecystectomy for cholelithiasis or the repair of an inguinal, femoral, umbilical, or abdominal wall hernia. We compared these data with those of patients who survived and studied the impact of the coded comorbidities on the risk of death.
resultsIn Germany, in the years 2009-2013, there were 2957 deaths after a total of 731 000 cholecystectomies (in-hospital mortality, 0.4%) and 1316 deaths after a total of 1 023 000 herniotomies without bowel surgery (0.13%). The patients who died were markedly older than those who did not, and they more commonly had comorbidities. Factors associated with a higher risk of death were age over 65 years, and comorbidities such as congestive heart failure, chronic pulmonary or hepatic disease, or poor nutritional status. Complications were coded much more often for the patients who died than for those who did not.
conclusionThese findings suggest that there is potential for improvement in preoperative risk identification, complication avoidance, and the early recognition and treatment of complications, as well as in safe surgical technique. Measures to lower the mortality associated with herniotomy and cholecystectomy would lessen patients' individual risk and thereby improve patient safety.
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