Evidence map›Paper›PMID 26563218›Full record

ArticleWorld journal of surgery2016

Cholecystectomy During the Weekend Increases Patients' Length of Hospital Stay.

Josephine Philip Rothman, Jakob Burcharth, Hans-Christian Pommergaard, Jacob Rosenberg

Abstract read
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In one paragraph

Article in World journal of surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 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.

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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Comparison of perioperative outcomes between colorectal operations performed on weekends vs those performed on weekdays.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2024
    Article
  4. Observational
  5. Article
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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.

Josephine Philip RothmanDepartment of Surgery, Center for Perioperative Optimization, Herlev Hospital, University of Copenhagen, Herlev Ringvej 75, 2730, Copenhagen, Denmark. josephineprothman@gmail.com.ORCID http://orcid.org/0000-0002-7301-2702
Jakob BurcharthDepartment of Surgery, Center for Perioperative Optimization, Herlev Hospital, University of Copenhagen, Herlev Ringvej 75, 2730, Copenhagen, Denmark.
Hans-Christian PommergaardDepartment of Surgery, Center for Perioperative Optimization, Herlev Hospital, University of Copenhagen, Herlev Ringvej 75, 2730, Copenhagen, Denmark.
Jacob RosenbergDepartment of Surgery, Center for Perioperative Optimization, Herlev Hospital, University of Copenhagen, Herlev Ringvej 75, 2730, Copenhagen, Denmark. josephineprothman@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA higher risk of complications and mortality has previously been proven in selected settings. The purpose of this study was to investigate whether length of stay differentiates throughout the week and register if intra- and postoperative complications vary on weekends compared to weekdays.

methodsThe population originated from the Danish Cholecystectomy Database. It consists of adult patients, who had a cholecystectomy performed by standard four-port laparoscopic or open surgery. Adjusted analyses were used to study if day of the week had an influence on conversion, readmission within 30 days, post-operative supplemental procedures within 30 days, and variance in postoperative length of stay across the week.

resultsA total of 28,759 patients were included in the study. We found no difference in conversion rate, readmission within 30 days, or post-operative procedures within 30 days between week time and weekend time. A longer postoperative length of stay was observed for patients operated on Fridays and Saturdays even though surgical complication rates were alike between weekdays. Patients with acute cholecystitis had a longer length of stay on Saturdays.

conclusionWe found no evidence of a higher risk of conversions, post-operative procedures, or readmission during weekends compared with weekdays. Despite this, a prolonged length of stay was observed in patients operated with cholecystectomy on Fridays and Saturdays. The observed difference could be due to ward rounds on weekends mainly focus on the sickest patients leaving less time for discharge.

Indexed as

RegistriesAdultAfter-Hours CareAgedCholecystectomyCholecystectomy, LaparoscopicCholecystitis, AcuteConversion to Open SurgeryDatabases, FactualDenmarkFemaleHumansLength of StayLogistic ModelsMaleMiddle Aged

Identifiers

What OpenQuestion holds

Textmetadata
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.