Evidence map›Paper›PMID 28489169›Full record

ArticleArquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery

MORTALITY OF URGENCY VERSUS ELECTIVE VIDEOLAPAROSCOPIC CHOLECYSTECTOMY FOR ACUTE CHOLECYSTITIS.

Saulo José Oliveira Felício, Ediriomar Peixoto Matos, Antonio Maurício Cerqueira, Kurt Wolfgang Schindler Freire de Farias, Ramon de Assis Silva, Mateus de Oliveira Torres

Registry-linked trialAbstract readComparative Study
In one paragraph

Article in Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06048575 (Characteristics of the Attention Provided to Patients With Cholecystitis in Villavicencio Hospitals, Colombia), which is not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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.

NCT06048575 completednot on this map

Characteristics of the Attention Provided to Patients With Cholecystitis in Villavicencio Hospitals, Colombia: A Retrospective Cross-sectional Trial.

TypeobservationalSponsorHospital Departamental de VillavicencioRan2025 to 2025Enrolled609ConditionsBiliary Tract DiseasesArmsCholecystectomy
3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. A POPULATION STUDY ON GENDER AND ETHNICITY DIFFERENCES IN GALLBLADDER DISEASE IN BRAZIL.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2022
    Article
  5. DOES MALE GENDER INCREASE THE RISK OF LAPAROSCOPIC CHOLECYSTECTOMY?Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2019
    Article
  6. 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.

Saulo José Oliveira FelícioBahiana Medical School and Public Health, Salvador, BA, Brazil.
Ediriomar Peixoto MatosBahiana Medical School and Public Health, Salvador, BA, Brazil.
Antonio Maurício CerqueiraBahiana Medical School and Public Health, Salvador, BA, Brazil.
Kurt Wolfgang Schindler Freire de FariasBahiana Medical School and Public Health, Salvador, BA, Brazil.
Ramon de Assis SilvaBahiana Medical School and Public Health, Salvador, BA, Brazil.
Mateus de Oliveira TorresBahiana Medical School and Public Health, Salvador, BA, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Surgical approach is still controversial in patients with acute cholecystitis: to treat clinically the inflammatory process and operate electively later or to operate immediately on an emergency basis? Aim: To test the hypothesis that urgent laparoscopic cholecystectomy in acute cholecystitis has a higher mortality than elective laparoscopic cholecystectomy. Methods: From the data available in Datasus, mortality was compared between patients undergoing elective laparoscopic cholecystectomy for cholelithiasis and in urgency. Calculations were made of the relative reduction in risk of death, absolute reduction of risk of death and number needed to treat. Results: From 2009 to 2014 in Brazil, there were 250.439 laparoscopic cholecystectomy and 74.6% were electives. Mortality in the emergency group was 4.8 times higher compared to the elective group (0.0023% vs. 0.00048%). Despite the relative reduction in risk of death (RRR) was 83%, in the calculation of absolute risk was found 0.0018 and number needed to treat of 55,555. Conclusions: Despite the relative risk reduction for mortality was high comparing elective vs. urgent basis, the absolute risk reduction was minimal, since this outcome is very low in both groups, suggesting that mortality should not have much influence on surgical decision.

Indexed as

Cholecystectomy, LaparoscopicElective Surgical ProceduresEmergency TreatmentVideo-Assisted SurgeryAdolescentAdultAgedChildChild, PreschoolCholecystitis, AcuteFemaleHumansInfantMaleMiddle AgedYoung Adult

Identifiers

PMID28489169
PMCPMC5424687

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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.