Evidence map›Paper›PMID 31286250›Full record

Observational studySurgical endoscopy2020

Adverse outcomes and short-term cost implications of bile duct injury during cholecystectomy.

Stephen O'Brien, David Wei, Neal Bhutiani, Mohan K Rao, Stephen S Johnston, Anuprita Patkar, Gary C Vitale, Robert C G Martin

Abstract readMulticenter StudyObservational Study
PubMed Publisher
In one paragraph

Observational study in Surgical endoscopy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 14% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Guideline
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  6. Follow-up study of gallbladder stones in 44 children.World journal of clinical cases · 2024
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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

8 authors at 3 institutions in 1 country.

Stephen O'BrienHiram C. Polk Jr, MD Department of Surgery, University of Louisville, Louisville, KY, USA.
David WeiEpidemiology, Medical Devices, Johnson & Johnson, New Brunswick, NJ, USA.
Neal BhutianiHiram C. Polk Jr, MD Department of Surgery, University of Louisville, Louisville, KY, USA.
Mohan K RaoDepartment of Surgery, Baptist Health, Madisonville, KY, USA.
Stephen S JohnstonEpidemiology, Medical Devices, Johnson & Johnson, New Brunswick, NJ, USA.
Anuprita PatkarFranchise Health Economics and Market Access, Ethicon, Somerville, NJ, USA.
Gary C VitaleHiram C. Polk Jr, MD Department of Surgery, University of Louisville, Louisville, KY, USA.
Robert C G MartinHiram C. Polk Jr, MD Department of Surgery, University of Louisville, Louisville, KY, USA. Robert.Martin@louisville.edu.ORCID 0000-0002-5537-3387
University of Louisville · USJohnson & Johnson (United States) · USBaptist Health Madisonville · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBile duct injury (BDI) is an uncommon but major complication of cholecystectomy that has a poorly defined magnitude of effect on hospital costs. This study sought to calculate the healthcare costs, length of stay, and discharge status associated with bile duct injury in patients undergoing cholecystectomy in the United States.

methodsThe Premier Healthcare Database, which comprises hospital-billing records from over 700 hospitals in the United States, was queried for all patients undergoing cholecystectomy between January 2010 and March 2018. BDI was defined by ICD-9-CM and ICD-10-CM codes. Patient demographics, clinical characteristics, and operative information were extracted. Hospital costs, length of stay, and discharge status were compared between BDI and non-BDI patients. Propensity score matching was used to minimize confounding factors. Multivariable regression models were used to estimate the association between BDI and the outcomes variables.

resultsA total of 1,168,288 cholecystectomies were identified. BDI occurred in 878 patients (0.08%). Laparoscopy was the most common approach (> 95%). The majority of BDI occurred during inpatient admissions (71.0%). BDI patients had higher index admission hospital costs ($18,771 vs. $12,345, p < 0.0001), increased rate of discharge to an institutional post-acute care facility (odds ratio 3.89, 95% CI 2.92-5.19, p < 0.0001), and increased risk of readmission within 30 days after discharge (odds ratio 1.86, 95% CI 1.52-2.28, p < 0.0001), compared to patients without BDI. Among inpatient cholecystectomies, BDI was associated with increased length of stay (8.6 days vs. 4.8 days, p < 0.0001).

conclusionBDI is associated with significantly increased hospital costs, length of stay, 30-day readmission, and discharge to an institutional post-acute care facility.

Indexed as

Propensity ScoreAdolescentAdultAgedBile Duct DiseasesBile DuctsCholecystectomy, LaparoscopicFemaleHospital CostsHumansIncidenceMaleMiddle AgedPatient DischargePatient ReadmissionPostoperative ComplicationsCholecystectomyComplicationCost

Identifiers

PMID31286250
OpenAlexW2959527159

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.