Evidence map›Paper›PMID 31908395›Full record

ArticleWorld journal of gastroenterology2019

Operative complications and economic outcomes of cholecystectomy for acute cholecystitis.

Christopher P Rice, Krishnamurthy B Vaishnavi, Celia Chao, Daniel Jupiter, August B Schaeffer, Whitney R Jenson, Lance W Griffin, William J Mileski

Abstract read
In one paragraph

Article in World journal of gastroenterology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing 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.

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

32 citing papers in PubMed.

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  15. Prospective evolution of body compositions based on bioelectrical impedance analysis and water intake on patients with gallstone.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2023
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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.

Christopher P RiceSchool of Medicine, University of Texas Medical Branch, Galveston, TX 77555, United States.
Krishnamurthy B VaishnaviSchool of Medicine, University of Texas Medical Branch, Galveston, TX 77555, United States.
Celia ChaoDepartment of Surgery, University of Texas Medical Branch, Galveston, TX 77555, United States.
Daniel JupiterDepartment of Preventive Medicine and Community Health, Department of Biostatistics, University of Texas Medical Branch, Galveston, TX 77555, United States.
August B SchaefferSchool of Medicine, University of Texas Medical Branch, Galveston, TX 77555, United States.
Whitney R JensonDepartment of Surgery, University of Texas Medical Branch, Galveston, TX 77555, United States.
Lance W GriffinDepartment of Surgery, University of Texas Medical Branch, Galveston, TX 77555, United States.
William J MileskiDepartment of Surgery, University of Texas Medical Branch, Galveston, TX 77555, United States. wmileski@utmb.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecent management of acute cholecystitis favors same admission (SA) or emergent cholecystectomy based on overall shorter hospital stay and therefore cost savings. We adopted the practice of SA cholecystectomy for the treatment of acute cholecystitis at our tertiary care center and wanted to evaluate the economic benefit of this practice. We hypothesized that the existence of complications, particularly among patients with a higher degree of disease severity, during SA cholecystectomy could negate the cost savings.

aimTo compare complication rates and hospital costs between SA

methodsUnder an IRB-approved protocol, complications and charges for were obtained for SA, later after conservative management (Delayed), or elective cholecystectomies over an 8.5-year period. Patients were identified using the acute care surgery registry and billing database. Data was retrieved

resultsFour hundred eighty-six (87.7%) underwent a SA while 68 patients (12.3%) received Delayed cholecystectomy. Complication rates were increased after SA compared to Delayed cholecystectomy (18.5%

conclusionPatients with Tokyo Grade 2 acute cholecystitis had more complications and increased hospital charges when undergoing SA cholecystectomy. This data supports a selective approach to SA cholecystectomy for acute cholecystitis.

Indexed as

AdultCholecystectomyCholecystitis, AcuteClinical Decision-MakingCost SavingsFemaleHospital CostsHumansLength of StayMaleMiddle AgedPatient SelectionPostoperative ComplicationsRetrospective StudiesSeverity of Illness IndexTertiary Care CentersAcute cholecystitisCholecystectomyComplicationsDelayed cholecystectomyTokyo guidelines

Identifiers

PMID31908395
PMCPMC6938729

What OpenQuestion holds

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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.