Evidence map›Paper›PMID 32090306›Full record

SynthesisAnaesthesiology intensive therapy2020

Readmission to hospital following laparoscopic cholecystectomy: a meta-analysis.

Caroline McIntyre, Alison Johnston, Deirdre Foley, Jack Lawler, Magda Bucholc, Louise Flanagan, Michael Sugrue

Open access · diamondAbstract readMeta-Analysis
In one paragraph

Synthesis in Anaesthesiology intensive therapy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 5% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 2 countries.

Caroline McIntyreDepartment of Surgery, Letterkenny University Hospital, Donegal, Ireland.
Alison JohnstonEmergency Surgery Outcome Advancement Project, Donegal Clinical and Research Academy, Donegal, Ireland.
Deirdre FoleyDepartment of Surgery, Letterkenny University Hospital, Donegal, Ireland.
Jack LawlerDepartment of Surgery, Letterkenny University Hospital, Donegal, Ireland.
Magda BucholcEU INTERREG Centre for Personalised Medicine project, Intelligent Systems Research Centre, School of Computing, Engineering and Intelligent Systems, Ulster University, Northern Ireland.
Louise FlanaganEmergency Surgery Outcome Advancement Project, Donegal Clinical and Research Academy, Donegal, Ireland.
Michael SugrueDepartment of Surgery, Letterkenny University Hospital, Donegal, Ireland.
Letterkenny University Hospital · IEUniversity of Ulster · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLaparoscopic cholecystectomy (LC) is one of the most commonly performed surgical procedures. Despite this, patterns of readmission following LC are not well defined. This meta-analysis aimed to determine rates and predictors of readmission.

methodsAn ethically approved International Prospective Register of Systematic Reviews (PROSPERO)-registered meta-analysis was undertaken searching PubMed, Scopus, Web of Science and Cochrane Library databases from January 2013-June 2018 adhering to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. Published literature potentially suitable for data analysis was graded using methodological index for non-randomised studies (MINORS) criteria; papers scoring ≥ 16/24 for comparative and ≥ 10/16 for non-comparative studies were included. A meta-analysis of potential risk factors was performed by computing the odds ratio using Mantel-Haenszel method and fixed-effects model with 95% confidence intervals.

resultsThree thousand and eight hundred thirty-two articles were reduced to 44 studies qualifying for a final analysis of 1,573,715 laparoscopic cholecystectomies from 25 countries. Overall readmission rate was 3.3% (range: 0.0-11.7%); 52,628 readmissions out of 1,573,715 LCs. Surgical complications accounted for 76% of reported reasons for readmission, predominantly bile duct complications (33%), wound infection (17%) and nausea and vomiting (9%). Pain (15%) and cardiorespiratory complications (8%) account for the remainder. Obesity, single port LC and day case LC were not associated with increased rates.

conclusionsPain, nausea and vomiting and surgical complications, particularly bile duct obstruction are the most common causes for readmission. Intra-operative cholangiography may reduce readmission rates. Causes for readmission were inconsistently reported throughout. The mean readmission rate of 3.3% may act as a quality benchmark for improving LC, and clearer reporting of reasons for readmission are required to advance care.

Indexed as

Cholecystectomy, LaparoscopicHumansPatient ReadmissionPostoperative ComplicationsRisk Factorslaparoscopic cholecystectomyquality carereadmissionsurgical outcomes

Identifiers

PMID32090306
PMCPMC10173143
OpenAlexW3011572319

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.