Observational studyInternational journal for quality in health care : journal of the International Society for Quality in Health Care2021
Measuring the impact of delayed access to elective cholecystectomy through patient's cost-utility: an observational cohort study.
Observational study in International journal for quality in health care : journal of the International Society for Quality in Health Care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 15 citations in OpenAlex.
- MANagement of Gallstone disease in the Older patient (MANGO): clinical and quality of life outcomes from a prospective multicentre cohort study.BMC surgery · 2026Observational
- The Cost Effectiveness of Elective Surgical Procedures with Longer NHS Waiting Lists: A Targeted Review.Applied health economics and health policy · 2025Review
- COVID-free surgical pathways for treating patients with acute calculous cholecystitis: a retrospective comparative study.Frontiers in surgery · 2024Article
- Risk-adjusted policies to minimise perioperative staffing shortages during a pandemic: An agent-based simulation study.Epidemiology and infection · 2023Article
- Survey of the Impact of COVID-19 on Chronic Liver Disease Patient Care Experiences and Outcomes.Journal of the Canadian Association of Gastroenterology · 2023Article
- The overall impact of COVID-19 on healthcare during the pandemic: A multidisciplinary point of view.Health science reports · 2021Review
- Incarceration and emergency department visit frequency as predictors for missing day of cataract surgery at County hospital.The journal of medicine accessArticle
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDeferral of surgeries due to COVID-19 has negatively affected access to elective surgery and may have deleterious consequences for patient's health. Delays in access to elective surgery are not uniform in their impact on patients with different attributes. The objective of this study is to measure the change in patient's cost utility due to delayed elective cholecystectomy.
methodsThis study is based on retrospective analysis of a longitudinal sample of participants who have had elective cholecystectomy and completed the EQ-5D(3L) measuring health status preoperatively and postoperatively. Emergent cases were excluded. Patients younger than 19 years of age, unable to communicate in English or residing in a long-term care facility were ineligible. Quality-adjusted life years attributable to cholecystectomy were calculated by comparing health state utility values between the pre- and postoperative time points. The loss in quality-adjusted life years due to delayed access was calculated under four assumed scenarios regarding the length of the delay. The mean cost per quality-adjusted life years are shown for the overall sample and by sex and age categories.
resultsAmong the 646 eligible patients, 30.1% of participants (N = 195) completed their preoperative and postoperative EQ-5D(3L). A delay of 12 months resulted in a mean loss of 6.4%, or 0.117, of the quality-adjusted life years expected without the delay. Among patients older than 70 years of age, a 12-month delay in their surgery corresponded with a 25.1% increase in the cost per quality-adjusted life years, from $10 758 to $13 463.
conclusionsThere is a need to focus on minimizing loss of quality of life for patients affected by delayed surgeries. Faced with equal delayed access to elective surgery, triage may need to prioritize older patients to maximize their health over their remaining life years.
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