Evidence map›Paper›PMID 38475792›Full record

Observational studyBMC surgery2024

Outcomes after laparoscopic cholecystectomy in patients older than 80 years: two-years follow-up.

Camilo Ramírez-Giraldo, Luis Carlos Venegas-Sanabria, Susana Rojas-López, Violeta Avendaño-Morales

Registry-linked trialOpen access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06601855 (Cholecystectomy Could be Performed in Adults Older Than 80 Years Old With Mild to Moderate Acute Cholecystitis), which is not on this map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
2.9field-weighted citation impact, top 9% 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.

NCT06601855 completednot on this map

Cholecystectomy Could be Performed in Adults Older Than 80 Years Old With Mild to Moderate Acute Cholecystitis

TypeobservationalSponsorTaipei Medical University Shuang Ho HospitalRan2018 to 2024Enrolled160ConditionsAcute CholecystitisArmsCholecystectomy
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Observational
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
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

4 authors at 2 institutions in 1 country.

Camilo Ramírez-GiraldoSurgery Department, Hospital Universitario Mayor - Méderi, Bogotá, Colombia. ramirezgiraldocamilo@gmail.com.ORCID http://orcid.org/0000-0002-1929-2299
Luis Carlos Venegas-SanabriaResearch Department, Hospital Universitario Mayor - Méderi, Bogotá, Colombia.
Susana Rojas-LópezSurgery Department, Hospital Universitario Mayor - Méderi, Bogotá, Colombia.
Violeta Avendaño-MoralesResearch Department, Hospital Universitario Mayor - Méderi, Bogotá, Colombia.
Hospital Universitario San Ignacio · COHospital Universitario Nacional de Colombia · CO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe laparoscopic cholecystectomy is the treatment of choice for patients with benign biliary disease. It is necessary to evaluate survival after laparoscopic cholecystectomy in patients over 80 years old to determine whether the long-term mortality rate is higher than the reported recurrence rate. If so, this age group could benefit from a more conservative approach, such as antibiotic treatment or cholecystostomy. Therefore, the aim of this study was to evaluate the factors associated with 2 years survival after laparoscopic cholecystectomy in patients over 80 years old.

methodsWe conducted a retrospective observational cohort study. We included all patients over 80 years old who underwent laparoscopic cholecystectomy. Survival analysis was conducted using the Kaplan‒Meier method. Cox regression analysis was implemented to determine potential factors associated with mortality at 24 months.

resultsA total of 144 patients were included in the study, of whom 37 (25.69%) died at the two-year follow-up. Survival curves were compared for different ASA groups, showing a higher proportion of survivors at two years among patients classified as ASA 1-2 at 87.50% compared to ASA 3-4 at 63.75% (p = 0.001). An ASA score of 3-4 was identified as a statistically significant factor associated with mortality, indicating a higher risk (HR: 2.71, CI95%:1.20-6.14).

conclusionsASA 3-4 patients may benefit from conservative management due to their higher risk of mortality at 2 years and a lower probability of disease recurrence.

Indexed as

Cholecystectomy, LaparoscopicCholecystitis, AcuteCholecystostomyGallbladder DiseasesAged, 80 and overFollow-Up StudiesHumansRetrospective StudiesTreatment OutcomeCholecystectomyCholecystitisElderlySurgery

Identifiers

PMID38475792
PMCPMC10935780
OpenAlexW4392717673

What OpenQuestion holds

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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.