ArticleJournal of general internal medicine1994
The influence of age on clinical and patient-reported outcomes after cholecystectomy.
Article in Journal of general internal medicine, 1994. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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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.
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.
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Who cites it
3 citing papers in PubMed.
- The Influence of Clinical and Patient-Reported Outcomes on Post-surgery Satisfaction in Cholecystectomy Patients.World journal of surgery · 2017Article
- Constructs of burden of illness in older patients with breast cancer: a comparison of measurement methods.Health services research · 2001Article
- Is cholecystectomy effective treatment for symptomatic gallstones? Clinical outcome after long-term follow-up.Annals of the Royal College of Surgeons of England · 1998Review
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectiveTo examine the relationship between the age of cholecystectomy patients and surgical complications, length of stay, symptom relief, and postdischarge functional status.
designPatients' medical records were reviewed and patients were sent a questionnaire three months after hospital discharge.
settingFour university-affiliated teaching hospitals. PATIENTS: 372 patients who had a primary operation of total cholecystectomy. OUTCOME MEASURES: In-hospital complications, length of stay, patient satisfaction, symptom relief, and functional status after discharge.
resultsPatients over the age of 60 years experienced a higher major postoperative complication rate than did younger patients (p < 0.01), although the overall major complication rate was too low to determine whether factors other than age were important predictors. There was no age-related difference in minor postoperative complication rates. The older patients had a longer mean length of stay, even after statistical adjustment for covariates (p < 0.05). The older patients reported similar levels of patient satisfaction, but reported recurrence of preoperative abdominal pain less often than did the younger patients (OR = 0.4, 95% CI = 0.2, 0.7). There was no statistically significant difference between the older and younger patients in postoperative functioning, except for work performance. The younger patients reported improvement in postoperative work performance, while the older patients reported a decline (p < 0.01).
conclusionsOlder cholecystectomy patients may experience more postoperative complications but report less recurrence of preoperative abdominal pain than do younger patients. The decline in work performance in older patients may indicate the need for a longer recuperation period.
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