Help
Subscribe


GastroHep.com - the global online resource for all aspects of gastroenterology, hepatology and endoscopy

 21 November 2017

Advanced search
GastroHep.com - the global online resource for all aspects of gastroenterology, hepatology and endoscopy Profile of Roy Pounder

Home

News  
Journals
Review Articles
Slide Atlas
Video Clips
Online Books
Advanced Digestive Endoscopy
Classical Cases
Conference Diary
PubMed
International GH Links
USA GH Links
National GH Links
National GI Societies
Other Useful Links




Emails on Gastroenterology and Hepatology
the National AIDS Treatment Advocacy Project
Visit the gastroenterology section of the EUMS

News

Patient demographics predict cholecystectomy outcomes

Patient and hospital demographics affect the outcomes with inpatient cholecystectomy, while increased age, and emergency surgery predict mortality, finds the most recent issue of Surgical Endoscopy.

News image

fiogf49gjkf04

Dr Heniford and colleagues examined the influence of patient and hospital demographics on cholecystectomy outcomes.

Data was obtained from the Healthcare Cost and Utilization Project Nationwide Inpatient Sample database in 2000.

The researchers obtained data for all patients undergoing inpatient cholecystectomy at 994 nationwide hospitals.

The research team determined differences using standard statistical methods.

Of 93,578 cholecystectomies, the team noted that 73% were performed laparoscopically.

Length of hospital stay, charges, morbidity, and mortality were significantly less for laparoscopic cholecystectomy.

The team found that increasing patient age was associated with increased length of hospital stay, charges, morbidity, and mortality.

Increasing patient age was associated with a decreased laparoscopic cholecystectomy rate.

Charges, length of hospital stay, morbidity, and mortality were highest for males with a lower laparoscopic cholecystectomy rate than for females.

The researchers observed that mortality and length of hospital stay were higher, whereas morbidity was lower for African Americans than for whites.

Hispanics had the shortest length of hospital stay, as well as the lowest morbidity and mortality rates.

The team found that laparoscopic cholecystectomy was performed more commonly for Hispanics than for whites or African Americans.

Medicare-insured patients incurred longer length of hospital stay as well as higher charges, morbidity, and mortality than Medicaid, private, and self-pay patients.

The research team noted that medicare-insured patients were the least likely to undergo laparoscopic cholecystectomy.

The team observed as median income decreases, length of hospital stay increases, and morbidity decreases with no mortality effect.

As hospital size increased, length of hospital stay, and charges increased
Surgical Endoscopy

Teaching hospitals had a longer length of hospital stay, higher charges, and mortality than non-teaching centers.

The researchers also found that teaching hospitals had a lower laparoscopic cholecystectomy rate, with no difference in morbidity, than nonteaching centers.

As hospital size increased, length of hospital stay, and charges increased, with no difference in morbidity.

Large hospitals had the highest mortality rates and the lowest incidence of laparoscopic cholecystectomy.

In addition, urban hospitals had higher charges and laparoscopic cholecystectomy, with a lower laparoscopic cholecystectomy rate than rural hospitals.

After control was used for all other covariates, the researchers found that increased age was a predictor of increased morbidity.

Female gender, laparoscopic cholecystectomy, and intraoperative cholangiogram all predicted decreased morbidity.

The team also noted that increased age, complications, and emergency surgery predicted increased mortality.

The research team observed that laparoscopy and intraoperative cholangiogram had protective effects.

However, patient income, insurance status, and race did not play a role in morbidity or mortality.

The researchers also found that academic or teaching status of the hospital also did not influence patient outcomes.

Dr Heniford's team concluded, “Patient and hospital demographics do affect the outcomes of patients undergoing inpatient cholecystectomy.”

“Although male gender, African American race, Medicare-insured status, and large, urban hospitals are associated with less favorable cholecystectomy outcomes, only increased age predicts increased morbidity.”

“Female gender, laparoscopy, and cholangiogram are protective.”

“Increased age, complications, and emergency surgery predict mortality, with laparoscopy and intraoperative cholangiogram having protective effects.”

Surg Endosc 2005: 19(6): 767-73
01 September 2005

Go to top of page Email this page Email this page to a colleague

 21 November 2017 
Prepregnancy obesity and maternal mortality
 21 November 2017 
Preoperative optimization in IBD patients
 21 November 2017 
Cholangiopathy in critically ill patients
 20 November 2017 
Barriers to hepatitis C treatment
 20 November 2017 
Socioeconomic characteristics in diverticular disease
 20 November 2017 
Endoscopic indices of disease activity for Crohn’s
 17 November 2017 
Food elimination diets for treatment of adults with eosinophilic esophagitis
 17 November 2017 
PPI use and cognitive function in women
 17 November 2017 
Predicting microscopic colitis
 16 November 2017 
NAFLD-hepatocellular carcinoma and survival after orthotopic liver transplant
 16 November 2017 
Prepregnancy obesity and severe maternal morbidity
 16 November 2017 
Celiac disease screening in adult first-degree relatives
 15 November 2017 
Breastfeeding and the risk of IBD
 15 November 2017 
Medication nonadherence and health care costs
 15 November 2017 
Predicting recurrence after curative rectal cancer surgery
 14 November 2017 
HBV/HCV coinfection and cirrhosis
 14 November 2017 
Sexual dysfunction after rectal cancer surgery
 14 November 2017 
Eosinophilic gastroenteritis and colitis
 13 November 2017 
GI bleeding in patients taking non–vitamin K antagonist oral anticoagulants
 13 November 2017 
Genetic polymorphisms, fatty acids and ulcerative colitis
 13 November 2017 
Flares after immunomodulator withdrawal in Crohn's
 10 November 2017 
Thiopurines vs TNF and lymphoma risk in IBD
 10 November 2017 
Drug monitoring of anti-tumour necrosis factor therapy in IBD
 10 November 2017 
Treatment decisions for older patients with colorectal cancer
 09 November 2017 
Quality standards in upper gastrointestinal endoscopy
 09 November 2017 
Irradiated rectal cancer and chemoradiotherapy
 09 November 2017 
Environmental factors and IBD
 08 November 2017 
Prophylaxis of spontaneous bacterial peritonitis
 08 November 2017 
Optimal management of postoperative Crohn's disease
 07 November 2017 
Community Screening for Helicobacter pylori
 07 November 2017 
Early readmission in IBD patients
 07 November 2017 
Mesocolic excision for colon cancer
 06 November 2017 
Food elimination diet for children with eosinophilic esophagitis
 06 November 2017 
Biologic agents and obesity in children with IBD
 06 November 2017 
Liver cancer burden despite extensive use of antiviral agents
 03 November 2017 
Statins and mortality in chronic viral hepatitis
 03 November 2017 
Propofol for outpatient colonoscopy
 03 November 2017 
Asthma and IBD development
 02 November 2017 
Diverticulitis and emergency department burden
 02 November 2017 
Sexual functioning in Hep C
 02 November 2017 
Rural residence and risk of IBD
 01 November 2017 
Heartburn relief in adolescents with GERD
 01 November 2017 
Autoimmune pancreatitis in children
 31 October 2017 
Follow-up of positive results on fecal blood tests
 31 October 2017 
Surveillance in ulcerative colitis and Crohn’s disease
 30 October 2017 
Local recurrence after curative rectal cancer surgery
 30 October 2017 
Low-flow ascites pump in refractory cirrhosis
 30 October 2017 
Medical therapy of patients with pediatric-onset IBD
 27 October 2017 
NAFLD in advanced fibrosis in the USA
 27 October 2017 
Early readmission in cirrhosis after bacterial infections
 26 October 2017 
Predicting response to anti-TNF therapy in Crohn's
 26 October 2017 
Conversion to open laparotomy in rectal cancer
 25 October 2017 
Conversion of colonoscopy to sigmoidoscopy
 25 October 2017 
Fecal microbiota transplantation
 25 October 2017 
Rifaximin and survival in hepatic encephalopathy
 24 October 2017 
Eosinophilic esophagitis with swallowed topical corticosteroids
 24 October 2017 
Meta-analysis in nutritiona research
 23 October 2017 
NAFLD-related hepatocellular carcinoma in liver resection
 23 October 2017 
Outcome of hepatic sarcoidosis
 20 October 2017 
Conversion of planned colonoscopy to sigmoidoscopy

Blackwell Publishing


GastroHep.com is a Blackwell Publishing registered trademark
© 2017 Wiley-Blackwell and GastroHep.com and contributors
Privacy Statement
Disclaimer
About Us