Help
Subscribe


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

 22 May 2018

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 May 2018 
Fecal incontinence and quality of life in IBD
 21 May 2018 
PPI use and cognitive decline
 21 May 2018 
Depressive symptoms in IBD youth
 18 May 2018 
Esophageal dilatation in clinical practice 
 17 May 2018 
IBD and later extraintestinal manifestations
 17 May 2018 
Repeat stool DNA testing
 17 May 2018 
IBS and chronic fatigue following GI infection
 16 May 2018 
Factors associated with fecal incontinence
 16 May 2018 
Diagnostic delay in Crohn's disease
 16 May 2018 
Cardiovascular risk in diabetes mellitus with NAFLD
 15 May 2018 
Guidelines for management of Crohn's
 15 May 2018 
New therapies for CDI
 15 May 2018 
Hep B in the Grey Zone
 14 May 2018 
Blood test for the diagnosis of fibrotic NASH
 14 May 2018 
Outcomes at bariatric centers of excellence
 14 May 2018 
Management of perianal fistulas in Crohn’s
 11 May 2018 
Detection of undiagnosed celiac disease
 11 May 2018 
Alcohol consumption and drug-induced liver injury
 10 May 2018 
Post‐operative complications in elderly IBD
 10 May 2018 
Colorectal cancer screening
 10 May 2018 
Fibrosis in patients with chronic hepatitis B
 09 May 2018 
Fecal incontinence
 09 May 2018 
Health problems and IBS
 09 May 2018 
Esophageal dilatation in clinical practice 
 07 May 2018 
Omitting antibiotics in uncomplicated acute diverticulitis
 07 May 2018 
Health problems and IBS
 07 May 2018 
Assessment of diminutive colorectal polyps
 04 May 2018 
Factors associated with fecal incontinence
 04 May 2018 
National Institutes of Health workshop and obesity
 04 May 2018 
Colorectal cancer screening and ethnic inequities
 03 May 2018 
Gastrointestinal ultrasound in IBD
 03 May 2018 
Ultransonography in postsurgical recurrence in Crohn's
 02 May 2018 
Symptom assessment in cirrhotic ascites
 02 May 2018 
Hep C antiviral treatment and liver cancer risk
 02 May 2018 
Chronic Hep B
 01 May 2018 
European guidelines on pancreatic cystic neoplasms
 01 May 2018 
Interferon‐free regimens in Hep C
 01 May 2018 
Age at IBD onset and extraintestinal complications
 30 April 2018 
Formula for preterm infants
 30 April 2018 
Primary antibiotic resistance and sequential therapy for H. pylori
 30 April 2018 
Patient-reported outcome measures in IBD trials
 27 April 2018 
Anxiety scale for chronic esophageal disease
 27 April 2018 
Disease activity in eosinophilic esophagitis
 27 April 2018 
Eastern and western practices for endoscopic resection of colorectal lesions
 26 April 2018 
Obesity and physical activity in diverticulosis
 26 April 2018 
Primary sclerosing cholangitis in the USA
 25 April 2018 
Aspirin and pancreatic cancer
 25 April 2018 
Central mediators of irinotecan-induced steatohepatitis
 25 April 2018 
Neuroimaging in Hep C
 24 April 2018 
Scoring system identifies cancer risk in Barrett's
 24 April 2018 
Microbiome in athletes vs sedentary subjects
 24 April 2018 
PPI and risk of stroke
 23 April 2018 
Genome-wide study on HBV-related acute-on-chronic liver failure
 23 April 2018 
Antibody suitable for further clinical development to complement existing therapeutic strategies for HCV
 23 April 2018 
Sleep deprivation and NAFLD in the USA
 20 April 2018 
Two annexin A11 epitopes targeted by IgG1 and IgG4 autoantibodies were shared between patients with IAC/AIP and IgG4 antibodies blocked binding of IgG1 antibodies to the shared annexin A11 epitopes
 20 April 2018 
Adalimumab with azathioprine in Crohn's
 20 April 2018 
Worldwide H.pylori prevalence
 19 April 2018 
c-Myc expression and pancreatic cancer
 19 April 2018 
Olmesartan prescription in the USA

Blackwell Publishing


GastroHep.com is a Blackwell Publishing registered trademark
© 2018 Wiley-Blackwell and GastroHep.com and contributors
Privacy Statement
Disclaimer
About Us