Population‐based cohort study of outcomes following cholecystectomy for benign gallbladder diseases. Issue 12 (26th August 2016)

• Record Type: Journal Article
• Other Names: Vohra R. S. investigator.; Pasquali S. investigator.; Kirkham A. J. investigator.; Marriott P. investigator.; Johnstone M. investigator.; Spreadborough P. investigator.; Alderson D. investigator.; Griffiths E. A. investigator.; Fenwick S. investigator.; Elmasry M. investigator.; Nunes Q. investigator.; Kennedy D. investigator.; Basit Khan R. investigator.; Khan M. A. S. investigator.; Magee C. J. investigator.; Jones S. M. investigator.; Mason D. investigator.; Parappally C. P. investigator.; Mathur P. investigator.; Saunders M. investigator.; Jamel S. investigator.; Ul Haque S. investigator.; Zafar S. investigator.; Shiwani M. H. investigator.; Samuel N. investigator.; Dar F. investigator.; Jackson A. investigator.; Lovett B. investigator.; Dindyal S. investigator.; Winter H. investigator.; Fletcher T. investigator.; Rahman S. investigator.; Wheatley K. investigator.; Nieto T. investigator.; Ayaani S. investigator.; Youssef H. investigator.; Nijjar R. S. investigator.; Watkin H. investigator.; Naumann D. investigator.; Emeshi S. investigator.; Sarmah P. B. investigator.; Lee K. investigator.; Joji N. investigator.; Heath J. investigator.; Teasdale R. L. investigator.; Weerasinghe C. investigator.; Needham P. J. investigator.; Welbourn H. investigator.; Forster L. investigator.; Finch D. investigator.; Blazeby J. M. investigator.; Robb W. investigator.; McNair A. G. K. investigator.; Hrycaiczuk A. investigator.; Charalabopoulos A. investigator.; Kadirkamanathan S. investigator.; Tang C.‐B. investigator.; Jayanthi N. V. G. investigator.; Noor N. investigator.; Dobbins B. investigator.; Cockbain A. J. investigator.; Nilsen‐Nunn A. investigator.; de Siqueira J. investigator.; Pellen M. investigator.; Cowley J. B. investigator.; Ho W.‐M. investigator.; Miu V. investigator.; White T. J. investigator.; Hodgkins K. A. investigator.; Kinghorn A. investigator.; Tutton M. G. investigator.; Al‐Abed Y. A. investigator.; Menzies D. investigator.; Ahmad A. investigator.; Reed J. investigator.; Khan S. investigator.; Monk D. investigator.; Vitone L. J. investigator.; Murtaza G. investigator.; Joel A. investigator.; Brennan S. investigator.; Shier D. investigator.; Zhang C. investigator.; Yoganathan T. investigator.; Robinson S. J. investigator.; McCallum I. J. D. investigator.; Jones M. J. investigator.; Elsayed M. investigator.; Tuck L. investigator.; Wayman J. investigator.; Carney K. investigator.; Aroori S. investigator.; Hosie K. B. investigator.; Kimble A. investigator.; Bunting D. M. investigator.; Fawole A. S. investigator.; Basheer M. investigator.; Dave R. V. investigator.; Sarveswaran J. investigator.; Jones E. investigator.; Kendal C. investigator.; Tilston M. P. investigator.; Gough M. investigator.; Wallace T. investigator.; Singh S. investigator.; Downing J. investigator.; Mockford K. A. investigator.; Issa E. investigator.; Shah N. investigator.; Chauhan N. investigator.; Wilson T. R. investigator.; Forouzanfar A. investigator.; Wild J. R. L. investigator.; Nofal E. investigator.; Bunnell C. investigator.; Madbak K. investigator.; Rao S. T V. investigator.; Devoto L. investigator.; Siddiqi N. investigator.; Khawaja Z. investigator.; Hewes J. C. investigator.; Gould L. investigator.; Chambers A. investigator.; Urriza Rodriguez D. investigator.; Sen G. investigator.; Robinson S. investigator.; Carney K. investigator.; Bartlett F. investigator.; Rae D. M. investigator.; Stevenson T. E. J. investigator.; Sarvananthan K. investigator.; Dwerryhouse S. J. investigator.; Higgs S. M. investigator.; Old O. J. investigator.; Hardy T. J. investigator.; Shah R. investigator.; Hornby S. T. investigator.; Keogh K. investigator.; Frank L. investigator.; Al‐Akash M. investigator.; Upchurch E. A. investigator.; Frame R. J. investigator.; Hughes M. investigator.; Jelley C. investigator.; Weaver S. investigator.; Roy S. investigator.; Sillo T. O. investigator.; Galanopoulos G. investigator.; Cuming T. investigator.; Cunha P. investigator.; Tayeh S. investigator.; Kaptanis S. investigator.; Heshaishi M. investigator.; Eisawi A. investigator.; Abayomi M. investigator.; Ngu W. S. investigator.; Fleming K. investigator.; Singh Bajwa D. investigator.; Chitre V. investigator.; Aryal K. investigator.; Ferris P. investigator.; Silva M. investigator.; Lammy S. investigator.; Mohamed S. investigator.; Khawaja A. investigator.; Hussain A. investigator.; Ghazanfar M. A. investigator.; Bellini M. I. investigator.; Ebdewi H. investigator.; Elshaer M. investigator.; Gravante G. investigator.; Drake B. investigator.; Ogedegbe A. investigator.; Mukherjee D. investigator.; Arhi C. investigator.; Giwa Nusrat Iqbal L. investigator.; Watson N. F. investigator.; Kumar Aggarwal S. investigator.; Orchard P. investigator.; Villatoro E. investigator.; Willson P. D. investigator.; Wa K. investigator.; Mok J. investigator.; Woodman T. investigator.; Deguara J. investigator.; Garcea G. investigator.; Babu B. I. investigator.; Dennison A. R. investigator.; Malde D. investigator.; Lloyd D. investigator.; Satheesan S. investigator.; Al‐Taan O. investigator.; Boddy A. investigator.; Slavin J. P. investigator.; Jones R. P. investigator.; Ballance L. investigator.; Gerakopoulos S. investigator.; Jambulingam P. investigator.; Mansour S. investigator.; Sakai N. investigator.; Acharya V. investigator.; Sadat M. M. investigator.; Karim L. investigator.; Larkin D. investigator.; Amin K. investigator.; Khan A. investigator.; Law J. investigator.; Jamdar S. investigator.; Smith S. R. investigator.; Sampat K. investigator.; M O'shea K. investigator.; Manu M. investigator.; Asprou F. M. investigator.; Malik N. S. investigator.; Chang J. investigator.; Johnstone M. investigator.; Lewis M. investigator.; Roberts G. P. investigator.; Karavadra B. investigator.; Photi E. investigator.; Hewes J. investigator.; Gould L. investigator.; Chambers A. investigator.; Rodriguez D. investigator.; O'Reilly D. A. investigator.; Rate A. J. investigator.; Sekhar H. investigator.; Henderson L. T. investigator.; Starmer B. Z. investigator.; Coe P. O. investigator.; Tolofari S. investigator.; Barrie J. investigator.; Bashir G. investigator.; Sloane J. investigator.; Madanipour S. investigator.; Halkias C. investigator.; Trevatt A. E. J. investigator.; Borowski D. W. investigator.; Hornsby J. investigator.; Courtney M. J. investigator.; Virupaksha S. investigator.; Seymour K. investigator.; Robinson S. investigator.; Hawkins H. investigator.; Bawa S. investigator.; Gallagher P. V. investigator.; Reid A. investigator.; Wood P. investigator.; Finch J. G. investigator.; Parmar J. investigator.; Stirland E. investigator.; Gardner‐Thorpe J. investigator.; Al‐Muhktar A. investigator.; Peterson M. investigator.; Majeed A. investigator.; Bajwa F. M. investigator.; Martin J. investigator.; Choy A. investigator.; Tsang A. investigator.; Pore N. investigator.; Andrew D. R. investigator.; Al‐Khyatt W. investigator.; Bhandari C. Taylor S. investigator.; Chambers A. investigator.; Subramanium D. investigator.; Toh S. K. C. investigator.; Carter N. C. investigator.; Mercer S. J. investigator.; Knight B. investigator.; Tate S. investigator.; Pearce B. investigator.; Wainwright D. investigator.; Vijay V. investigator.; Alagaratnam S. investigator.; Sinha S. investigator.; Khan S. investigator.; El‐Hasani S. S. investigator.; Hussain A. A. investigator.; Bhattacharya V. investigator.; Kansal N. investigator.; Fasih T. investigator.; Jackson C. investigator.; Siddiqui M. N. investigator.; Chishti I. A. investigator.; Fordham I. J. investigator.; Siddiqui Z. investigator.; Bausbacher H. investigator.; Geogloma I. investigator.; Gurung K. investigator.; Tsavellas G. investigator.; Basynat P. investigator.; Kiran Shrestha A. investigator.; Basu S. investigator.; Chhabra Mohan Harilingam A. investigator.; Rabie M. investigator.; Akhtar M. investigator.; Kumar P. investigator.; Jafferbhoy S. F. investigator.; Hussain N. investigator.; Raza S. investigator.; Haque M. investigator.; Alam I. investigator.; Aseem R. investigator.; Patel S. investigator.; Asad M. investigator.; Booth M. I. investigator.; Ball W. R. investigator.; Wood C. P. J. investigator.; Pinho‐Gomes A. C. investigator.; Kausar A. investigator.; Rami Obeidallah M. investigator.; Varghase J. investigator.; Lodhia J. investigator.; Bradley D. investigator.; Rengifo C. investigator.; Lindsay D. investigator.; Gopalswamy S. investigator.; Finlay I. investigator.; Wardle S. investigator.; Bullen N. investigator.; Iftikhar S. Y. investigator.; Awan A. investigator.; Ahmed J. investigator.; Leeder P. investigator.; Fusai G. investigator.; Bond‐Smith G. investigator.; Psica A. investigator.; Puri Y. investigator.; Hou D. investigator.; Noble F. investigator.; Szentpali K. investigator.; Broadhurst J. investigator.; Date R. investigator.; Hossack M. R. investigator.; Li Goh Y. investigator.; Turner P. investigator.; Shetty V. investigator.; Riera M. investigator.; Macano C. A. W. investigator.; Sukha A. investigator.; Preston S. R. investigator.; Hoban J. R. investigator.; Puntis D. J. investigator.; Williams S. V. investigator.; Krysztopik R. investigator.; Kynaston J. investigator.; Batt J. investigator.; Doe M. investigator.; Goscimski A. investigator.; Jones G. H. investigator.; Smith S. R. investigator.; Hall C. investigator.; Carty N. investigator.; Ahmed J. investigator.; Panteleimonitis S. investigator.; Gunasekera R. T. investigator.; Sheel A. R. G. investigator.; Lennon H. investigator.; Hindley C. investigator.; Reddy M. investigator.; Kenny R. investigator.; Elkheir N. investigator.; McGlone E. R. investigator.; Rajaganeshan R. investigator.; Hancorn K. investigator.; Hargreaves A. investigator.; Prasad R. investigator.; Longbotham D. A. investigator.; Vijayanand D. investigator.; Wijetunga I. investigator.; Ziprin P. investigator.; Nicolay C. R. investigator.; Yeldham G. investigator.; Read E. investigator.; Gossage J. A. investigator.; Rolph R. C. investigator.; Ebied H. investigator.; Phull M. investigator.; Khan M. A. investigator.; Popplewell M. investigator.; Kyriakidis D. investigator.; Hussain A. investigator.; Henley N. investigator.; Packer J. R. investigator.; Derbyshire L. investigator.; Porter J. investigator.; Appleton S. investigator.; Farouk M. investigator.; Basra M. investigator.; Jennings N. A. investigator.; Ali S. investigator.; Kanakala V. investigator.; Ali H. investigator.; Lane R. investigator.; Dickson‐Lowe R. investigator.; Zarsadias P. investigator.; Mirza D. investigator.; Puig S. investigator.; Al Amari K. investigator.; Vijayan D. investigator.; Sutcliffe R. investigator.; Marudanayagam R. investigator.; Hamady Z. investigator.; Prasad A. R. investigator.; Patel A. investigator.; Durkin D. investigator.; Kaur P. investigator.; Bowen L. investigator.; Byrne J. P. investigator.; Pearson K. L. investigator.; Delisle T. G. investigator.; Davies J. investigator.; Tomlinson M. A. investigator.; Johnpulle M. A. investigator.; Slawinski C. investigator.; Macdonald A. investigator.; Nicholson J. investigator.; Newton K. investigator.; Mbuvi J. investigator.; Farooq A. investigator.; Sidhartha Mothe B. investigator.; Zafrani Z. investigator.; Brett D. investigator.; Francombe J. investigator.; Spreadborough P. investigator.; Barnes J. investigator.; Cheung M. investigator.; Al‐Bahrani A. Z. investigator.; Preziosi G. investigator.; Urbonas T. investigator.; Alberts J. investigator.; Mallik M. investigator.; Patel K. investigator.; Segaran A. investigator.; Doulias T. investigator.; Sufi P. A. investigator.; Yao C. investigator.; Pollock S. investigator.; Manzelli A. investigator.; Wajed S. investigator.; Kourkulos M. investigator.; Pezzuto R. investigator.; Wadley M. investigator.; Hamilton E. investigator.; Jaunoo S. investigator.; Padwick R. investigator.; Sayegh M. investigator.; Newton R. C. investigator.; Hebbar M. investigator.; Farag S. F. investigator.; Spearman J. investigator.; Hamdan M. F. investigator.; D'Costa C. investigator.; Blane C. investigator.; Giles M. investigator.; Peter M. B. investigator.; Hirst N. A. investigator.; Hossain T. investigator.; Pannu A. investigator.; El‐Dhuwaib Y. investigator.; Morrison T. E. M. investigator.; Taylor G. W. investigator.; Thompson R. L. E. investigator.; McCune K. investigator.; Loughlin P. investigator.; Lawther R. investigator.; Byrnes C. K. investigator.; Simpson D. J. investigator.; Mawhinney A. investigator.; Warren C. investigator.; McKay D. investigator.; McIlmunn C. investigator.; Martin S. investigator.; MacArtney M. investigator.; Diamond T. investigator.; Davey P. investigator.; Jones C. investigator.; Clements J. M. investigator.; Digney R. investigator.; Chan W. M. investigator.; McCain S. investigator.; Gull S. investigator.; Janeczko A. investigator.; Dorrian E. investigator.; Harris A. investigator.; Dawson S. investigator.; Johnston D. investigator.; McAree B. investigator.; Ghareeb E. investigator.; Thomas G. investigator.; Connelly M. investigator.; McKenzie S. investigator.; Cieplucha K. investigator.; Spence G. investigator.; Campbell W. investigator.; Hooks G. investigator.; Bradley N. investigator.; Hill A. D. K. investigator.; Cassidy J. T. investigator.; Boland M. investigator.; Burke P. investigator.; Nally D. M. investigator.; Hill A. D. K. investigator.; Khogali E. investigator.; Shabo W. investigator.; Iskandar E. investigator.; McEntee G. P. investigator.; O'Neill M. A. investigator.; Peirce C. investigator.; Lyons E. M. investigator.; O'Sullivan A. W. investigator.; Thakkar R. investigator.; Carroll P. investigator.; Ivanovski I. investigator.; Balfe P. investigator.; Lee M. investigator.; Winter D. C. investigator.; Kelly M. E. investigator.; Hoti E. investigator.; Maguire D. investigator.; Karunakaran P. investigator.; Geoghegan J. G. investigator.; Martin S. T. investigator.; McDermott F. investigator.; Cross K. S. investigator.; Cooke F. investigator.; Zeeshan S. investigator.; Murphy J. O. investigator.; Mealy K. investigator.; Mohan H. M. investigator.; Nedujchelyn Y. investigator.; Fahad Ullah M. investigator.; Ahmed I. investigator.; Giovinazzo F. investigator.; Milburn J. investigator.; Prince S. investigator.; Brooke E. investigator.; Buchan J. investigator.; Khalil A. M. investigator.; Vaughan E. M. investigator.; Ramage M. I. investigator.; Aldridge R. C. investigator.; Gibson S. investigator.; Nicholson G. A. investigator.; Vass D. G. investigator.; Grant A. J. investigator.; Holroyd D. J. investigator.; Jones M. A. investigator.; Sutton C. M. L. R. investigator.; O'Dwyer P. investigator.; Nilsson F. investigator.; Weber B. investigator.; Williamson T. K. investigator.; Lalla K. investigator.; Bryant A. investigator.; Carter C. R. investigator.; Forrest C. R. investigator.; Hunter D. I. investigator.; Nassar A. H. investigator.; Orizu M. N. investigator.; Knight K. investigator.; Qandeel H. investigator.; Suttie S. investigator.; Belding R. investigator.; McClarey A. investigator.; Boyd A. T. investigator.; Guthrie G. J. K. investigator.; Lim P. J. investigator.; Luhmann A. investigator.; Watson A. J. M. investigator.; Richards C. H. investigator.; Nicol L. investigator.; Madurska M. investigator.; Harrison E. investigator.; Boyce K. M. investigator.; Roebuck A. investigator.; Ferguson G. investigator.; Pati P. investigator.; Wilson M. S. J. investigator.; Dalgaty F. investigator.; Fothergill L. investigator.; Driscoll P. J. investigator.; Mozolowski K. L. investigator.; Banwell V. investigator.; Bennett S. P. investigator.; Rogers P. N. investigator.; Skelly B. L. investigator.; Rutherford C. L. investigator.; Mirza A. K. investigator.; Lazim T. investigator.; Lim H. C. C. investigator.; Duke D. investigator.; Ahmed T. investigator.; Beasley W. D. investigator.; Wilkinson M. D. investigator.; Maharaj G. investigator.; Malcolm C. investigator.; Brown T. H. investigator.; Shingler G. M. investigator.; Mowbray N. investigator.; Radwan R. investigator.; Morcous P. investigator.; Wood S. investigator.; Kadhim A. investigator.; Stewart D. J. investigator.; Baker A. L. investigator.; Tanner N. investigator.; Shenoy H. investigator.; Hafiz S. investigator.; De Marchi J. A. investigator.; Singh‐Ranger D. investigator.; Hisham E. investigator.; Ainley P. investigator.; O'Neill S. investigator.; Terrace J. investigator.; Napetti S. investigator.; Hopwood B. investigator.; Rhys T. investigator.; Downing J. investigator.; Kanavati O. investigator.; Coats M. investigator.; Aleksandrov D. investigator.; Kallaway C. investigator.; Yahya S. investigator.; Weber B. investigator.; Templeton A. investigator.; Trotter M. investigator.; Lo C. investigator.; Dhillon A. investigator.; Heywood N. investigator.; Aawsaj Y. investigator.; Hamdan A. investigator.; Reece‐Bolton O. investigator.; McGuigan A. investigator.; Shahin Y. investigator.; Ali A. investigator.; Luther A. investigator.; Nicholson J. A. investigator.; Rajendran I. investigator.; Boal M. investigator.; Ritchie J. investigator.;
• Is Part Of: British journal of surgery. Volume 103:Issue 12(2016)
• Page Start: 1704
• Page End: 1715
• Publication Date: 2016-08-26
• Subjects: Surgery -- Periodicals; 617.005
• DOI: 10.1002/bjs.10287
• Languages: English
• ISSNs: 0007-1323

Abstract

Abstract : Background: The aim was to describe the management of benign gallbladder disease and identify characteristics associated with all‐cause 30‐day readmissions and complications in a prospective population‐based cohort. Methods: Data were collected on consecutive patients undergoing cholecystectomy in acute UK and Irish hospitals between 1 March and 1 May 2014. Potential explanatory variables influencing all‐cause 30‐day readmissions and complications were analysed by means of multilevel, multivariable logistic regression modelling using a two‐level hierarchical structure with patients (level 1) nested within hospitals (level 2). Results: Data were collected on 8909 patients undergoing cholecystectomy from 167 hospitals. Some 1451 cholecystectomies (16·3 per cent) were performed as an emergency, 4165 (46·8 per cent) as elective operations, and 3293 patients (37·0 per cent) had had at least one previous emergency admission, but had surgery on a delayed basis. The readmission and complication rates at 30 days were 7·1 per cent (633 of 8909) and 10·8 per cent (962 of 8909) respectively. Both readmissions and complications were independently associated with increasing ASA fitness grade, duration of surgery, and increasing numbers of emergency admissions with gallbladder disease before cholecystectomy. No identifiable hospital characteristics were linked to readmissions and complications. Conclusion: Readmissions and complications following cholecystectomy are common and associated with patient and disease characteristics. Abstract : Emergency rather than delayed cholecystectomy