Time trend and variability of open versus laparoscopic cholecystectomy in patients with symptomatic gallstone disease

Background The purpose of this study was to compare length of stay, as one of the efficacy indicators, and effectiveness, in terms of operative complications and mortality, between laparoscopic (LC) and open cholecystectomy, and to verify the 10-year temporal trends in the application of the LC tech...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Saia, Mario [verfasserIn] Mantoan, Domenico [verfasserIn] Buja, Alessandra [verfasserIn] Bertoncello, Chiara [verfasserIn] Baldovin, Tatjana [verfasserIn] Callegaro, Giampietro [verfasserIn] Baldo, Vincenzo [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2013

Schlagwörter:	Cholecystitis Health care surveys Disease management Delivery of health care Surgical approach

Übergeordnetes Werk:	Enthalten in: Surgical endoscopy and other interventional techniques - New York, NY : Springer, 1987, 27(2013), 9 vom: 22. März, Seite 3254-3261
Übergeordnetes Werk:	volume:27 ; year:2013 ; number:9 ; day:22 ; month:03 ; pages:3254-3261

Links:	Volltext

DOI / URN:	10.1007/s00464-013-2902-y

Katalog-ID:	SPR00630723X

Internformat


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520			\|a Background The purpose of this study was to compare length of stay, as one of the efficacy indicators, and effectiveness, in terms of operative complications and mortality, between laparoscopic (LC) and open cholecystectomy, and to verify the 10-year temporal trends in the application of the LC technique in a large regional population. Methods This was a retrospective cohort study based on 73,853 hospital discharge records of cholecystectomies for gallstone disease (GD) in residents of the Veneto from 2001 to 2010, at both public and accredited private hospitals. The data are from a regional administrative database. The main epidemiological rates calculated, and expressed per 100,000 residents, were the cholecystectomy rate (CR) for gallstones by surgical technique (laparoscopic or open surgery), and the in-hospital mortality rate (MR), considered as the in-hospital MR regardless of the specific cause of death. Results The CR was 139.7 higher in females, with a male-to-female ratio of 1:1.5. LC was performed more frequently in females than in males and in younger than in older patients. From 2001 to 2010, there was a significant linear rising trend in the use of LC, in fact during the period considered, the use of laparoscopic surgery increased significant (χ2 trend: 316,917; p < 0.05), reaching 93.6 % of surgical procedures for gallstones during the year 2010. Conclusions There are still some age- and gender-related disparities in its usage, although LC is an increasingly widely applied, as effective procedure.
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700	1		\|a Callegaro, Giampietro \|e verfasserin \|4 aut
700	1		\|a Baldo, Vincenzo \|e verfasserin \|4 aut
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publishDate	2013
allfields	10.1007/s00464-013-2902-y doi (DE-627)SPR00630723X (SPR)s00464-013-2902-y-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.87 bkl Saia, Mario verfasserin aut Time trend and variability of open versus laparoscopic cholecystectomy in patients with symptomatic gallstone disease 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background The purpose of this study was to compare length of stay, as one of the efficacy indicators, and effectiveness, in terms of operative complications and mortality, between laparoscopic (LC) and open cholecystectomy, and to verify the 10-year temporal trends in the application of the LC technique in a large regional population. Methods This was a retrospective cohort study based on 73,853 hospital discharge records of cholecystectomies for gallstone disease (GD) in residents of the Veneto from 2001 to 2010, at both public and accredited private hospitals. The data are from a regional administrative database. The main epidemiological rates calculated, and expressed per 100,000 residents, were the cholecystectomy rate (CR) for gallstones by surgical technique (laparoscopic or open surgery), and the in-hospital mortality rate (MR), considered as the in-hospital MR regardless of the specific cause of death. Results The CR was 139.7 higher in females, with a male-to-female ratio of 1:1.5. LC was performed more frequently in females than in males and in younger than in older patients. From 2001 to 2010, there was a significant linear rising trend in the use of LC, in fact during the period considered, the use of laparoscopic surgery increased significant (χ2 trend: 316,917; p < 0.05), reaching 93.6 % of surgical procedures for gallstones during the year 2010. Conclusions There are still some age- and gender-related disparities in its usage, although LC is an increasingly widely applied, as effective procedure. Cholecystitis (dpeaa)DE-He213 Health care surveys (dpeaa)DE-He213 Disease management (dpeaa)DE-He213 Delivery of health care (dpeaa)DE-He213 Surgical approach (dpeaa)DE-He213 Mantoan, Domenico verfasserin aut Buja, Alessandra verfasserin aut Bertoncello, Chiara verfasserin aut Baldovin, Tatjana verfasserin aut Callegaro, Giampietro verfasserin aut Baldo, Vincenzo verfasserin aut Enthalten in Surgical endoscopy and other interventional techniques New York, NY : Springer, 1987 27(2013), 9 vom: 22. März, Seite 3254-3261 (DE-627)254909620 (DE-600)1463171-4 1432-2218 nnns volume:27 year:2013 number:9 day:22 month:03 pages:3254-3261 https://dx.doi.org/10.1007/s00464-013-2902-y lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.87 ASE AR 27 2013 9 22 03 3254-3261
spelling	10.1007/s00464-013-2902-y doi (DE-627)SPR00630723X (SPR)s00464-013-2902-y-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.87 bkl Saia, Mario verfasserin aut Time trend and variability of open versus laparoscopic cholecystectomy in patients with symptomatic gallstone disease 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background The purpose of this study was to compare length of stay, as one of the efficacy indicators, and effectiveness, in terms of operative complications and mortality, between laparoscopic (LC) and open cholecystectomy, and to verify the 10-year temporal trends in the application of the LC technique in a large regional population. Methods This was a retrospective cohort study based on 73,853 hospital discharge records of cholecystectomies for gallstone disease (GD) in residents of the Veneto from 2001 to 2010, at both public and accredited private hospitals. The data are from a regional administrative database. The main epidemiological rates calculated, and expressed per 100,000 residents, were the cholecystectomy rate (CR) for gallstones by surgical technique (laparoscopic or open surgery), and the in-hospital mortality rate (MR), considered as the in-hospital MR regardless of the specific cause of death. Results The CR was 139.7 higher in females, with a male-to-female ratio of 1:1.5. LC was performed more frequently in females than in males and in younger than in older patients. From 2001 to 2010, there was a significant linear rising trend in the use of LC, in fact during the period considered, the use of laparoscopic surgery increased significant (χ2 trend: 316,917; p < 0.05), reaching 93.6 % of surgical procedures for gallstones during the year 2010. Conclusions There are still some age- and gender-related disparities in its usage, although LC is an increasingly widely applied, as effective procedure. Cholecystitis (dpeaa)DE-He213 Health care surveys (dpeaa)DE-He213 Disease management (dpeaa)DE-He213 Delivery of health care (dpeaa)DE-He213 Surgical approach (dpeaa)DE-He213 Mantoan, Domenico verfasserin aut Buja, Alessandra verfasserin aut Bertoncello, Chiara verfasserin aut Baldovin, Tatjana verfasserin aut Callegaro, Giampietro verfasserin aut Baldo, Vincenzo verfasserin aut Enthalten in Surgical endoscopy and other interventional techniques New York, NY : Springer, 1987 27(2013), 9 vom: 22. März, Seite 3254-3261 (DE-627)254909620 (DE-600)1463171-4 1432-2218 nnns volume:27 year:2013 number:9 day:22 month:03 pages:3254-3261 https://dx.doi.org/10.1007/s00464-013-2902-y lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.87 ASE AR 27 2013 9 22 03 3254-3261
allfields_unstemmed	10.1007/s00464-013-2902-y doi (DE-627)SPR00630723X (SPR)s00464-013-2902-y-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.87 bkl Saia, Mario verfasserin aut Time trend and variability of open versus laparoscopic cholecystectomy in patients with symptomatic gallstone disease 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background The purpose of this study was to compare length of stay, as one of the efficacy indicators, and effectiveness, in terms of operative complications and mortality, between laparoscopic (LC) and open cholecystectomy, and to verify the 10-year temporal trends in the application of the LC technique in a large regional population. Methods This was a retrospective cohort study based on 73,853 hospital discharge records of cholecystectomies for gallstone disease (GD) in residents of the Veneto from 2001 to 2010, at both public and accredited private hospitals. The data are from a regional administrative database. The main epidemiological rates calculated, and expressed per 100,000 residents, were the cholecystectomy rate (CR) for gallstones by surgical technique (laparoscopic or open surgery), and the in-hospital mortality rate (MR), considered as the in-hospital MR regardless of the specific cause of death. Results The CR was 139.7 higher in females, with a male-to-female ratio of 1:1.5. LC was performed more frequently in females than in males and in younger than in older patients. From 2001 to 2010, there was a significant linear rising trend in the use of LC, in fact during the period considered, the use of laparoscopic surgery increased significant (χ2 trend: 316,917; p < 0.05), reaching 93.6 % of surgical procedures for gallstones during the year 2010. Conclusions There are still some age- and gender-related disparities in its usage, although LC is an increasingly widely applied, as effective procedure. Cholecystitis (dpeaa)DE-He213 Health care surveys (dpeaa)DE-He213 Disease management (dpeaa)DE-He213 Delivery of health care (dpeaa)DE-He213 Surgical approach (dpeaa)DE-He213 Mantoan, Domenico verfasserin aut Buja, Alessandra verfasserin aut Bertoncello, Chiara verfasserin aut Baldovin, Tatjana verfasserin aut Callegaro, Giampietro verfasserin aut Baldo, Vincenzo verfasserin aut Enthalten in Surgical endoscopy and other interventional techniques New York, NY : Springer, 1987 27(2013), 9 vom: 22. März, Seite 3254-3261 (DE-627)254909620 (DE-600)1463171-4 1432-2218 nnns volume:27 year:2013 number:9 day:22 month:03 pages:3254-3261 https://dx.doi.org/10.1007/s00464-013-2902-y lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.87 ASE AR 27 2013 9 22 03 3254-3261
allfieldsGer	10.1007/s00464-013-2902-y doi (DE-627)SPR00630723X (SPR)s00464-013-2902-y-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.87 bkl Saia, Mario verfasserin aut Time trend and variability of open versus laparoscopic cholecystectomy in patients with symptomatic gallstone disease 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background The purpose of this study was to compare length of stay, as one of the efficacy indicators, and effectiveness, in terms of operative complications and mortality, between laparoscopic (LC) and open cholecystectomy, and to verify the 10-year temporal trends in the application of the LC technique in a large regional population. Methods This was a retrospective cohort study based on 73,853 hospital discharge records of cholecystectomies for gallstone disease (GD) in residents of the Veneto from 2001 to 2010, at both public and accredited private hospitals. The data are from a regional administrative database. The main epidemiological rates calculated, and expressed per 100,000 residents, were the cholecystectomy rate (CR) for gallstones by surgical technique (laparoscopic or open surgery), and the in-hospital mortality rate (MR), considered as the in-hospital MR regardless of the specific cause of death. Results The CR was 139.7 higher in females, with a male-to-female ratio of 1:1.5. LC was performed more frequently in females than in males and in younger than in older patients. From 2001 to 2010, there was a significant linear rising trend in the use of LC, in fact during the period considered, the use of laparoscopic surgery increased significant (χ2 trend: 316,917; p < 0.05), reaching 93.6 % of surgical procedures for gallstones during the year 2010. Conclusions There are still some age- and gender-related disparities in its usage, although LC is an increasingly widely applied, as effective procedure. Cholecystitis (dpeaa)DE-He213 Health care surveys (dpeaa)DE-He213 Disease management (dpeaa)DE-He213 Delivery of health care (dpeaa)DE-He213 Surgical approach (dpeaa)DE-He213 Mantoan, Domenico verfasserin aut Buja, Alessandra verfasserin aut Bertoncello, Chiara verfasserin aut Baldovin, Tatjana verfasserin aut Callegaro, Giampietro verfasserin aut Baldo, Vincenzo verfasserin aut Enthalten in Surgical endoscopy and other interventional techniques New York, NY : Springer, 1987 27(2013), 9 vom: 22. März, Seite 3254-3261 (DE-627)254909620 (DE-600)1463171-4 1432-2218 nnns volume:27 year:2013 number:9 day:22 month:03 pages:3254-3261 https://dx.doi.org/10.1007/s00464-013-2902-y lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.87 ASE AR 27 2013 9 22 03 3254-3261
allfieldsSound	10.1007/s00464-013-2902-y doi (DE-627)SPR00630723X (SPR)s00464-013-2902-y-e DE-627 ger DE-627 rakwb eng 610 ASE 610 ASE 44.87 bkl Saia, Mario verfasserin aut Time trend and variability of open versus laparoscopic cholecystectomy in patients with symptomatic gallstone disease 2013 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background The purpose of this study was to compare length of stay, as one of the efficacy indicators, and effectiveness, in terms of operative complications and mortality, between laparoscopic (LC) and open cholecystectomy, and to verify the 10-year temporal trends in the application of the LC technique in a large regional population. Methods This was a retrospective cohort study based on 73,853 hospital discharge records of cholecystectomies for gallstone disease (GD) in residents of the Veneto from 2001 to 2010, at both public and accredited private hospitals. The data are from a regional administrative database. The main epidemiological rates calculated, and expressed per 100,000 residents, were the cholecystectomy rate (CR) for gallstones by surgical technique (laparoscopic or open surgery), and the in-hospital mortality rate (MR), considered as the in-hospital MR regardless of the specific cause of death. Results The CR was 139.7 higher in females, with a male-to-female ratio of 1:1.5. LC was performed more frequently in females than in males and in younger than in older patients. From 2001 to 2010, there was a significant linear rising trend in the use of LC, in fact during the period considered, the use of laparoscopic surgery increased significant (χ2 trend: 316,917; p < 0.05), reaching 93.6 % of surgical procedures for gallstones during the year 2010. Conclusions There are still some age- and gender-related disparities in its usage, although LC is an increasingly widely applied, as effective procedure. Cholecystitis (dpeaa)DE-He213 Health care surveys (dpeaa)DE-He213 Disease management (dpeaa)DE-He213 Delivery of health care (dpeaa)DE-He213 Surgical approach (dpeaa)DE-He213 Mantoan, Domenico verfasserin aut Buja, Alessandra verfasserin aut Bertoncello, Chiara verfasserin aut Baldovin, Tatjana verfasserin aut Callegaro, Giampietro verfasserin aut Baldo, Vincenzo verfasserin aut Enthalten in Surgical endoscopy and other interventional techniques New York, NY : Springer, 1987 27(2013), 9 vom: 22. März, Seite 3254-3261 (DE-627)254909620 (DE-600)1463171-4 1432-2218 nnns volume:27 year:2013 number:9 day:22 month:03 pages:3254-3261 https://dx.doi.org/10.1007/s00464-013-2902-y lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.87 ASE AR 27 2013 9 22 03 3254-3261
language	English
source	Enthalten in Surgical endoscopy and other interventional techniques 27(2013), 9 vom: 22. März, Seite 3254-3261 volume:27 year:2013 number:9 day:22 month:03 pages:3254-3261
sourceStr	Enthalten in Surgical endoscopy and other interventional techniques 27(2013), 9 vom: 22. März, Seite 3254-3261 volume:27 year:2013 number:9 day:22 month:03 pages:3254-3261
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Cholecystitis Health care surveys Disease management Delivery of health care Surgical approach
dewey-raw	610
isfreeaccess_bool	false
container_title	Surgical endoscopy and other interventional techniques
authorswithroles_txt_mv	Saia, Mario @@aut@@ Mantoan, Domenico @@aut@@ Buja, Alessandra @@aut@@ Bertoncello, Chiara @@aut@@ Baldovin, Tatjana @@aut@@ Callegaro, Giampietro @@aut@@ Baldo, Vincenzo @@aut@@
publishDateDaySort_date	2013-03-22T00:00:00Z
hierarchy_top_id	254909620
dewey-sort	3610
id	SPR00630723X
language_de	englisch
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Methods This was a retrospective cohort study based on 73,853 hospital discharge records of cholecystectomies for gallstone disease (GD) in residents of the Veneto from 2001 to 2010, at both public and accredited private hospitals. The data are from a regional administrative database. The main epidemiological rates calculated, and expressed per 100,000 residents, were the cholecystectomy rate (CR) for gallstones by surgical technique (laparoscopic or open surgery), and the in-hospital mortality rate (MR), considered as the in-hospital MR regardless of the specific cause of death. Results The CR was 139.7 higher in females, with a male-to-female ratio of 1:1.5. LC was performed more frequently in females than in males and in younger than in older patients. 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author	Saia, Mario
spellingShingle	Saia, Mario ddc 610 bkl 44.87 misc Cholecystitis misc Health care surveys misc Disease management misc Delivery of health care misc Surgical approach Time trend and variability of open versus laparoscopic cholecystectomy in patients with symptomatic gallstone disease
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topic_title	610 ASE 44.87 bkl Time trend and variability of open versus laparoscopic cholecystectomy in patients with symptomatic gallstone disease Cholecystitis (dpeaa)DE-He213 Health care surveys (dpeaa)DE-He213 Disease management (dpeaa)DE-He213 Delivery of health care (dpeaa)DE-He213 Surgical approach (dpeaa)DE-He213
topic	ddc 610 bkl 44.87 misc Cholecystitis misc Health care surveys misc Disease management misc Delivery of health care misc Surgical approach
topic_unstemmed	ddc 610 bkl 44.87 misc Cholecystitis misc Health care surveys misc Disease management misc Delivery of health care misc Surgical approach
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title	Time trend and variability of open versus laparoscopic cholecystectomy in patients with symptomatic gallstone disease
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title_full	Time trend and variability of open versus laparoscopic cholecystectomy in patients with symptomatic gallstone disease
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author_browse	Saia, Mario Mantoan, Domenico Buja, Alessandra Bertoncello, Chiara Baldovin, Tatjana Callegaro, Giampietro Baldo, Vincenzo
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title_sort	time trend and variability of open versus laparoscopic cholecystectomy in patients with symptomatic gallstone disease
title_auth	Time trend and variability of open versus laparoscopic cholecystectomy in patients with symptomatic gallstone disease
abstract	Background The purpose of this study was to compare length of stay, as one of the efficacy indicators, and effectiveness, in terms of operative complications and mortality, between laparoscopic (LC) and open cholecystectomy, and to verify the 10-year temporal trends in the application of the LC technique in a large regional population. Methods This was a retrospective cohort study based on 73,853 hospital discharge records of cholecystectomies for gallstone disease (GD) in residents of the Veneto from 2001 to 2010, at both public and accredited private hospitals. The data are from a regional administrative database. The main epidemiological rates calculated, and expressed per 100,000 residents, were the cholecystectomy rate (CR) for gallstones by surgical technique (laparoscopic or open surgery), and the in-hospital mortality rate (MR), considered as the in-hospital MR regardless of the specific cause of death. Results The CR was 139.7 higher in females, with a male-to-female ratio of 1:1.5. LC was performed more frequently in females than in males and in younger than in older patients. From 2001 to 2010, there was a significant linear rising trend in the use of LC, in fact during the period considered, the use of laparoscopic surgery increased significant (χ2 trend: 316,917; p < 0.05), reaching 93.6 % of surgical procedures for gallstones during the year 2010. Conclusions There are still some age- and gender-related disparities in its usage, although LC is an increasingly widely applied, as effective procedure.
abstractGer	Background The purpose of this study was to compare length of stay, as one of the efficacy indicators, and effectiveness, in terms of operative complications and mortality, between laparoscopic (LC) and open cholecystectomy, and to verify the 10-year temporal trends in the application of the LC technique in a large regional population. Methods This was a retrospective cohort study based on 73,853 hospital discharge records of cholecystectomies for gallstone disease (GD) in residents of the Veneto from 2001 to 2010, at both public and accredited private hospitals. The data are from a regional administrative database. The main epidemiological rates calculated, and expressed per 100,000 residents, were the cholecystectomy rate (CR) for gallstones by surgical technique (laparoscopic or open surgery), and the in-hospital mortality rate (MR), considered as the in-hospital MR regardless of the specific cause of death. Results The CR was 139.7 higher in females, with a male-to-female ratio of 1:1.5. LC was performed more frequently in females than in males and in younger than in older patients. From 2001 to 2010, there was a significant linear rising trend in the use of LC, in fact during the period considered, the use of laparoscopic surgery increased significant (χ2 trend: 316,917; p < 0.05), reaching 93.6 % of surgical procedures for gallstones during the year 2010. Conclusions There are still some age- and gender-related disparities in its usage, although LC is an increasingly widely applied, as effective procedure.
abstract_unstemmed	Background The purpose of this study was to compare length of stay, as one of the efficacy indicators, and effectiveness, in terms of operative complications and mortality, between laparoscopic (LC) and open cholecystectomy, and to verify the 10-year temporal trends in the application of the LC technique in a large regional population. Methods This was a retrospective cohort study based on 73,853 hospital discharge records of cholecystectomies for gallstone disease (GD) in residents of the Veneto from 2001 to 2010, at both public and accredited private hospitals. The data are from a regional administrative database. The main epidemiological rates calculated, and expressed per 100,000 residents, were the cholecystectomy rate (CR) for gallstones by surgical technique (laparoscopic or open surgery), and the in-hospital mortality rate (MR), considered as the in-hospital MR regardless of the specific cause of death. Results The CR was 139.7 higher in females, with a male-to-female ratio of 1:1.5. LC was performed more frequently in females than in males and in younger than in older patients. From 2001 to 2010, there was a significant linear rising trend in the use of LC, in fact during the period considered, the use of laparoscopic surgery increased significant (χ2 trend: 316,917; p < 0.05), reaching 93.6 % of surgical procedures for gallstones during the year 2010. Conclusions There are still some age- and gender-related disparities in its usage, although LC is an increasingly widely applied, as effective procedure.
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title_short	Time trend and variability of open versus laparoscopic cholecystectomy in patients with symptomatic gallstone disease
url	https://dx.doi.org/10.1007/s00464-013-2902-y
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author2	Mantoan, Domenico Buja, Alessandra Bertoncello, Chiara Baldovin, Tatjana Callegaro, Giampietro Baldo, Vincenzo
author2Str	Mantoan, Domenico Buja, Alessandra Bertoncello, Chiara Baldovin, Tatjana Callegaro, Giampietro Baldo, Vincenzo
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doi_str	10.1007/s00464-013-2902-y
up_date	2024-07-03T22:11:22.036Z
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Methods This was a retrospective cohort study based on 73,853 hospital discharge records of cholecystectomies for gallstone disease (GD) in residents of the Veneto from 2001 to 2010, at both public and accredited private hospitals. The data are from a regional administrative database. The main epidemiological rates calculated, and expressed per 100,000 residents, were the cholecystectomy rate (CR) for gallstones by surgical technique (laparoscopic or open surgery), and the in-hospital mortality rate (MR), considered as the in-hospital MR regardless of the specific cause of death. Results The CR was 139.7 higher in females, with a male-to-female ratio of 1:1.5. LC was performed more frequently in females than in males and in younger than in older patients. From 2001 to 2010, there was a significant linear rising trend in the use of LC, in fact during the period considered, the use of laparoscopic surgery increased significant (χ2 trend: 316,917; p < 0.05), reaching 93.6 % of surgical procedures for gallstones during the year 2010. 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Time trend and variability of open versus laparoscopic cholecystectomy in patients with symptomatic gallstone disease

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