NDLI: The outcome of patients on the cholecystectomy waiting list in Western Australia 1999-2005.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Epari, Krishna P. Mukhtar, Aqif S. Fletcher, David R. Samarasam, Inian Semmens, James B.
Spatial Coverage	Western Australia
Description	Country affiliation: Australia Author Affiliation: Epari KP ( University Department of Surgery, Fremantle Hospital, Western Australia, Australia.)
Abstract	BACKGROUND: Surgeons are noticing increasing numbers of cholecystectomy waiting list patients presenting with complications of their gallstones. In this study, we analysed the outcome of these to ascertain natural history and outcome. METHODS: Data for 5298 waiting list patients in Western Australia, from 1999 to 2006, were analysed. Negative binomial regression was used to analyse waiting times data with Waitlist Year, Urgency Category and Aboriginality, after adjusting for Gender, Location and Age at Cholecystectomy. RESULTS: The overall median waiting time for surgery was 40 days (interquartile range (IQR) = 15-103). The median waiting times for Urgent, Semi-Urgent, and Routine categories were 21 (IQR = 8-63), 44 (IQR = 20-97) and 50 (IQR = 17-131) days, respectively. While waiting for surgery, 240 (5%) patients had gallstone-related admissions. Eighty (33.3%) patients had previous gallstone-related admissions prior to their enrolment on the waiting list. Analysis of the crude odds ratio showed that the probability of readmission during wait for surgery was three times more, when the surgery was not performed within the recommended time. Aboriginal and Torres Strait Islanders wait 1.77 times longer than non aboriginals (P < 0.001) and waiting time decreased with more recent calendar years. (P= 0.001) Patients in the metropolitan hospitals waited twice as long compared with the regional hospitals (P < 0.001). CONCLUSION: Approximately 5% of patients on the waiting list for an elective cholecystectomy were readmitted to the hospital for gallstone-related problems. Proper categorization of patients and definitive surgical treatment of acute gallbladder disease at index presentation might decrease this readmission rate. More effort needs to be made to ensure equity of access for gallstone patients.
File Format	HTM / HTML
ISSN	14451433
Issue Number	10
Volume Number	80
e-ISSN	14452197
Journal	ANZ Journal of Surgery
Language	English
Publisher	Wiley
Publisher Date	2010-10-01
Publisher Place	Australia
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline General Surgery Cholecystectomy Gallstones Complications Waiting Lists Acute Disease Statistics & Numerical Data Elective Surgical Procedures Female Humans Male Oceanic Ancestry Group Patient Readmission Time Factors Western Australia Journal Article
Content Type	Text
Resource Type	Article
Subject	Surgery

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Potential for bias in waiting time studies: events between enrolment and admission.

Patient experiences after hospitalizations for elective surgery.

Cholecystectomy: an appraisal of the past creates a window on surgery's future.

The outcome of patients on the cholecystectomy waiting list in Western Australia 1999-2005.

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Index cholecystectomy for management of acute gallstone disease: a change of practice at a major New Zealand metropolitan centre.

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Potential for bias in waiting time studies: events between enrolment and admission.

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