Navigation Links
Removing Gallbladder Sooner Cuts Costs, Readmissions
Date:6/4/2010

Lower rates of complications, death in elderly who don't delay surgery, research shows

FRIDAY, June 4 (HealthDay News) -- In elderly patients, prompt removal of a suddenly inflamed gallbladder improves survival and reduces costs and complications, new research shows.

In the study, Dr. Taylor S. Riall, associate professor of surgery at the University of Texas Medical Branch in Galveston, and colleagues analyzed data on 29,818 Medicare beneficiaries hospitalized for a first episode of sudden inflammation of the gallbladder (acute cholecystitis). While 75 percent of the patients underwent surgical removal of the gallbladder (cholecystectomy), one-quarter did not.

The in-hospital death rate for the patients who didn't undergo cholecystectomy was 2.7 percent, compared with 2.1 percent for the patients who had the surgery, the researchers found.

The study also found that 38 percent of patients who didn't have their gallbladder removed had to be readmitted to hospital for treatment of gallstones within the next two years, compared with 4 percent of patients who underwent gallbladder removal. Those readmissions led to an average additional $14,000 in total charges and more than $7,000 in Medicare payments per readmission.

Among the other findings:

  • Twenty-seven percent of patients who didn't have their gallbladder removed during their initial hospital stay required subsequent gallbladder removal.
  • Patients who didn't undergo gallbladder removal during initial hospitalization were 56 percent more likely to die within two years than those who underwent gallbladder removal.

"This is the first systematic study on how adherence to the recommendations for management of acute cholecystitis affects long-term outcomes and resource use," Riall said in a news release. "Our study helped identify both patients who are at high risk for not receiving definitive surgical treatment with cholecystectomy and those that are at high risk for being readmitted if they do not have cholecystectomy."

The study was published in the May issue of the Journal of the American College of Surgeons.

More information

The U.S. National Library of Medicine has more about acute cholecystitis.



-- Robert Preidt



SOURCE: American College of Surgeons, news release, June 1, 2010


'/>"/>
Copyright©2010 ScoutNews,LLC.
All rights reserved

Related medicine news :

1. Murtha Gallbladder Removal Complications Underscore Risk of Common Surgery
2. Patients with mild gallstone pancreatitis can undergo surgery sooner, shortening hospital stays
3. Rehab Program Gets Back Pain Patients Back to Work Sooner
4. Diabetes Screening Should Start Sooner
5. Survey finds general internists leave practice sooner than subspecialists
6. Chlamydia Treated Sooner When Docs Use E-Records
7. When Counseling Costs, Response Dwindles
8. Outpatient Palliative Care Reduces Hospitalizations, Which Impact Costs, While Improving Quality of Life for Seniors and Family Caregivers - New Study in American Journal of Managed Care
9. Pharmacists improve care of diabetics while cutting costs, UB research shows
10. Despite Treatment, Employees with Depression Generate Higher Absentee Costs, According to Thomson Reuters Study
11. Federal Recovery Funds Allow Eries Shriners Hospital to Reduce Energy Costs, Invest Savings in Patient Care
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:2/12/2016)... ... 2016 , ... Each year, the American Physical Therapy Association (APTA) offers a ... Anaheim Convention Center. Almost 10,000 physical therapists across the country are expected to attend ... about their chosen field and network with their colleagues. As in years past, ...
(Date:2/12/2016)... ... ... Coco Libre, the maker of coconut water beverages with a purpose, is ... Coco Libre will offer musicians and celebrities the company’s signature Organic Coconut Water, a ... suite, held this year at the W Hollywood Hotel, has become a pre-show “must” ...
(Date:2/12/2016)... ... 2016 , ... The ThedaCare Center for Healthcare Value is ... April 5-7. The series is a multi-day, multi-workshop event designed to teach leaders ... broad range of topics, including coaching skills, the scientific method of problem solving ...
(Date:2/12/2016)... (PRWEB) , ... February 12, 2016 , ... Every winter, ... , This winter the West Penn Burn Center, part of the Allegheny ... #1, to bring you the “Space Heaters Need Space” campaign. , ...
(Date:2/12/2016)... , ... February 12, 2016 , ... AssureVest Insurance Group, ... is initiating a charity drive that will raise funds earmarked to purchase computers and ... Tayloe Elementary School. , “My school is in a low-income area and has more ...
Breaking Medicine News(10 mins):
(Date:2/12/2016)... BUDAPEST , Ungarn, February 12, 2016 ... ein Medizintechnikunternehmen, das sich auf den ungedeckten ... gab heute positive Ergebnisse seines klinischen Forschungsprogramms ... und Asthma-Patienten beschäftigt, ergab Verbesserungen ihrer respiratorischen ... Indiso ltd , ein Medizintechnikunternehmen, das ...
(Date:2/11/2016)... NEW YORK , Feb. 11, 2016 ... - Companion Diagnostics in Personalized Medicine and Cancer ... Markets. - High-Growth Diagnostic Testing Markets. - ... Cancer Testing. - Molecular Diagnostics in Genetic Testing. ... - Molecular Diagnostics Markets. - Over-the-Counter Diagnostic Products ...
(Date:2/11/2016)... Feb. 11, 2016 Stem cells are primitive ... by self-renewal and the capacity to differentiate into mature ... discovery, as the first mouse embryonic stem cells were ... until 1995 that the first culturing of embryonic stem ... were not produced until 2006 As a result of ...
Breaking Medicine Technology: