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:6/25/2016)... ... June 25, 2016 , ... Dr. Calvin ... injury. Recently, he has implemented orthobiologic procedures as a method for treating his ... of the first doctors to perform the treatment. Orthobiologics are substances that orthopaedic ...
(Date:6/24/2016)... Michigan (PRWEB) , ... June 24, 2016 , ... Those ... deal with these feelings, many turn to unhealthy avenues, such as drug or alcohol ... of Marne, Michigan, has released tools for healthy coping following a traumatic event. , ...
(Date:6/24/2016)... ... ... Global law firm Greenberg Traurig, P.A. announced that 20 Florida attorneys are recognized ... this recognition are considered among the top 2 percent of lawyers practicing within the ... this year’s Legal Elite Hall of Fame: Miami Shareholders Mark D. Bloom, Burt ...
(Date:6/24/2016)... ... 24, 2016 , ... People across the U.S. are sharpening their pencils and ... essay contest in which patients and their families pay tribute to a genetic counselor ... National Society of Genetic Counselors (NSGC) Annual Education Conference (AEC) this September. , ...
(Date:6/24/2016)... Maryland (PRWEB) , ... June 24, 2016 , ... ... Angels is actively feeding the Frederick area economy by obtaining investment capital for ... over the past 2½ years that have already resulted in more than a ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... , June 24, 2016  Consumers have ... and regulators/payers have placed more emphasis on patient ... patient support programs in the pharmaceutical industry have ... medications. Consequently, pharmaceutical companies are focusing on becoming ... are providing products and services that improve health. ...
(Date:6/24/2016)... DUBLIN , June 24, 2016 ... addition of the "Structural Electronics 2015-2025: Applications, ... In-Mold Electronics, Smart ... Integrated Photovoltaics Structural electronics involves ... as load-bearing, protective structures, replacing dumb structures such ...
(Date:6/24/2016)... PUNE, India , June 24, 2016 ... "Pen Needles Market by Type (Standard Pen Needles, Safety ... 12mm), Therapy (Insulin, GLP-1, Growth Hormone), Mode of Purchase ... published by MarketsandMarkets, This report studies the market for ... is expected to reach USD 2.81 Billion by 2021 ...
Breaking Medicine Technology: