Abstract:
BACKGROUND:During the reproductive years, women have a 4-fold higher prevalence of gallstones than men, making gallbladder disease a critically important topic in women's health. Among age-matched women and men hospitalized for cholecystitis, gender based differences in demographics, management, and economic and clinical outcomes were identified. METHODS:A cross-sectional study was conducted using the Nationwide Inpatient Sample. Outcomes were mortality, complications, length of stay, and cost. RESULTS:Women accounted for 65% of admissions for cholecystitis, with women more likely to have shorter time to surgery (1.6 vs. 1.9 days) and laparoscopy (86 vs. 76%) (P < .05). After cholecystectomy, women had lower mortality (.6% vs. 1.1%), fewer complications (16.9 vs. 24.1), shorter lengths of stay (4.2 vs. 5.4 days), and lower costs ($10,556 vs. $13,201) (P < .05). On multivariate analysis of age-matched patients, women had lower odds of mortality (odds ratio [OR], .75), complications (OR, .86), length of stay (OR, .95), and cost (OR, .93). Longer time to surgery and open cholecystectomy were independent predictors of worse outcomes. CONCLUSIONS:In cholecystitis and cholecystectomy, women have better clinical and economic outcomes then age-matched men.
journal_name
Am J Surgjournal_title
American journal of surgeryauthors
Dua A,Dua A,Desai SS,Kuy S,Sharma R,Jechow SE,McMaster J,Patel B,Kuy Sdoi
10.1016/j.amjsurg.2013.07.011subject
Has Abstractpub_date
2013-11-01 00:00:00pages
641-6issue
5eissn
0002-9610issn
1879-1883pii
S0002-9610(13)00408-Xjournal_volume
206pub_type
杂志文章abstract::Fifty-two patients with ulcerative colitis and colorectal cancer undergoing colectomy at the Mount Sinai Hospital between 1973 and 1988 were studied retrospectively to determine the correlation of age, sex, duration of colitis, tumor location, number of cancers, tumor differentiation, colloid content, presence of sign...
journal_title:American journal of surgery
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doi:10.1016/s0002-9610(05)80638-5
更新日期:1992-07-01 00:00:00
abstract::Following its introduction in 1993, the LAP-BAND (INAMED Health, Santa Barbara, CA) has been used extensively across the world for the treatment of obesity, and data on safety and effectiveness are now available. This review draws on the literature and our own clinical patient base to provide an overview of the early ...
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abstract:BACKGROUND:In 1997 the National Kidney Foundation put forth guidelines for hemoaccess through its Dialysis Outcomes Quality Initiative (DOQI). Some centers have been able to meet these standards; most have not. METHODS:A retrospective review was made of our database of more than 3,500 hemoaccess procedures from 1986 t...
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更新日期:1975-10-01 00:00:00
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更新日期:1984-12-01 00:00:00
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journal_title:American journal of surgery
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