{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T03:23:33Z","timestamp":1762917813992},"reference-count":31,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2017,8,9]],"date-time":"2017-08-09T00:00:00Z","timestamp":1502236800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,10,17]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Early definitive treatment (cholecystectomy or endoscopic sphincterotomy in the same admission or within 2 weeks after discharge) of gallstone disease after a biliary attack of acute pancreatitis is standard of care. This study investigated whether compliance with early definitive treatment for acute gallstone pancreatitis can be used as a care quality indicator for the condition.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A retrospective cohort study was conducted using the Hospital Episode Statistics database. All emergency admissions to National Health Service hospitals in England with a first time diagnosis of acute gallstone pancreatitis in the financial years 2008, 2009 and 2010 were examined. Trends in early definitive treatment between hospital trusts were examined and patient morbidity outcomes were determined.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>During the study interval there were 19 510 patients with an overall rate of early definitive treatment at 34\u00b77 (range 9\u00b74\u201384\u00b77) per cent. In the 1-year follow-up period, 4661 patients (23\u00b79 per cent) had one or more emergency readmissions for complications related to gallstone pancreatitis. Of these, 2692 (57\u00b78 per cent) were readmissions for acute pancreatitis; 911 (33\u00b78 per cent) were within the first 2 weeks of discharge, with the remaining 1781 (66\u00b72 per cent) occurring after the point at which definitive treatment should have been received. Early definitive treatment resulted in a 39 per cent reduction in readmission risk (adjusted risk ratio (RR) 0\u00b761, 95 per cent c.i. 0\u00b758 to 0\u00b765). The risk was further reduced for acute pancreatitis readmissions to 54 per cent in the early definitive treatment group (adjusted RR 0\u00b746, 0\u00b742 to 0\u00b751).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>In acute gallstone pancreatitis, compliance with recommended early definitive treatment varied considerably, with associated variation in outcomes. Compliance should be used as a quality indicator to improve care.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1002\/bjs.10578","type":"journal-article","created":{"date-parts":[[2017,8,9]],"date-time":"2017-08-09T15:12:36Z","timestamp":1502291556000},"page":"1686-1694","source":"Crossref","is-referenced-by-count":19,"title":["Early definitive treatment rate as a quality indicator of care in acute gallstone pancreatitis"],"prefix":"10.1093","volume":"104","author":[{"given":"R","family":"Green","sequence":"first","affiliation":[{"name":"Anaesthetics Department, Royal Sussex County Hospital, Brighton and Sussex University Hospitals NHS Trust, Brighton, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S C","family":"Charman","sequence":"additional","affiliation":[{"name":"Clinical Effectiveness Unit, Department of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T","family":"Palser","sequence":"additional","affiliation":[{"name":"Department of Upper Gastrointestinal Surgery, University Hospitals of Leicester NHS Trust, Leicester, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2017,8,9]]},"reference":[{"key":"2021020617164474000_bjs10578-bib-0001","doi-asserted-by":"crossref","first-page":"2097","DOI":"10.1046\/j.1365-2036.2002.01367.x","article-title":"Acute and chronic pancreatitis \u2013 diseases on the rise: a study of hospital admissions in England 1989\/90\u20131999\/2000","volume":"16","author":"Tinto","year":"2002","journal-title":"Aliment Pharmacol Ther"},{"key":"2021020617164474000_bjs10578-bib-0002","volume-title":"Hospital Episode Statistics","author":"Health and Social Care Information Centre. 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