{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,24]],"date-time":"2025-07-24T12:31:22Z","timestamp":1753360282012,"version":"3.37.3"},"reference-count":14,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2018,7,20]],"date-time":"2018-07-20T00:00:00Z","timestamp":1532044800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Planning &amp; Management"],"published-print":{"date-parts":[[2018,10]]},"abstract":"<jats:title>Summary<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>The service of providing index admission laparoscopic cholecystectomy (IALC), as recommended by NIC guidelines, often falls short in nontertiary centres because of a combination of limited resources and financial constraints.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This retrospective study in a single\u2010centre District General Hospital included 50 patients, eligible to undergo IALC, and calculated potential savings from performing IALC on the day of admission by considering admission tariffs, bed, and operating costs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The IALC was provided in 19 patients (38%), with a mean delay from admission to operation of (median) 3\u00a0days. Mean surplus tariff was \u00a31421 and \u00a31571 in IALC and non\u2010IALC groups, respectively. Performing immediate IALC (on the day of admission) for acute cholecystitis (AC) is predicted to increase mean surplus tariff to \u00a32132 per patient, raising total predicted annual surplus by \u00a353\u00a0000. Immediate IALC is also predicted to reduce waiting time for day\u2010case LC by freeing up 53\u00a0day\u2010case slots, attracting additional \u00a395\u00a0600 annually, along with freeing up many inpatient bed days.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study demonstrates that reduction of preoperative stay in AC by expediting operations in every eligible patient promises significant surplus revenue. Additional advantages include reducing inpatient bed days and freeing up operating lists that are otherwise taken up by patients for interval cholecystectomy.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hpm.2579","type":"journal-article","created":{"date-parts":[[2018,7,20]],"date-time":"2018-07-20T10:53:33Z","timestamp":1532084013000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Financial implications of laparoscopic hot gallbladder service in a nontertiary District General Hospital"],"prefix":"10.1002","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5826-7849","authenticated-orcid":false,"given":"Sayantan","family":"Bhattacharya","sequence":"first","affiliation":[{"name":"Department of General Surgery Warrington and Halton Hospitals NHS Foundation Trust  Warrington UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tom","family":"Richardson","sequence":"additional","affiliation":[{"name":"Department of General Surgery Warrington and Halton Hospitals NHS Foundation Trust  Warrington UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gerlin","family":"Naidoo","sequence":"additional","affiliation":[{"name":"Department of General Surgery Warrington and Halton Hospitals NHS Foundation Trust  Warrington UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kieran","family":"Gillick","sequence":"additional","affiliation":[{"name":"Royal United Hospitals Bath NHS Foundation Trust  Bath UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saif","family":"Haddad","sequence":"additional","affiliation":[{"name":"Department of General Surgery Warrington and Halton Hospitals NHS Foundation Trust  Warrington UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chandrima","family":"Ghosh","sequence":"additional","affiliation":[{"name":"Liverpool Women's NHS Foundation Trust  Liverpool UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paula","family":"Brereton","sequence":"additional","affiliation":[{"name":"Clinical Coding Department Warrington and Halton Hospitals NHS Foundation Trust  Warrington UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,7,20]]},"reference":[{"issue":"5","key":"e_1_2_8_2_1","doi-asserted-by":"crossref","first-page":"848","DOI":"10.1007\/s11605-015-2747-x","article-title":"Early cholecystectomy is superior to delayed cholecystectomy for acute cholecystitis: a meta\u2010analysis","volume":"19","author":"Cao AM","journal-title":"J Gastrointest Surg"},{"doi-asserted-by":"publisher","key":"e_1_2_8_3_1","DOI":"10.1002\/bjs.10317"},{"volume-title":"Gallstone Disease","year":"2017","author":"National Institute for Health and Care Excellence","key":"e_1_2_8_4_1"},{"issue":"1392","key":"e_1_2_8_5_1","first-page":"48","article-title":"Timely cholecystectomy for acute gallstone disease: an ongoing challenge in a New Zealand provincial centre","volume":"127","author":"Welch MJ","year":"2014","journal-title":"N Z Med J"},{"volume-title":"NHS Finance","year":"2016","author":"HFMA (Healthc Financ Manage Association)","key":"e_1_2_8_6_1"},{"unstructured":"WrightA CornickE JonesH MarshallL RobertsA.Towards an effective NHS payment system: eightprinciples. 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