{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,3]],"date-time":"2026-04-03T04:27:25Z","timestamp":1775190445997,"version":"3.50.1"},"reference-count":6,"publisher":"Oxford University Press (OUP)","issue":"925","license":[{"start":{"date-parts":[[2002,11,1]],"date-time":"2002-11-01T00:00:00Z","timestamp":1036108800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2002,11,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Laparoscopic cholecystectomy is one of the most commonly awaited general surgical procedures in the UK. However, many patients awaiting a cholecystectomy are admitted with recurrent gallstone related symptoms while on the waiting list, resulting in significant morbidity. The aim of this study was to quantify this problem, and also to analyse the cost implications of these admissions for the NHS. A retrospective study was performed of all patients who underwent an elective cholecystectomy by three consultants in a district general hospital between January 1999 and January 2000. The demographic details, indications for surgery, details of the emergency admissions while on the waiting list, and the treatment given during these episodes were recorded. One hundred and fifty six patients were included in the study, of which 122 (78%) were females. The mean (SD) age of the patients was 54 (5) years. The mean waiting time for surgery in these patients was 12 (3) months. Thirty seven patients (23.7%) were admitted as an emergency due to gallstone related symptoms and complications while awaiting surgery. There were 47 episodes of admissions in total, of which 32 were for biliary colic, 13 were for acute cholecystitis, and two were for acute pancreatitis. In addition to routine blood tests, 20 abdominal radiographs, 10 chest radiographs, three endoscopic retrograde cholangiopancreatography tests, five ultrasonograms, and one computed tomogram were carried out in these patients. The mean duration of each episode of admission was three days. The cost of treatment per episode was \u00a3946 and the total cost of treating the 37 patients was calculated to be \u00a344 462. Performing early laparoscopic cholecystectomy for acute cholecystitis may help to reduce costs by preventing recurrent emergency admissions in these patients. Further studies to identify risk factors associated with recurrent symptoms and complications in patients with gallstone disease may help to prioritise them for early surgery.<\/jats:p>","DOI":"10.1136\/pmj.78.925.668","type":"journal-article","created":{"date-parts":[[2002,12,20]],"date-time":"2002-12-20T17:44:09Z","timestamp":1040406249000},"page":"668-669","source":"Crossref","is-referenced-by-count":46,"title":["Costs of waiting for gall bladder surgery"],"prefix":"10.1093","volume":"78","author":[{"given":"K","family":"Somasekar","sequence":"first","affiliation":[{"name":"Department of Surgery, Royal Glamorgan Hospital , Llantrisant, Wales"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P J","family":"Shankar","sequence":"additional","affiliation":[{"name":"Department of Surgery, Royal Glamorgan Hospital , Llantrisant, Wales"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M E","family":"Foster","sequence":"additional","affiliation":[{"name":"Department of Surgery, Royal Glamorgan Hospital , Llantrisant, Wales"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M H","family":"Lewis","sequence":"additional","affiliation":[{"name":"Department of Surgery, Royal Glamorgan Hospital , Llantrisant, Wales"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2002,11,1]]},"reference":[{"key":"2023042418012744600_R1","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1093\/intqhc\/11.1.47","article-title":"Waiting for elective surgery: effects on health related quality of life","volume":"11","author":"Derrett","year":"1999","journal-title":"Int J Qual Health Care"},{"key":"2023042418012744600_R2","first-page":"4","article-title":"Impact of a waiting list initiative on a general surgical waiting list","volume":"76","author":"Umeh","year":"1994","journal-title":"Ann R Coll Surg Engl"},{"key":"2023042418012744600_R3","first-page":"63","article-title":"Generic surgical priority criteria scoring system: the clinical reality","volume":"111","author":"Dennett","year":"1998","journal-title":"N Z Med J"},{"key":"2023042418012744600_R4","doi-asserted-by":"crossref","first-page":"367","DOI":"10.1136\/hrt.81.4.367","article-title":"Priority points and cardiac events while waiting for coronary bypass surgery","volume":"81","author":"Jackson","year":"1999","journal-title":"Heart"},{"key":"2023042418012744600_R5","first-page":"696","article-title":"Risk factors in elective laparoscopic cholecystectomy for conversion to open cholecystectomy","volume":"179","author":"Sanabria","year":"1994","journal-title":"J Am Coll Surg"},{"key":"2023042418012744600_R6","doi-asserted-by":"crossref","first-page":"764","DOI":"10.1046\/j.1365-2168.1998.00708.x","article-title":"Randomised trial of early delayed laparoscopic cholecystectomy for acute cholecystitis","volume":"85","author":"Lai","year":"1998","journal-title":"Br J Surg"}],"container-title":["Postgraduate Medical Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/pmj\/article-pdf\/78\/925\/668\/50041289\/postgradmedj-78-668.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/pmj\/article-pdf\/78\/925\/668\/50041289\/postgradmedj-78-668.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,24]],"date-time":"2023-04-24T18:04:37Z","timestamp":1682359477000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/pmj\/article\/78\/925\/668\/7045974"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2002,11,1]]},"references-count":6,"journal-issue":{"issue":"925","published-online":{"date-parts":[[2002,11,1]]},"published-print":{"date-parts":[[2002,11,1]]}},"URL":"https:\/\/doi.org\/10.1136\/pmj.78.925.668","relation":{},"ISSN":["0032-5473","1469-0756"],"issn-type":[{"value":"0032-5473","type":"print"},{"value":"1469-0756","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2002,11]]},"published":{"date-parts":[[2002,11,1]]}}}