{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T22:30:15Z","timestamp":1765837815434,"version":"3.40.4"},"reference-count":29,"publisher":"S. Karger AG","issue":"3","license":[{"start":{"date-parts":[[2014,1,1]],"date-time":"2014-01-01T00:00:00Z","timestamp":1388534400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"},{"start":{"date-parts":[[2014,1,1]],"date-time":"2014-01-01T00:00:00Z","timestamp":1388534400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.karger.com\/Services\/SiteLicenses"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dig Surg"],"published-print":{"date-parts":[[2014]]},"abstract":"<jats:p>&lt;b&gt;&lt;i&gt;Background:&lt;\/i&gt;&lt;\/b&gt; The aims of this study were to describe the surgical management of acute cholecystitis (AC) in a well-defined population-based patient cohort, in particular adherence to and outcome of the early open\/laparoscopic cholecystectomy (EC\/ELC) strategy. &lt;b&gt;&lt;i&gt;Methods:&lt;\/i&gt;&lt;\/b&gt; The medical records of all patients residing in Stockholm County who were treated for AC during 2003 and 2008 were reviewed according to a standardized protocol. &lt;b&gt;&lt;i&gt;Results:&lt;\/i&gt;&lt;\/b&gt; In 2003, 799 patients were admitted 850 times for AC, and the respective figures for 2008 were 833 and 919. The number of patients who underwent EC\/ELC increased from 42.9% in 2003 to 47.4% in 2008. In multivariate regression analysis adjusting for age, gender, severity of cholecystitis, maximal CRP and maximal WBC, EC\/ELC was associated with shorter operation time but higher perioperative blood loss when compared to delayed open\/laparoscopic cholecystectomy (DC\/DLC). The odds ratio for completing the procedure laparoscopically was significantly higher in DC\/DLC when adjusting for the same covariates. There were no significant differences in peri- or postoperative complications between the groups. &lt;b&gt;&lt;i&gt;Conclusion:&lt;\/i&gt;&lt;\/b&gt; Strategies should be implemented in order to secure a more evidence-based approach to the surgical treatment of AC.<\/jats:p>","DOI":"10.1159\/000363659","type":"journal-article","created":{"date-parts":[[2014,7,14]],"date-time":"2014-07-14T06:32:24Z","timestamp":1405319544000},"page":"169-176","source":"Crossref","is-referenced-by-count":8,"title":["Early versus Delayed Surgery for Acute Cholecystitis as an Applied Treatment Strategy When Assessed in a Population-Based Cohort"],"prefix":"10.1159","volume":"31","author":[{"given":"Emil","family":"Pieniowski","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Agnieszka","family":"Popowicz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lars","family":"Lundell","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Gerber","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ulf","family":"Gustafsson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helen","family":"Sinabulya","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Krister","family":"Sj\u00f6dahl","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrianos","family":"Tsekrekos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabriel","family":"Sandblom","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"127","published-online":{"date-parts":[[2014,7,12]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/S0889-8553(03)00090-6"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.4547"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD007196.pub2"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3182a1599b"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800681102"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198004000-00018"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.6870"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-005-0100-2"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1159\/000081352"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1016\/S1091-255X(03)00065-9"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.4836"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.143.6.533"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e318228d31c"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2007.03.004"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-003-9230-6"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2168.1998.00708.x"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1007\/s00595-005-2998-3"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1046\/j.1572-0241.2003.04002.x"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.4831"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1046\/j.1445-2197.2003.02826.x"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2004.06.013"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1308\/003588403769162404"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD005440.pub2"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1007\/s10654-009-9350-y"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1007\/s00534-006-1159-4"},{"key":"ref26","doi-asserted-by":"publisher","DOI":"10.1016\/0021-9681(87)90171-8"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000133083.54934.ae"},{"key":"ref28","doi-asserted-by":"publisher","DOI":"10.1007\/s00534-013-0603-5"},{"key":"ref29","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(97)08447-X"}],"container-title":["Digestive Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/363659","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/363659","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T17:50:27Z","timestamp":1745430627000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000363659"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014]]},"references-count":29,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2014,10,1]]},"published-print":{"date-parts":[[2014,10,18]]}},"URL":"https:\/\/doi.org\/10.1159\/000363659","archive":["Portico"],"relation":{},"ISSN":["0253-4886","1421-9883"],"issn-type":[{"type":"print","value":"0253-4886"},{"type":"electronic","value":"1421-9883"}],"subject":[],"published":{"date-parts":[[2014]]}}}