Early cholecystectomy for acute cholecystitis: a population-based retrospective cohort study of variation in practice.

ABSTRACT:

Background

Despite evidence in favour of early cholecystectomy for most patients with acute cholecystitis, variation in practice has been reported across hospitals worldwide. We sought to characterize the extent and potential sources of variation in the performance of early cholecystectomy for acute cholecystitis within a large regional health care system.

Methods

We used a population-based retrospective cohort design. The cohort was limited to adults with a first episode of acute cholecystitis, admitted through the emergency department. Patients were identified using administrative databases comprising all emergency department visits and hospital admissions in Ontario from 2004 to 2010. Patient and hospital characteristics associated with early cholecystectomy (within 7 d o

SUBMITTER: de Mestral C 

PROVIDER: S-EPMC3985913 | biostudies-literature | 2013 May

REPOSITORIES: biostudies-literature