Our Summary

This research paper is about a study comparing the cost of early surgery (ELC) versus delayed surgery (DLC) for a common disease called acute calculous cholecystitis (ACC), which affects the gallbladder. The researchers carried out a systematic review of previous studies that included a cost comparison between the two methods of treatment. In total, six studies involving 1,128 patients were included in the analysis.

The results showed that on average, ELC cost €4400 while DLC cost €6004. This means that it was cheaper to perform the surgery early rather than delaying it. When the researchers combined the data from five of the studies, they found that ELC was more cost-effective than DLC.

However, the researchers noted that the overall quality of the cost evaluations in the studies was poor to fair. Despite this, the results from the clinical trials still favored ELC for treating ACC. The researchers also highlighted the lack of high-quality economic evaluations in this area.

FAQs

  1. What is the difference in cost between early surgery (ELC) and delayed surgery (DLC) for acute calculous cholecystitis (ACC)?
  2. How many studies and patients were included in the research comparing the cost of ELC vs DLC for ACC?
  3. What did the researchers conclude about the cost-effectiveness of ELC versus DLC for treating ACC?

Doctor’s Tip

Based on this study, a doctor might tell a patient that it is more cost-effective to undergo early surgery (ELC) for acute calculous cholecystitis (ACC) compared to delayed surgery (DLC). They may explain that in the long run, opting for ELC can result in lower overall costs for the patient. Additionally, the doctor may advise the patient to consider the potential benefits of ELC in terms of quicker recovery and reduced risk of complications associated with delaying surgery.

Suitable For

Patients who are typically recommended cholecystectomy include those with acute calculous cholecystitis (ACC) who are experiencing severe symptoms such as persistent pain, fever, jaundice, and inflammation of the gallbladder. Other patients who may be recommended for cholecystectomy include those with recurrent gallstones, complications from gallstones such as pancreatitis or cholangitis, or those at high risk for developing complications. Additionally, patients with symptomatic gallstones who have not responded to other treatments may also be recommended for cholecystectomy.

Timeline

Before Cholecystectomy:

  1. Patient experiences symptoms of acute calculous cholecystitis (ACC) such as severe abdominal pain, nausea, vomiting, and fever.
  2. Patient undergoes diagnostic tests such as ultrasound or CT scan to confirm the diagnosis.
  3. Patient is hospitalized for observation and management of symptoms.
  4. Patient may receive conservative treatment such as intravenous fluids, pain medication, and antibiotics to manage the condition.

After Cholecystectomy:

  1. Patient undergoes cholecystectomy surgery to remove the gallbladder either through laparoscopic or open surgery.
  2. Recovery period post-surgery involves pain management, monitoring for complications, and gradually resuming normal activities.
  3. Patient may experience changes in diet and digestion due to the absence of the gallbladder.
  4. Long-term follow-up may be needed to monitor for any potential complications or side effects of the surgery.

What to Ask Your Doctor

  1. What is a cholecystectomy and why is it necessary for treating acute calculous cholecystitis (ACC)?
  2. What are the risks and benefits of early surgery (ELC) versus delayed surgery (DLC) for ACC?
  3. How does the cost of ELC compare to DLC for treating ACC?
  4. Are there any specific factors that would make one method of treatment more suitable for me than the other?
  5. What is the recovery process like for ELC versus DLC?
  6. Are there any long-term implications or complications associated with either method of treatment?
  7. Are there any alternative treatment options for ACC that should be considered?
  8. How will my insurance coverage or healthcare plan impact the cost of the surgery?
  9. What is the success rate of cholecystectomy for treating ACC?
  10. Are there any lifestyle changes or precautions I should take after the surgery to prevent future episodes of ACC?

Reference

Authors: Gallagher TK, Kelly ME, Hoti E. Journal: BJS Open. 2019 Feb 12;3(2):146-152. doi: 10.1002/bjs5.50120. eCollection 2019 Apr. PMID: 30957060