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. 2022 Dec 12;11:267. doi: 10.1186/s13643-022-02135-8

Table 2.

Outcomes of gallstone-related events and operative rate by surgical comparison

Author, year Definition of gallstone-related events Gallstone-related events Operative rate
Surgery Observation Surgery Observation
Vetrhus, 2002 [16] and 2004 [15] and Schmidt, 2011 [19]* Complications of gallstones: acute pancreatitis, common bile duct stone(s), acute cholecystitis

5-year follow-up

Pain-related admissions: 2 (1%)

Complications: 1 (1%)

14-year follow-up

Pain attacks: 8 (12%)

Complications: 1 (1%)

5-year follow-up

Pain-related admission: 12 (17%)

Complications: 3 (4%)

14-year follow-up

Pain attacks: 23 (33%)

Complications: 3 (4%)

60/68 randomized (88%) 35/69 randomized (51%)

Elective

surgery

Urgent/early

surgery

Elective surgery Urgent/early surgery
Salman, 2005 [17] “Complications during the waiting time” 9 (27.5%) n/a 100%
Anwar, 2008 [18]b “serial presentations with symptoms of gallstones”

1.2 visits/personc

0.3 visits/persond

n/a 100%

Surgeon

discretion

Restrictive

strategy

Surgeon discretion Restrictive strategy
Van Dijk, 2019 [20] e “Gallstone complications” 38 (7%) 40 (8%) 404 (75%) 358 (68%)

aStudies looked at same population, examined different outcomes at different timepoints

bAnwar, 2008 defined urgent cholecystectomy as early/same-day

cIn cohort that initially presented as an emergency

dIn cohort that initially presented to outpatient

eSurgeon discretion defined as operation based on standard care left to the discretion of the surgeon; restrictive strategy used the fulfillment of five pre-specified criteria as indication for operation