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