The quality of cholecystectomy in Denmark has improved over 6-year period

TY - JOUR

T1 - The quality of cholecystectomy in Denmark has improved over 6-year period

AU - Rothman, Josephine Philip

AU - Burcharth, Jakob

AU - Pommergaard, Hans Christian

AU - Bardram, Linda

AU - Liljekvist, Mads Svane

AU - Rosenberg, Jacob

PY - 2015/8/21

Y1 - 2015/8/21

N2 - Purpose: The Danish Cholecystectomy Database (DCD) was a nationwide quality database that existed from 2006 to 2011. The main goal (indicators) for the database was to increase the quality of cholecystectomy in Denmark by (1) reducing the number of primary open cholecystectomies, (2) increasing the proportion of outpatient surgery, (3) reducing the number of postoperative readmissions, and (4) reducing the number of bile duct injuries and other postoperative complications. The purpose of this study was to evaluate whether the DCD met these goals. Methods: Data from the DCD were used to identify all patients treated with cholecystectomy in the period from 2006 to 2011. The indicators were analyzed over time as a measure of quality of cholecystectomy and analyzed using chi-square statistics. Results: A total of 37,317 patients were included in the study. The registration rate in the DCD was around 90 %, except in 2011 where it was 70.7 %. The proportion of open cholecystectomies decreased from 2.6 % in 2006 to 0.9 % in 2011 (p < 0.0005). Likewise, in 2011, 80 % of patients undergoing cholecystectomy were discharged within 24 h, an increase compared to 2006 (p < 0.0005). The proportion of readmissions remained steady in the area of 10 % (p = 0.6). Bile duct injuries were low (0.3 %) and unchanged during the study period. Conclusion: During the observed 6-year period, a significant increase of laparoscopic procedures was observed with more operations being performed as outpatient procedures. The proportion of readmissions and complications did not increase during this time period.

AB - Purpose: The Danish Cholecystectomy Database (DCD) was a nationwide quality database that existed from 2006 to 2011. The main goal (indicators) for the database was to increase the quality of cholecystectomy in Denmark by (1) reducing the number of primary open cholecystectomies, (2) increasing the proportion of outpatient surgery, (3) reducing the number of postoperative readmissions, and (4) reducing the number of bile duct injuries and other postoperative complications. The purpose of this study was to evaluate whether the DCD met these goals. Methods: Data from the DCD were used to identify all patients treated with cholecystectomy in the period from 2006 to 2011. The indicators were analyzed over time as a measure of quality of cholecystectomy and analyzed using chi-square statistics. Results: A total of 37,317 patients were included in the study. The registration rate in the DCD was around 90 %, except in 2011 where it was 70.7 %. The proportion of open cholecystectomies decreased from 2.6 % in 2006 to 0.9 % in 2011 (p < 0.0005). Likewise, in 2011, 80 % of patients undergoing cholecystectomy were discharged within 24 h, an increase compared to 2006 (p < 0.0005). The proportion of readmissions remained steady in the area of 10 % (p = 0.6). Bile duct injuries were low (0.3 %) and unchanged during the study period. Conclusion: During the observed 6-year period, a significant increase of laparoscopic procedures was observed with more operations being performed as outpatient procedures. The proportion of readmissions and complications did not increase during this time period.

KW - Adolescent

KW - Adult

KW - Aged

KW - Aged, 80 and over

KW - Child

KW - Child, Preschool

KW - Cholecystectomy

KW - Conversion to Open Surgery

KW - Databases, Factual

KW - Denmark

KW - Female

KW - Gallbladder Diseases

KW - Humans

KW - Infant

KW - Infant, Newborn

KW - Length of Stay

KW - Male

KW - Middle Aged

KW - Quality of Health Care

KW - Retrospective Studies

KW - Young Adult

U2 - 10.1007/s00423-015-1322-y

DO - 10.1007/s00423-015-1322-y

M3 - Journal article

C2 - 26198969

SN - 1435-2443

VL - 400

SP - 735

EP - 740

JO - Langenbecks Archives of Surgery

JF - Langenbecks Archives of Surgery

IS - 6

ER -