Cost‐effectiveness of same‐admission versus interval cholecystectomy after mild gallstone pancreatitis in the PONCHO trial. BJS 2016; 103: 1695-1703.
Published: 12th August 2016
Authors: D. W. da Costa, L. M. Dijksman, S. A. Bouwense, N. J. Schepers, M. G. Besselink, H. C. van Santvoort et al.
Same‐admission cholecystectomy is indicated after gallstone pancreatitis to reduce the risk of recurrent disease or other gallstone‐related complications, but its impact on overall costs is unclear. This study analysed the cost‐effectiveness of same‐admission
In a multicentre
All 264 trial participants were included in the present analysis, 128 randomized to same‐admission cholecystectomy and 136 to interval cholecystectomy. Same‐admission cholecystectomy reduced the risk of acute readmission for recurrent gallstone‐related complications from 16·9 to 4·7 per cent (
In mild biliary pancreatitis, same‐admission cholecystectomy was more effective and less costly than interval cholecystectomy.Full text
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