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Surgical Endoscopy

Published in:

01-04-2018

How much pain relief do patients expect after cholecystectomy?

Authors: Peter B. Cotton, Alejandro L. Suarez, Steven C. Cunningham, Qi Pauls, Juliane Bingener, Katherine Morgan

Published in: Surgical Endoscopy | Issue 4/2018

Abstract

Background

Cholecystectomy is a common operation, increasingly performed, in the USA, for “functional gall bladder disorder” (FGBD). Outcomes of these surgeries are uncertain. In planning a study of FGBD, we needed to define the best outcome measures.

Methods

We sought the opinions of patients (52 with FGBD and 100 with stones for comparison) coming to cholecystectomy. They were asked to respond in four ways about the minimum benefit they would count as “success.”

Results

We found that most patients do not expect cholecystectomy to relieve their pain-related disability completely, regardless of the presence or absence of stones.

Conclusions

Future studies of the success of surgery should use patient-centered outcome assessments, such as PGIC (patient’s global impression of change), in addition to objective measures of the impact of treatment on key symptoms, such as pain.

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Title: How much pain relief do patients expect after cholecystectomy?
Authors: Peter B. Cotton
Alejandro L. Suarez
Steven C. Cunningham
Qi Pauls
Juliane Bingener
Katherine Morgan
Publication date: 01-04-2018
Publisher: Springer US
Published in: Surgical Endoscopy / Issue 4/2018
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-017-5875-4

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

How much pain relief do patients expect after cholecystectomy?

Abstract

Background

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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