Complications, length of stay, and cost of cholecystectomy in kidney transplant recipients

Sandra R. DiBrito; Christine E. Haugen; Courtenay M. Holscher; Israel O. Olorundare; Yewande Alimi; Dorry Segev; Jacqueline Garonzik

doi:10.1016/j.amjsurg.2018.07.023

Complications, length of stay, and cost of cholecystectomy in kidney transplant recipients

Sandra R. DiBrito, Christine E. Haugen, Courtenay M. Holscher, Israel O. Olorundare, Yewande Alimi, Dorry Segev, Jacqueline Garonzik

School of Medicine

Research output: Contribution to journal › Article › peer-review

7 Scopus citations

Abstract

We hypothesized that cholecystectomy may be riskier for kidney transplant recipients (KTR) given their lifelong immunosuppression, physiologic impact of renal failure, and increased risk of gallstone and biliary disease. Using NIS, we compared mortality, morbidity, length of stay and cost in KTR vs non-KTR following cholecystectomy in the US from 2000 to 2011, adjusting for patient and hospital level factors, including transplant center status. Mortality was higher (OR 2.4), morbidity was higher (OR 1.3), LOS was longer (ratio 1.2), and costs were greater (ratio 1.1) for KTR compared to non-KTR following cholecystectomy. While it is clear that KTR are a high risk group following cholecystectomy, the cause of this increased risk requires further investigation.

Original language	English (US)
Pages (from-to)	694-698
Number of pages	5
Journal	American journal of surgery
Volume	216
Issue number	4
DOIs	https://doi.org/10.1016/j.amjsurg.2018.07.023
State	Published - Oct 2018

Keywords

Cholecystectomy
General surgery
Kidney transplantation

ASJC Scopus subject areas

Surgery

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10.1016/j.amjsurg.2018.07.023

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title = "Complications, length of stay, and cost of cholecystectomy in kidney transplant recipients",

abstract = "We hypothesized that cholecystectomy may be riskier for kidney transplant recipients (KTR) given their lifelong immunosuppression, physiologic impact of renal failure, and increased risk of gallstone and biliary disease. Using NIS, we compared mortality, morbidity, length of stay and cost in KTR vs non-KTR following cholecystectomy in the US from 2000 to 2011, adjusting for patient and hospital level factors, including transplant center status. Mortality was higher (OR 2.4), morbidity was higher (OR 1.3), LOS was longer (ratio 1.2), and costs were greater (ratio 1.1) for KTR compared to non-KTR following cholecystectomy. While it is clear that KTR are a high risk group following cholecystectomy, the cause of this increased risk requires further investigation.",

keywords = "Cholecystectomy, General surgery, Kidney transplantation",

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T1 - Complications, length of stay, and cost of cholecystectomy in kidney transplant recipients

AU - DiBrito, Sandra R.

AU - Haugen, Christine E.

AU - Holscher, Courtenay M.

AU - Olorundare, Israel O.

AU - Alimi, Yewande

AU - Segev, Dorry

AU - Garonzik, Jacqueline

PY - 2018/10

Y1 - 2018/10

N2 - We hypothesized that cholecystectomy may be riskier for kidney transplant recipients (KTR) given their lifelong immunosuppression, physiologic impact of renal failure, and increased risk of gallstone and biliary disease. Using NIS, we compared mortality, morbidity, length of stay and cost in KTR vs non-KTR following cholecystectomy in the US from 2000 to 2011, adjusting for patient and hospital level factors, including transplant center status. Mortality was higher (OR 2.4), morbidity was higher (OR 1.3), LOS was longer (ratio 1.2), and costs were greater (ratio 1.1) for KTR compared to non-KTR following cholecystectomy. While it is clear that KTR are a high risk group following cholecystectomy, the cause of this increased risk requires further investigation.

AB - We hypothesized that cholecystectomy may be riskier for kidney transplant recipients (KTR) given their lifelong immunosuppression, physiologic impact of renal failure, and increased risk of gallstone and biliary disease. Using NIS, we compared mortality, morbidity, length of stay and cost in KTR vs non-KTR following cholecystectomy in the US from 2000 to 2011, adjusting for patient and hospital level factors, including transplant center status. Mortality was higher (OR 2.4), morbidity was higher (OR 1.3), LOS was longer (ratio 1.2), and costs were greater (ratio 1.1) for KTR compared to non-KTR following cholecystectomy. While it is clear that KTR are a high risk group following cholecystectomy, the cause of this increased risk requires further investigation.

KW - Cholecystectomy

KW - General surgery

KW - Kidney transplantation

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JO - American journal of surgery

JF - American journal of surgery

IS - 4

ER -

Complications, length of stay, and cost of cholecystectomy in kidney transplant recipients

Abstract

Keywords

ASJC Scopus subject areas

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