Matches in SemOpenAlex for { <https://semopenalex.org/work/W1994608678> ?p ?o ?g. }
Showing items 1 to 89 of
89
with 100 items per page.
- W1994608678 endingPage "160" @default.
- W1994608678 startingPage "154" @default.
- W1994608678 abstract "Should persons with symptomatic gallstones (i.e., those that have caused biliary pain) be treated immediately? Or may they be managed expectantly until pain recurs or a biliary complication (i.e., acute cholecystitis or pancreatitis) occurs? To assess the mortality risk of different strategies, we performed a quantitative analysis. For the expectant management strategy that requires surgery only if a biliary complication occurs, the cumulative lifetime probability of gallstone disease death in a 30-year-old man is about 2%, and most deaths occur after age 65. In comparison, elective cholecystectomy has only a 0.1% rate of gallstone disease death, but all deaths occur at age 30. The average amount of life expectancy gained by immediate cholecystectomy compared with expectant management is 52 days, which is reduced to 23 days using 5% discounting. This gain could be increased only slightly by a 100% effective and risk-free therapy such as perfected lithotripsy or medical dissolution. Results are similar for women. The results suggest that, for persons with symptomatic gallstones, the life expectancy gain of immediate cholecystectomy is relatively small and that the potential incremental gain of nonsurgical therapy is also small. For patients and physicians who believe that life expectancy is of primary consideration, the decision about therapy may be made primarily on non-mortality considerations. Some patients and physicians may decide that the risk of symptomatic gallstones is low enough that a policy of expectant management may be acceptable." @default.
- W1994608678 created "2016-06-24" @default.
- W1994608678 creator A5052379296 @default.
- W1994608678 creator A5059344025 @default.
- W1994608678 date "1990-02-01" @default.
- W1994608678 modified "2023-10-17" @default.
- W1994608678 title "Management of patients with symptomatic gallstones: A quantitative analysis" @default.
- W1994608678 cites W1972699636 @default.
- W1994608678 cites W1975501786 @default.
- W1994608678 cites W1976661620 @default.
- W1994608678 cites W1998532283 @default.
- W1994608678 cites W2010402677 @default.
- W1994608678 cites W2042117684 @default.
- W1994608678 cites W2059954169 @default.
- W1994608678 cites W2068224325 @default.
- W1994608678 cites W2069594320 @default.
- W1994608678 cites W2094969018 @default.
- W1994608678 cites W2131101159 @default.
- W1994608678 cites W2156681602 @default.
- W1994608678 cites W2329230000 @default.
- W1994608678 cites W2406624274 @default.
- W1994608678 doi "https://doi.org/10.1016/0002-9343(90)90466-q" @default.
- W1994608678 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/2405659" @default.
- W1994608678 hasPublicationYear "1990" @default.
- W1994608678 type Work @default.
- W1994608678 sameAs 1994608678 @default.
- W1994608678 citedByCount "37" @default.
- W1994608678 countsByYear W19946086782014 @default.
- W1994608678 countsByYear W19946086782016 @default.
- W1994608678 countsByYear W19946086782017 @default.
- W1994608678 countsByYear W19946086782018 @default.
- W1994608678 countsByYear W19946086782021 @default.
- W1994608678 crossrefType "journal-article" @default.
- W1994608678 hasAuthorship W1994608678A5052379296 @default.
- W1994608678 hasAuthorship W1994608678A5059344025 @default.
- W1994608678 hasBestOaLocation W19946086781 @default.
- W1994608678 hasConcept C133925201 @default.
- W1994608678 hasConcept C141071460 @default.
- W1994608678 hasConcept C177713679 @default.
- W1994608678 hasConcept C179755657 @default.
- W1994608678 hasConcept C2775967933 @default.
- W1994608678 hasConcept C2776641081 @default.
- W1994608678 hasConcept C2777148285 @default.
- W1994608678 hasConcept C2779388726 @default.
- W1994608678 hasConcept C2780354107 @default.
- W1994608678 hasConcept C2780603604 @default.
- W1994608678 hasConcept C2908647359 @default.
- W1994608678 hasConcept C61434518 @default.
- W1994608678 hasConcept C71924100 @default.
- W1994608678 hasConcept C81182388 @default.
- W1994608678 hasConcept C99454951 @default.
- W1994608678 hasConceptScore W1994608678C133925201 @default.
- W1994608678 hasConceptScore W1994608678C141071460 @default.
- W1994608678 hasConceptScore W1994608678C177713679 @default.
- W1994608678 hasConceptScore W1994608678C179755657 @default.
- W1994608678 hasConceptScore W1994608678C2775967933 @default.
- W1994608678 hasConceptScore W1994608678C2776641081 @default.
- W1994608678 hasConceptScore W1994608678C2777148285 @default.
- W1994608678 hasConceptScore W1994608678C2779388726 @default.
- W1994608678 hasConceptScore W1994608678C2780354107 @default.
- W1994608678 hasConceptScore W1994608678C2780603604 @default.
- W1994608678 hasConceptScore W1994608678C2908647359 @default.
- W1994608678 hasConceptScore W1994608678C61434518 @default.
- W1994608678 hasConceptScore W1994608678C71924100 @default.
- W1994608678 hasConceptScore W1994608678C81182388 @default.
- W1994608678 hasConceptScore W1994608678C99454951 @default.
- W1994608678 hasIssue "2" @default.
- W1994608678 hasLocation W19946086781 @default.
- W1994608678 hasLocation W19946086782 @default.
- W1994608678 hasLocation W19946086783 @default.
- W1994608678 hasOpenAccess W1994608678 @default.
- W1994608678 hasPrimaryLocation W19946086781 @default.
- W1994608678 hasRelatedWork W1976901296 @default.
- W1994608678 hasRelatedWork W2001342329 @default.
- W1994608678 hasRelatedWork W2132662641 @default.
- W1994608678 hasRelatedWork W2200127424 @default.
- W1994608678 hasRelatedWork W2403499429 @default.
- W1994608678 hasRelatedWork W2470326218 @default.
- W1994608678 hasRelatedWork W4323318444 @default.
- W1994608678 hasRelatedWork W4386361735 @default.
- W1994608678 hasRelatedWork W633503942 @default.
- W1994608678 hasRelatedWork W6384654 @default.
- W1994608678 hasVolume "88" @default.
- W1994608678 isParatext "false" @default.
- W1994608678 isRetracted "false" @default.
- W1994608678 magId "1994608678" @default.
- W1994608678 workType "article" @default.