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Tackling a Post-COVID-19 Cholecystectomy Waiting List: Are We Meeting the Challenge?

Background and Objectives: The COVID-19 pandemic has led to a tremendous backlog in elective surgical activity. Our hospital trust adopted an innovative approach to dealing with elective waiting times for cholecystectomy during the recovery phase from COVID-19. This study aimed to evaluate trends in...

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Autores principales: Hamid, Mohammed, Mirtorabi, Neginsadat, Ghumman, Abdul, Khalid, Ayesha, Noormohamed, Mohamed Saleem, Kapoulas, Spyridon, Singhal, Rishi, Nijjar, Rajwinder, Richardson, Martin, Wiggins, Tom
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10608591/
https://www.ncbi.nlm.nih.gov/pubmed/37893590
http://dx.doi.org/10.3390/medicina59101872
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author Hamid, Mohammed
Mirtorabi, Neginsadat
Ghumman, Abdul
Khalid, Ayesha
Noormohamed, Mohamed Saleem
Kapoulas, Spyridon
Singhal, Rishi
Nijjar, Rajwinder
Richardson, Martin
Wiggins, Tom
author_facet Hamid, Mohammed
Mirtorabi, Neginsadat
Ghumman, Abdul
Khalid, Ayesha
Noormohamed, Mohamed Saleem
Kapoulas, Spyridon
Singhal, Rishi
Nijjar, Rajwinder
Richardson, Martin
Wiggins, Tom
author_sort Hamid, Mohammed
collection PubMed
description Background and Objectives: The COVID-19 pandemic has led to a tremendous backlog in elective surgical activity. Our hospital trust adopted an innovative approach to dealing with elective waiting times for cholecystectomy during the recovery phase from COVID-19. This study aimed to evaluate trends in overall cholecystectomy activity and the effect on waiting times. Materials and Methods: A prospective observational study was undertaken, investigating patients who received a cholecystectomy at a large United Kingdom hospital trust between February 2021 and February 2022. There were multiple phased strategies to tackle a 533-patient waiting list: private sector, multiple sites including emergency operating, mobile theatre, and seven-day working. The correlation of determination (R(2)) and Kruskal–Wallis analysis were used to evaluate trends in waiting times across the study period. Results: A total of 657 patients underwent a cholecystectomy. The median age was 49 years, 602 (91.6%) patients had an ASA of 1-2, and 494 (75.2%) were female. A total of 30 (4.6%) patients were listed due to gallstone pancreatitis, 380 (57.8%) for symptomatic cholelithiasis, and 228 (34.7%) for calculous cholecystitis. Median waiting times were reduced from 428 days (IQR 373–508) to 49 days (IQR 34–96), R(2) = 0.654, p < 0.001. For pancreatitis specifically, waiting times had decreased from a median of 218 days (IQR 139–239) to 28 (IQR 24–40), R(2) = 0.613, p < 0.001. Conclusions: This study demonstrates the methodology utilised to safely and effectively tackle the cholecystectomy waiting list locally. The approach utilised here has potential to be adapted to other units or similar operation types in order to reduce elective waiting times.
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spelling pubmed-106085912023-10-28 Tackling a Post-COVID-19 Cholecystectomy Waiting List: Are We Meeting the Challenge? Hamid, Mohammed Mirtorabi, Neginsadat Ghumman, Abdul Khalid, Ayesha Noormohamed, Mohamed Saleem Kapoulas, Spyridon Singhal, Rishi Nijjar, Rajwinder Richardson, Martin Wiggins, Tom Medicina (Kaunas) Article Background and Objectives: The COVID-19 pandemic has led to a tremendous backlog in elective surgical activity. Our hospital trust adopted an innovative approach to dealing with elective waiting times for cholecystectomy during the recovery phase from COVID-19. This study aimed to evaluate trends in overall cholecystectomy activity and the effect on waiting times. Materials and Methods: A prospective observational study was undertaken, investigating patients who received a cholecystectomy at a large United Kingdom hospital trust between February 2021 and February 2022. There were multiple phased strategies to tackle a 533-patient waiting list: private sector, multiple sites including emergency operating, mobile theatre, and seven-day working. The correlation of determination (R(2)) and Kruskal–Wallis analysis were used to evaluate trends in waiting times across the study period. Results: A total of 657 patients underwent a cholecystectomy. The median age was 49 years, 602 (91.6%) patients had an ASA of 1-2, and 494 (75.2%) were female. A total of 30 (4.6%) patients were listed due to gallstone pancreatitis, 380 (57.8%) for symptomatic cholelithiasis, and 228 (34.7%) for calculous cholecystitis. Median waiting times were reduced from 428 days (IQR 373–508) to 49 days (IQR 34–96), R(2) = 0.654, p < 0.001. For pancreatitis specifically, waiting times had decreased from a median of 218 days (IQR 139–239) to 28 (IQR 24–40), R(2) = 0.613, p < 0.001. Conclusions: This study demonstrates the methodology utilised to safely and effectively tackle the cholecystectomy waiting list locally. The approach utilised here has potential to be adapted to other units or similar operation types in order to reduce elective waiting times. MDPI 2023-10-21 /pmc/articles/PMC10608591/ /pubmed/37893590 http://dx.doi.org/10.3390/medicina59101872 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Hamid, Mohammed
Mirtorabi, Neginsadat
Ghumman, Abdul
Khalid, Ayesha
Noormohamed, Mohamed Saleem
Kapoulas, Spyridon
Singhal, Rishi
Nijjar, Rajwinder
Richardson, Martin
Wiggins, Tom
Tackling a Post-COVID-19 Cholecystectomy Waiting List: Are We Meeting the Challenge?
title Tackling a Post-COVID-19 Cholecystectomy Waiting List: Are We Meeting the Challenge?
title_full Tackling a Post-COVID-19 Cholecystectomy Waiting List: Are We Meeting the Challenge?
title_fullStr Tackling a Post-COVID-19 Cholecystectomy Waiting List: Are We Meeting the Challenge?
title_full_unstemmed Tackling a Post-COVID-19 Cholecystectomy Waiting List: Are We Meeting the Challenge?
title_short Tackling a Post-COVID-19 Cholecystectomy Waiting List: Are We Meeting the Challenge?
title_sort tackling a post-covid-19 cholecystectomy waiting list: are we meeting the challenge?
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10608591/
https://www.ncbi.nlm.nih.gov/pubmed/37893590
http://dx.doi.org/10.3390/medicina59101872
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