Socioeconomic deprivation is linked to emergency presentation and poorer outcomes, but its effect on modern benign biliary pathways is uncertain. We assessed whether the Scottish Index of Multiple Deprivation (SIMD) relates to urgency and early outcomes after laparoscopic cholecystectomy (LC).
We performed...
Samantha Ng, K. Khan· British Journal of Surgery· 0 citations
In this ERCP cohort, socioeconomic deprivation was associated with slower progression to definitive surgery and greater downstream bed-day utilisation, suggesting inequality in access to definitive gallstone care and should inform pathway design and capacity planning.
Charlotte Smith, Makthum Muwafikha Ismail, K. Khan· British Journal of Surgery· 0 citations
ERCP followed by delayed cholecystectomy is a common pathway for choledocholithiasis, but exposes patients to recurrent biliary events and repeat interventions while awaiting definitive surgery. Laparoscopic common bile duct exploration (LCBDE) provides definitive single-stage management, but is variably adopted....
Charlotte Smith, Makthum Muwafikha Ismail, K. Khan· British Journal of Surgery· 0 citations
Definitive cholecystectomy after ERCP was infrequent and delayed, with a steep operative-risk gradient, and most downstream admissions, bed use, and repeat ERCP concentrated in patients without definitive management.
Makthum Muwafikha Ismail, Charlotte Smith, S. Campbell et al.· British Journal of Surgery· 0 citations
90-day postoperative ERCP incidence was quantified and drivers relevant to pathway design were examined, supporting risk-stratified follow-up and targeted pathway optimisation; ERCP is a marker of case-mix and pathway design.
Samantha Ng, K. Khan· British Journal of Surgery· 0 citations
A simple end-of-case score using deprivation and two intra-operative escalation signals identifies patients at higher risk of major (CD III–V) complications after LC.
Samantha Ng, K. Khan· British Journal of Surgery· 0 citations
We use cookies to run the site and, with your consent, for analytics and to show ads.
See our Cookie Policy.