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Population-based cohort study of variation in the use of emergency cholecystectomy for benign gallbladder diseases

Overview of attention for article published in British Journal of Surgery, October 2016
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About this Attention Score

  • In the top 5% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (93rd percentile)
  • High Attention Score compared to outputs of the same age and source (89th percentile)

Mentioned by

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52 tweeters
googleplus
1 Google+ user

Citations

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15 Dimensions

Readers on

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110 Mendeley
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Title
Population-based cohort study of variation in the use of emergency cholecystectomy for benign gallbladder diseases
Published in
British Journal of Surgery, October 2016
DOI 10.1002/bjs.10288
Pubmed ID
Abstract

The aims of this prospective population-based cohort study were to identify the patient and hospital characteristics associated with emergency cholecystectomy, and the influences of these in determining variations between hospitals. Data were collected for consecutive patients undergoing cholecystectomy in acute UK and Irish hospitals between 1 March and 1 May 2014. Potential explanatory variables influencing the performance of emergency cholecystectomy were analysed by means of multilevel, multivariable logistic regression modelling using a two-level hierarchical structure with patients (level 1) nested within hospitals (level 2). Data were collected on 4744 cholecystectomies from 165 hospitals. Increasing age, lower ASA fitness grade, biliary colic, the need for further imaging (magnetic retrograde cholangiopancreatography), endoscopic interventions (endoscopic retrograde cholangiopancreatography) and admission to a non-biliary centre significantly reduced the likelihood of an emergency cholecystectomy being performed. The multilevel model was used to calculate the probability of receiving an emergency cholecystectomy for a woman aged 40 years or over with an ASA grade of I or II and a BMI of at least 25·0 kg/m(2) , who presented with acute cholecystitis with an ultrasound scan showing a thick-walled gallbladder and a normal common bile duct. The mean predicted probability of receiving an emergency cholecystectomy was 0·52 (95 per cent c.i. 0·45 to 0·57). The predicted probabilities ranged from 0·02 to 0·95 across the 165 hospitals, demonstrating significant variation between hospitals. Patients with similar characteristics presenting to different hospitals with acute gallbladder pathology do not receive comparable care.

Twitter Demographics

The data shown below were collected from the profiles of 52 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 110 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United Kingdom 1 <1%
Unknown 109 99%

Demographic breakdown

Readers by professional status Count As %
Other 22 20%
Student > Ph. D. Student 15 14%
Researcher 11 10%
Student > Postgraduate 8 7%
Student > Master 6 5%
Other 20 18%
Unknown 28 25%
Readers by discipline Count As %
Medicine and Dentistry 62 56%
Nursing and Health Professions 2 2%
Agricultural and Biological Sciences 1 <1%
Pharmacology, Toxicology and Pharmaceutical Science 1 <1%
Energy 1 <1%
Other 3 3%
Unknown 40 36%

Attention Score in Context

This research output has an Altmetric Attention Score of 35. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 26 March 2020.
All research outputs
#636,426
of 15,901,084 outputs
Outputs from British Journal of Surgery
#279
of 3,948 outputs
Outputs of similar age
#19,533
of 296,712 outputs
Outputs of similar age from British Journal of Surgery
#7
of 64 outputs
Altmetric has tracked 15,901,084 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 95th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 3,948 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 12.2. This one has done particularly well, scoring higher than 92% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 296,712 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 93% of its contemporaries.
We're also able to compare this research output to 64 others from the same source and published within six weeks on either side of this one. This one has done well, scoring higher than 89% of its contemporaries.