Please use this identifier to cite or link to this item: https://dora.health.qld.gov.au/qldresearchjspui/handle/1/6578
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dc.contributor.authorSawyer, Emilyen
dc.contributor.authorBuschel, Helenen
dc.contributor.authorTang, Hannahen
dc.contributor.authorMouline, Omaren
dc.contributor.authorWu, Roxanneen
dc.date.accessioned2025-03-06T02:06:51Z-
dc.date.available2025-03-06T02:06:51Z-
dc.date.issued2024-
dc.identifier.citationSawyer E, Buschel H, Tang H, Mouline O, Wu R. A review of emergency laparoscopic cholecystectomies in Far North Queensland. ANZ J Surg. 2024 Dec;94(12):2206-2212. doi: 10.1111/ans.19277. Epub 2024 Oct 16. PMID: 39411971.en
dc.identifier.urihttps://dora.health.qld.gov.au/qldresearchjspui/handle/1/6578-
dc.descriptionCairns & Hinterland Hospital and Health Service (CHHHS) affiliated authors: Emily Sawyer, Helen Buschel, Hannah Tang, Omar Mouline, Roxanne Wuen
dc.description.abstractAccess to laparoscopic cholecystectomy is more limited for remote communities and Indigenous patients internationally. To date, studies exploring the incidence of gallstone disease and access to laparoscopic cholecystectomy in Australian regional communities are limited. This study examined the rates and outcomes of emergency laparoscopic cholecystectomy (EMLC) in Far North Queensland, specifically in Indigenous and remote populations. We retrospectively examined all patients who underwent an EMLC at Cairns Hospital between 2016 and 2021. Over the study period, 634 EMLCs were undertaken. The average annual rate of 56 cases per 100 000 was considerably lower than national estimates. However, rates of EMLC were significantly higher in remote communities and Indigenous patients compared with the remaining cohort. Patients from remote communities were more likely to have pre-existing gallstone disease but were less likely to have been seen in a surgical outpatient clinic prior to admission. Despite this, surgical outcomes for EMLC were comparable to national and international standards. This study highlights the challenges in surgical healthcare provision for gallstone disease in a regional centre. The requirement for EMLC disproportionately effects geographically isolated communities and Australian Indigenous people. Addressing the healthcare barriers to management of GD in regional Australia should be a priority.en
dc.language.isoenen
dc.publisherRoyal Australasian College of Surgeonsen
dc.relation.ispartofAnz Journal of Surgeryen
dc.subjectgallstone diseaseen
dc.subjectlaparoscopic cholecystectomyen
dc.subjectrural surgeryen
dc.titleA review of emergency laparoscopic cholecystectomies in Far North Queenslanden
dc.typeArticleen
dc.identifier.doi10.1111/ans.19277-
dc.identifier.pmid39411971-
dc.identifier.journaltitleAnz Journal of Surgery-
item.grantfulltextnone-
item.openairetypeArticle-
item.fulltextNo Fulltext-
item.languageiso639-1en-
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
Appears in Sites:Cairns & Hinterland HHS Publications
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