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Original Article

Randomization to Surgery or Observation in Patients with Symptomatic Gallbladder Stone Disease: The Problem of Evidence-Based Medicine in Clinical Practice

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Pages 611-616 | Received 03 Oct 1996, Accepted 24 Feb 1997, Published online: 08 Jul 2009

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Read on this site (5)

Malte Schmidt, Milada Cvancarova Småstuen & Karl Søndenaa. (2012) Increased cancer incidence in some gallstone diseases, and equivocal effect of cholecystectomy: a long-term analysis of cancer and mortality. Scandinavian Journal of Gastroenterology 47:12, pages 1467-1474.
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Malte Schmidt, John A Dumot, Odd Søreide & Karl Søndenaa. (2012) Diagnosis and management of gallbladder calculus disease. Scandinavian Journal of Gastroenterology 47:11, pages 1257-1265.
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Rene Hennig, Jiang Zanli, Tarek Osman, Irene Esposito, Tewelde Berhane, Morten Vetrhus, Karl Søndenaa, Markus W. Büchler & Helmut Friess. (2007) Association between gallstone-evoked pain, inflammation and proliferation of nerves in the gallbladder: A possible explanation for clinical differences. Scandinavian Journal of Gastroenterology 42:7, pages 878-884.
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Tewelde Berhane, Morten Vetrhus, Trygve Hausken, Snorri Olafsson & Karl Søndenaa. (2006) Pain attacks in non-complicated and complicated gallstone disease have a characteristic pattern and are accompanied by dyspepsia in most patients: The results of a prospective study. Scandinavian Journal of Gastroenterology 41:1, pages 93-101.
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M. Vetrhus, O. Søreide, G. E. Eide, J. H. Solhaug, I. Nesvik & K. Søndenaa. (2004) Pain and quality of life in patients with symptomatic, non‐complicated gallbladder stones: results of a randomized controlled trial. Scandinavian Journal of Gastroenterology 39:3, pages 270-276.
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Articles from other publishers (18)

Miriam Brazzelli, Moira Cruickshank, Mary Kilonzo, Irfan Ahmed, Fiona Stewart, Paul McNamee, Andy Elders, Cynthia Fraser, Alison Avenell & Craig Ramsay. (2014) Systematic review of the clinical and cost effectiveness of cholecystectomy versus observation/conservative management for uncomplicated symptomatic gallstones or cholecystitis. Surgical Endoscopy 29:3, pages 637-647.
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Miriam Brazzelli, Moira Cruickshank, Mary Kilonzo, Irfan Ahmed, Fiona Stewart, Paul McNamee, Andrew Elders, Cynthia Fraser, Alison Avenell & Craig Ramsay. (2014) Clinical effectiveness and cost-effectiveness of cholecystectomy compared with observation/conservative management for preventing recurrent symptoms and complications in adults presenting with uncomplicated symptomatic gallstones or cholecystitis: a systematic review and economic evaluation. Health Technology Assessment 18:55, pages 1-102.
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Manuel Planells Roig, María Cervera Delgado, Rafael Garcia Espinosa, Francisco Navarro Vicente & Ángel Sanahuja Santafé. (2013) Evaluación del gastrointestinal quality of life index como sistema de selección para la priorización de pacientes en lista de espera de colecistectomía laparoscópica. Cirugía Española 91:5, pages 308-315.
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Manuel Planells Roig, María Cervera Delgado, Rafael Garcia Espinosa, Francisco Navarro Vicente & Ángel Sanahuja Santafé. (2013) Evaluation of the Gastrointestinal Quality of Life Index as a System to Prioritize Patients on the Waiting List for Laparoscopic Cholecystectomy. Cirugía Española (English Edition) 91:5, pages 308-315.
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Yasutoshi Kimura, Tadahiro Takada, Steven M. Strasberg, Henry A. Pitt, Dirk J. Gouma, O. James Garden, Markus W. Büchler, John A. Windsor, Toshihiko Mayumi, Masahiro Yoshida, Fumihiko Miura, Ryota Higuchi, Toshifumi Gabata, Jiro Hata, Harumi Gomi, Christos Dervenis, Wan-Yee Lau, Giulio Belli, Myung-Hwan Kim, Serafin C. Hilvano & Yuichi Yamashita. (2013) TG13 current terminology, etiology, and epidemiology of acute cholangitis and cholecystitis. Journal of Hepato-Biliary-Pancreatic Sciences 20:1, pages 8-23.
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John K. DiBaise. (2011) Symptoms, Stones, and Surgery: Predicting Pain Relief After Cholecystectomy for Gallstones. Clinical Gastroenterology and Hepatology 9:10, pages 818-820.
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Marlies C. Mertens, Jan A. Roukema, Vincent P. W. Scholtes & Jolanda De Vries. (2010) Risk Assessment in Cholelithiasis: Is Cholecystectomy Always to be Preferred?. Journal of Gastrointestinal Surgery 14:8, pages 1271-1279.
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Davide Festi, Maria Letizia Bacchi Reggiani, Adolfo F. Attili, Paola Loria, Paolo Pazzi, Eleonora Scaioli, Simona Capodicasa, Ferdinando Romano, Enrico Roda & Antonio Colecchia. (2010) Natural history of gallstone disease: Expectant management or active treatment? Results from a population-based cohort study. Journal of Gastroenterology and Hepatology 25:4, pages 719-724.
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Jesús Sánchez-Beorlegui, Pablo Soriano, Eduardo Monsalve, Nuria Moreno, Roger Cabezali & Ana Navarro. (2009) Colecistectomía laparoscópica en pacientes octogenarios. Estudio comparativo entre dos poblaciones en edad geriátrica. Cirugía Española 85:4, pages 246-251.
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Jesús Sánchez-Beorlegui, Pablo Soriano, Eduardo Monsalve, Nuria Moreno, Roger Cabezali & Ana Navarro. (2009) Laparoscopic cholecystectomy in octogenarian patients. A comparative study between two geriatric population groups. Cirugía Española (English Edition) 85:4, pages 246-251.
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Uwe Scharlau, Christoph Prinz, Maczej Patrzyk, Jörn Bernhardt & Kaja Ludwig. (2007) Diagnostik und Therapie der akuten Cholezystitis. Visceral Medicine 23:4, pages 378-386.
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Yasutoshi Kimura, Tadahiro Takada, Yoshifumi Kawarada, Yuji Nimura, Koichi Hirata, Miho Sekimoto, Masahiro Yoshida, Toshihiko Mayumi, Keita Wada, Fumihiko Miura, Hideki Yasuda, Yuichi Yamashita, Masato Nagino, Masahiko Hirota, Atsushi Tanaka, Toshio Tsuyuguchi, Steven M. Strasberg & Thomas R. Gadacz. (2007) Definitions, pathophysiology, and epidemiology of acute cholangitis and cholecystitis: Tokyo Guidelines. Journal of Hepato-Biliary-Pancreatic Surgery 14:1, pages 15-26.
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Osman Yüksel, Bülent Salman, Utku Yilmaz, Nusret Akyürek & Ertan Tatlicioğlu. (2006) Timing of laparoscopic cholecystectomy for subacute calculous cholecystitis: early or interval — a prospective study. Journal of Hepato-Biliary-Pancreatic Surgery 13:5, pages 421-426.
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Ned S. Abraham. (2006) WILL THE DILEMMA OF EVIDENCE-BASED SURGERY EVER BE RESOLVED?. ANZ Journal of Surgery 76:9, pages 855-860.
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Claudio Papi, Marco Catarci, Letizia D'Ambrosio, Loredana Gili, Maurizio Koch, Giovanni Battista Grassi & Lucio Capurso. (2004) Timing of Cholecystectomy for Acute Calculous Cholecystitis: A Meta-Analysis. American Journal of Gastroenterology 99:1, pages 147-155.
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William Durston, Michael L. Carl, Wayne Guerra, Abigail Eaton, Lynn Ackerson, Tris Rieland, Bobbie Schauer, Evan Chisum, Matt Harrison & Misty L. Navarro. (2001) Comparison of quality and cost-effectiveness in the evaluation of symptomatic cholelithiasis with different approaches to ultrasound availability in the ED. The American Journal of Emergency Medicine 19:4, pages 260-269.
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Shinji Tomida, Masato Abei, Takashi Yamaguchi, Yasushi Matsuzaki, Junichi Shoda, Naomi Tanaka & Toshiaki Osuga. (1999) Long-term ursodeoxycholic acid therapy is associated with reduced risk of biliary pain and acute cholecystitis in patients with gallbladder stones: A cohort analysis. Hepatology 30:1, pages 6-13.
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Guy J Maddern. (1998) Surgery and evidence‐based medicine. Medical Journal of Australia 169:7, pages 348-349.
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