{"id":8033,"date":"2024-05-15T11:22:56","date_gmt":"2024-05-15T10:22:56","guid":{"rendered":"https:\/\/www.library.sath.nhs.uk\/research\/?p=8033"},"modified":"2025-07-28T15:44:54","modified_gmt":"2025-07-28T14:44:54","slug":"association-of-day-case-rates-with-post-covid-19-recovery-of-elective-laparoscopic-cholecystectomy-activity-across-england-2024","status":"publish","type":"post","link":"https:\/\/www.library.sath.nhs.uk\/research\/2024\/05\/15\/association-of-day-case-rates-with-post-covid-19-recovery-of-elective-laparoscopic-cholecystectomy-activity-across-england-2024\/","title":{"rendered":"Association of day-case rates with post COVID-19 recovery of elective laparoscopic cholecystectomy activity across England (2025)"},"content":{"rendered":"\n<p><strong>Type of publication:<\/strong><br>Journal article<\/p>\n\n\n\n<p><strong>Author(s):<\/strong><br>Ayyaz, F M; Joyner, J; *Cheetham, M; Briggs, Twr; Gray, W K.<\/p>\n\n\n\n<p><strong>Citation:<\/strong><br>Annals of the Royal College of Surgeons of England. 107(1):54-60, 2025<\/p>\n\n\n\n<p><strong>Abstract:<\/strong><br>INTRODUCTION: The aim of this study was to investigate the safety of day-case laparoscopic cholecystectomy, and the association between day-case rates and, post the COVID-19 pandemic, recovery of activity to prepandemic levels for integrated care boards (ICBs) in England. METHODS: This was a retrospective observational study of the Hospital Episodes Statistics (HES) data set. Elective laparoscopic<br>cholecystectomies for the period 1 January 2019 to 31 December 2022 were identified. Activity levels for 2022 were compared with those for the whole of 2019 (baseline). Day-case activity was identified where the length of stay recorded in the HES was zero days. RESULTS: Data were available for 184,252 patients across the 42 ICBs in England, of which 120,408 (65.3%) were day-case procedures. By December<br>2022, activity levels for the whole of England had returned to 88.2% of prepandemic levels. The South West region stood out as having recovered activity levels to the greatest extent, with activity at 97.3% of<br>prepandemic levels during 2022. The South West also had the highest postpandemic day-case rate at 74.9% of all patients seen as a day-case during 2022; this compares with an England average of 65.3%. At an ICB level, there was a significant correlation between day-case rates and postpandemic activity levels (r = 0.362, p = 0.019). There was no strong or consistent evidence that day-case surgery had poorer patient outcomes than inpatient surgery. CONCLUSIONS: Recovery of elective laparoscopic cholecystectomy activity has been better in South West England than in other regions. Increasing day-case rates may be important if ICBs in other regions are to increase activity levels up to and beyond prepandemic levels.<\/p>\n\n\n\n<p><a href=\"https:\/\/publishing.rcseng.ac.uk\/doi\/10.1308\/rcsann.2023.0111\" target=\"_blank\" rel=\"noreferrer noopener\">Link to full-text<\/a> [open access - no password required]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Type of publication:Journal article Author(s):Ayyaz, F M; Joyner, J; *Cheetham, M; Briggs, Twr; Gray, W K. Citation:Annals of the Royal College of Surgeons of England. 107(1):54-60, 2025 Abstract:INTRODUCTION: The aim of this study was to investigate the safety of day-case<span class=\"ellipsis\">&hellip;<\/span><\/p>\n<div class=\"read-more\"><a href=\"https:\/\/www.library.sath.nhs.uk\/research\/2024\/05\/15\/association-of-day-case-rates-with-post-covid-19-recovery-of-elective-laparoscopic-cholecystectomy-activity-across-england-2024\/\">Read more <span class=\"screen-reader-text\">Association of day-case rates with post COVID-19 recovery of elective laparoscopic cholecystectomy activity across England (2025)<\/span><span class=\"meta-nav\"> &#8250;<\/span><\/a><\/div>\n<p><!-- end of .read-more --><\/p>\n","protected":false},"author":12,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"content-type":"","footnotes":""},"categories":[1001,200],"tags":[1085,253,221,1002,228],"class_list":["post-8033","post","type-post","status-publish","format-standard","hentry","category-open-access","category-staff-publication","tag-1085","tag-gastroenterological-surgery","tag-gastroenterology","tag-gold-open-access","tag-surgery"],"_links":{"self":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/8033","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/users\/12"}],"replies":[{"embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/comments?post=8033"}],"version-history":[{"count":3,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/8033\/revisions"}],"predecessor-version":[{"id":8809,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/posts\/8033\/revisions\/8809"}],"wp:attachment":[{"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/media?parent=8033"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/categories?post=8033"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.library.sath.nhs.uk\/research\/wp-json\/wp\/v2\/tags?post=8033"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}