{"id":9594,"date":"2026-01-06T08:48:14","date_gmt":"2026-01-06T08:48:14","guid":{"rendered":"https:\/\/www.library.sath.nhs.uk\/research\/?p=9594"},"modified":"2026-03-17T08:50:19","modified_gmt":"2026-03-17T08:50:19","slug":"factors-associated-with-conversion-from-day-case-to-in-patient-elective-laparoscopic-cholecystectomy-surgery-across-england-an-observational-study-using-administrative-data-2025","status":"publish","type":"post","link":"https:\/\/www.library.sath.nhs.uk\/research\/2026\/01\/06\/factors-associated-with-conversion-from-day-case-to-in-patient-elective-laparoscopic-cholecystectomy-surgery-across-england-an-observational-study-using-administrative-data-2025\/","title":{"rendered":"Factors associated with conversion from day-case to in-patient elective laparoscopic cholecystectomy surgery across England: an observational study using administrative data (2026)"},"content":{"rendered":"\n

Type of publication:<\/strong><\/p>\n\n\n\n

Journal article<\/p>\n\n\n\n

Author(s):<\/strong><\/p>\n\n\n\n

*Olagunju, Naomi; *Cheetham, Mark; Savage, Katrein; Briggs, Tim W R; Gray, William K.<\/p>\n\n\n\n

Citation:<\/strong><\/p>\n\n\n\n

Surgical Endoscopy. 40(3):2199-2209, 2026 Mar.<\/p>\n\n\n\n

Abstract:<\/strong><\/p>\n\n\n\n

PURPOSE: Elective laparoscopic cholecystectomy is increasingly being conducted as a day-case procedure. However, some patients planned for day-case surgery stay in hospital for at least one night. The aim of this study was to identify factors associated with conversion from planned day-case to in-patient management for elective laparoscopic cholecystectomy.<\/p>\n\n\n\n

METHODS: This was an exploratory retrospective analysis of observational data from the Hospital Episode Statistics dataset for England. All patients aged >= 17 years undergoing a planned elective day-case laparoscopic cholecystectomy between 1st April 2017 and 31st March 2024 were identified. The exposure of interest was discharge on the day of admission (day-case) or requiring overnight stay. For reporting, providers were aggregated to an Integrated Care Board (ICB) level.<\/p>\n\n\n\n

RESULTS: A total of 286,754 elective LCs planned as day-case were identified over the seven-year study period. Of these, 74,957 (26.1%) stayed in hospital for at least one night and were classed as day-case to in-patient stay conversions. In multilevel, multivariable modelling, conversion to in-patient stay was associated with great age (odds ratio (OR) 2.54 for 17-29 vs >= 70 years, p < 0.001), male sex (OR = 1.11, p < 0.001), deprivation (OR 1.14, first vs fifth quintile, p < 0.001), open surgery (46.93, p < 0.001), and low annual surgeon volume (OR 1.73, < 10 vs >= 80 LCs per year, p < 0.001). Comorbidities and post-procedural complications were also strongly associated with conversion. Across the 42 ICBs in England, model-adjusted conversion rates varied from 14.5% to 39.0%, 18 (42.9%) ICBs had conversion rates above the 99.8% control limit.<\/p>\n\n\n\n

CONCLUSIONS: Conversion from day-case to in-patient stay was associated with increasing age, male sex, deprivation, open surgery, low surgeon volume, comorbidity and post-procedural complication. Our findings will help surgical team identify patients suitable for day-case laparoscopic cholecystectomy.<\/p>\n\n\n\n

DOI:<\/strong> 10.1007\/s00464-025-12480-z<\/p>\n","protected":false},"excerpt":{"rendered":"

Type of publication: Journal article Author(s): *Olagunju, Naomi; *Cheetham, Mark; Savage, Katrein; Briggs, Tim W R; Gray, William K. Citation: Surgical Endoscopy. 40(3):2199-2209, 2026 Mar. Abstract: PURPOSE: Elective laparoscopic cholecystectomy is increasingly being conducted as a day-case procedure. However, some…<\/span><\/p>\n

Read more Factors associated with conversion from day-case to in-patient elective laparoscopic cholecystectomy surgery across England: an observational study using administrative data (2026)<\/span> ›<\/span><\/a><\/div>\n

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