All Title Author
Keywords Abstract

Publish in OALib Journal
ISSN: 2333-9721
APC: Only $99

ViewsDownloads

Relative Articles

More...
Health  2023 

Assessing the Burden of Choledochian Lithiasis and Cholangiocarcinoma in Patients Undergoing Endoscopic Retrograde Cholangiopancreatography, Using Disability-Adjusted Life Years

DOI: 10.4236/health.2023.151005, PP. 59-71

Keywords: Endoscopy, Management, Cholangiopancreatography, Choledochian Lithiasis

Full-Text   Cite this paper   Add to My Lib

Abstract:

Exact estimates of the current and future burden of gastroenterological pathology can support the national public health policy. In order to have a possible comparison between the impact and burden of some diseases, a series of health measurements were developed, simultaneously including morbidity and mortality. The aim of the study was to evaluate the burden of gastrointestinal pathology that requires therapeutic endoscopy, such as choledochian lithiasis and cholangiocarcinoma in a tertiary centre between 2019 and 2020. The scientific research was carried out as a retrospective study, intending to analyze the macroeconomic indicator-Disability-Adjusted-Life Year (DALY) in patients who underwent endoscopic retrograde cholangiopancreatography (ERCP), for the diagnosis of choledochian lithiasis or cholangiocarcinoma. The study included the cases diagnosed based on clinical, biological and imaging criteria. Our study showed that the values of DALY indicator are higher in men than in women. The DALY approach has a strong methodological framework and a firm theoretical grounding. It has been widely accepted by public health experts and employed to measure the global and regional burdens of the disease.

References

[1]  Afghani, E., Sinha, A. and Singh, V.K. (2014) An Overview of the Diagnosis and Management of Nutrition in Chronic Pancreatitis. Nutrition in Clinical Practice, 29, 295-311.
https://doi.org/10.1177/0884533614529996
[2]  Akbar, A., Abu Dayyeh, B.K., Baron, T.H, Wang, Z., Altayar, O. and Murad, M.H. (2013) Rectal Nonsteroidal Anti-Inflammatory Drugs Are Superior to Pancreatic Duct Stents in Preventing Pancreatitis after Endoscopic Retrograde Cholangiopancreatography: A Network Meta-Analysis. Clinical Gastroenterology and Hepatology, 11, 778-783.
https://doi.org/10.1016/j.cgh.2012.12.043
[3]  Anderson, M.A., Fisher, L., Jain, R., Evans, J.A., Appalaneni, V., Ben-Menachem, T., Cash B.D., Decker, G.A., Early, D.S. and Fanelli, R.D. (2012) Complications of ERCP. Gastrointestinal Endoscopy, 75, 467-473.
https://doi.org/10.1016/j.gie.2011.07.010
[4]  Behm, B., Brock, A., Clarke, B.W., Ellen, K., Northup, P.G., Dumonceau, J.M. and Kahalen, M. (2009) Partially Covered Self-Expandable Metallic Stents for Benign Biliary Strictures Due to Chronic Pancreatitis. Endoscopy, 41, 547-551.
https://doi.org/10.1055/s-0029-1214708
[5]  Cahen, D.L., Rauws, E.A., Gouma, D.J., Fockens, P. and Bruno, M.J. (2008) Removable Fully Covered Self-Expandable Metal Stents in the Treatment of Common bile Duct Strictures Due to Chronic Pancreatitis: A Case Series. Endoscopy, 40, 697-700.
https://doi.org/10.1055/s-2008-1077353
[6]  Costamagna, G., Bulajic, M., Tringali, A., Pandolfi, M., Gabbrielli, A., Spada, C., Petruzziello, L., Familiari, P. and Mutignani, M. (2006) Multiple Stenting of Refractory Pancreatic Duct Strictures in Severe Chronic Pancreatitis: Long-Term Results. Endoscopy, 38, 254-259.
https://doi.org/10.1055/s-2005-921069
[7]  Costamagna, G. (1998) ERCP and Endoscopic Sphincterotomy in Bilroth II Patient. Italian Journal of Gastroenterology and Hepatology, 30, 306-309.
[8]  Cotton, P.B., Lehman, G., Vennes, J., Geenen, J.E., Russell, R.C., Meyers, W.C., Liguory, C. and Nickl, N. (1991) Endoscopic Sphincterotomy Complications and Their Management: An Attempt at Consensus. Gastrointestinal Endoscopy, 37, 383-393.
https://doi.org/10.1016/S0016-5107(91)70740-2
[9]  Cotton, P.B. (1984) Endoscopic Management of Bile Duct Stones; (Apples and Oranges). Gut, 25, 587-597.
https://doi.org/10.1136/gut.25.6.587
[10]  Ding, X., Chen, M., Huang, S., Zhang, S. and Zou, X. (2012) Nonsteroidal Anti-Inflammatory Drugs for Prevention of Post-ERCP Pancreatitis: A Meta-Analysis. Gastrointestinal Endoscopy, 76, 1152-1159.
https://doi.org/10.1016/j.gie.2012.08.021
[11]  Dumonceau, J.M., Delhaye, M., Tringali, A., Dominguez-Munoz, J.E., Poley, J.W., Arvanitaki, M., Costamagna, G., Costea, F., Deviere, J., Eisendrath, P., et al. (2012) Endoscopic Treatment of Chronic Pancreatitis: European Society of Gastrointestinal Endoscopy Clinical Guideline. Endoscopy, 44, 784-800.
https://doi.org/10.1055/s-0032-1309840
[12]  McGrath, R., Al Snih, S., Markides, K., Hall, O. and Peterson, M. (2019) The Burden of Health Conditions for Middle-Aged and Older Adults in the United States: Disability-Adjusted Life Years. BMC Geriatrics, 19, Article No. 100.
https://doi.org/10.1186/s12877-019-1110-6
[13]  Hong, K.S. (2011) Disability-Adjusted Life Years Analysis: Implications for Stroke Research. Journal of Clinical Neurology, 7, 109-114.
https://doi.org/10.3988/jcn.2011.7.3.109
[14]  May, A.M., Struijk, E.A., Fransen, H.P., Charlotte Onland-Moret, N., Ardine de Wit, G., Boer, J.M.A., van der Schouw, Y.T., Hoekstra, J., Bueno-de-Mesquita, H.B. and Peeters, P.H.M. (2015) The Impact of a Helthy Lifestyle on Disability-Adjusted Life Years: A Prospective Cohort Study. BMC Medicine, 27, 13-39.
https://doi.org/10.1186/s12916-015-0287-6

Full-Text

comments powered by Disqus

Contact Us

service@oalib.com

QQ:3279437679

WhatsApp +8615387084133

WeChat 1538708413