1. Recurrence of gallstones: a comprehensive multivariate analysis of clinical and biochemical risk factors in a large Chinese cohort of 16,763 patients.
- Author
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Li, Xin, Song, Rongrong, Liu, Mi Min, He, Jing, Zhao, Xiao Yue, and Zhuang, Xue Wei
- Subjects
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VENOUS thrombosis , *CHI-squared test , *MULTIVARIATE analysis , *BLOOD grouping & crossmatching ,WESTERN countries - Abstract
AbstractBackgroundMethodResultsConclusionsGallstone disease is common, with a prevalence of 5%–22% in Western countries and 6.3%–12.1% in Chinese adults, increasing with age. Postsurgery recurrence is high and analyzing recurrence factors helps identify high-risk patients and preventive strategies. This study explores the differences in stone types and factors associated with postoperative recurrence.Data from 16,763 patients treated for gallstones at Shandong Third Hospital (2017–2023) were collected. Variables such as age, gender, stone type and size, comorbidities and biochemical results were analyzed using rank sum test, chi-square test, odds ratio (OR) and logistic regression.Among 16,763 patients, females were slightly more numerous, with ages predominantly in the 60–74 range. Gallbladder stones were the most common type, with a low recurrence rate. Recurrence was significantly associated with stone size, venous thrombosis, respiratory diseases, and cirrhosis. Different stone types varied in terms of complications, gender, age, and recurrence.Different stone types varied by comorbidities, gender, age, and recurrence, influencing recurrence risk. While the direct effect of stone type on recurrence is unclear, comorbidities play a crucial role. Larger, multicenter studies are needed to improve treatment guidance. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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