title: [Cost of the surgical treatment of gallbladder lithiasis. Example of an attempted rationalization of medical care and expenditure].
abstract: A medical audit was conducted in a Paris hospital on patients who, in 1975, underwent cholecystectomy for uncomplicated gallstones. The audit comprised the duration of pre- and post-operative hospitalisation, the Social Security grading of medical acts, biochemical and radiological examinations and the quality of medical care, as assessed by morbidity and mortality rates. The results were brought to the knowledge of all members of the surgical team concerned. Similar studies conducted two and five years later showed that self-restriction on the part of the physicians resulted in improved costs through shorter stays in hospital (especially before surgery) and less extensive and numerous examinations, the incidence of complications remaining the same.
mesh_terms: D000328:Adult; D000368:Aged; D002763:Cholecystectomy / Q000191:economics*; D002769:Cholelithiasis / Q000191:economics / Q000601:surgery*; D003365:Costs and Cost Analysis; D005260:Female; D006760:Hospitalization / Q000191:economics; D006801:Humans; D007902:Length of Stay / Q000191:economics; D008297:Male; D008875:Middle Aged; D010297:Paris; D011787:Quality of Health Care / Q000191:economics
vernacular_title: Coût du traitement chirurgical de la lithiase vésiculaire. Exemple d'un essai de rationalisation des soins et des dépenses médicales.