title: The Swedish Registry of Gallstone Surgery and Endoscopic Retrograde Cholangiopancreatography (GallRiks): A nationwide registry for quality assurance of gallstone surgery.
abstract: OBJECTIVE
  To describe the process of initiating and organizing a nationwide validated web-based quality registry of gallstone surgery and endoscopic retrograde cholangiopancreatography (ERCP) and to present some clinical data and the impact the registry has had on the clinical treatment of gallstones.
  
  
  METHODS
  Observational, population-based registry study.
  
  
  METHODS
  Data from the nationwide Swedish Registry of Gallstone Surgery and ERCP (GallRiks).
  
  
  METHODS
  From May 1, 2005, to December 31, 2011, 63 685 cholecystectomies (laparoscopic and open) and 37 860 ERCPs have been prospectively registered in GallRiks.
  
  
  METHODS
  Cholecystectomies, laparoscopic or conventional, as well as ERCP in a population-based setting.
  
  
  METHODS
  Registrations of all cholecystectomies and ERCPs are performed online by the surgeon or endoscopist. Thirty-day follow-up of both gallstone surgery and ERCP is mandatory, as is an additional 6-month follow-up of the cholecystectomies. Scores on the 36-Item Short Form Health Survey are registered preoperatively and 6 months postoperatively in elective cholecystectomies at selected units.
  
  
  RESULTS
  The 30-day overall complication rate is 6.1% in elective cholecystectomy, 11.2% in urgent cholecystectomy, and 12.0% following ERCP. The use of antibiotic and thromboembolic prophylaxis in elective laparoscopic cholecystectomy in Sweden has decreased by 8.7% and 17.8% (2006-2011), respectively, mainly owing to presentation of GallRiks data both at meetings and published in peer-reviewed publications. The large database has also enabled several research projects, including one demonstrating that the intention to perform intraoperative cholangiography reduced the risk of death after cholecystectomy. The database has reached greater than 90% national coverage and is continuously validated.
  
  
  CONCLUSIONS
  GallRiks is a validated national quality registry for gallstone surgery and ERCP, serving as a base for audit of gallstone disease treatment. It also provides a database for clinical research.
authors: Division of Surgery, CLINTEC, Karolinska Institutet and Department of Surgical Gastroenterology, Karolinska University Hospital, SE-141 86 Stockholm, Sweden. lars.enochsson@ki.se
authors: Lars
authors: L
authors: Enochsson
authors: Anders
authors: A
authors: Thulin
authors: Johanna
authors: J
authors: Osterberg
authors: Gabriel
authors: G
authors: Sandblom
authors: Gunnar
authors: G
authors: Persson
mesh_terms: D000328:Adult; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000706:statistics & numerical data*; D002763:Cholecystectomy / Q000706:statistics & numerical data*; D005260:Female; D042882:Gallstones / Q000601:surgery*; D006801:Humans; D008297:Male; D011785:Quality Assurance, Health Care; D012042:Registries; D015203:Reproducibility of Results; D013548:Sweden; D013997:Time Factors; D016896:Treatment Outcome