[Ways to improve efficiency of patient clinical examinations during early stage of cholelithiasis].
OBJECTIVE
The aim of the work was to improve the organization and conduct of clinical examination of patients with gallstone disease (GSD).


METHODS
An integrated study of 396 patients with different pathologies of the hepatobiliary system and the medical check-up for three years for 101 patients.


RESULTS
Built logistic model to predict the likelihood of developing gallstone disease and developed a predictive scoring table it possible to distinguish patients at risk of developing gall stones. The result of follow-up of the proposed method was prevented economic losses due to the lack of need for a cholecystectomy, which is made up of one patient 6766.22 rubles., The entire group of 1,004,966.63 rubles.


CONCLUSIONS
Obtained to diagnose cholelithiasis at an early stage dokamennoy. Developed a screening questionnaire, predictive scoring table, the scheme of follow-up also improves clinical examination of patients with cholelithiasis dokamennoy stage.
N A
NA
Khokhlacheva
E V
EV
Suchkova
Ia M
IaM
Vakhrushev
D000328:Adult; D016022:Case-Control Studies; D002769:Cholelithiasis / Q000175:diagnosis* / Q000453:epidemiology / Q000209:etiology; D005260:Female; D006801:Humans; D008297:Male; D008403:Mass Screening; D008875:Middle Aged; D008962:Models, Theoretical; D011379:Prognosis; D012307:Risk Factors; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires; D055815:Young Adult