Watchful waiting after endoscopic removal of common bile duct stones: cheaper and better?

Journal Article (Editorial)

Drake et al. constructed a decision model to compare, in an older population, the costs and 2-yr survival rates of elective cholecystectomy versus expectant management after endoscopic removal of common bile duct (CBD) stones. The base case analysis indicated that the expectant management strategy dominated (less expensive and more effective) the elective surgery strategy. Sensitivity analysis suggested that the two strategies likely had equivalent effectiveness and that results were sensitive to the rate of recurrent biliary symptoms. Patient preferences for the different strategies (i.e., utilities) were not included in the model but are important to elicit and consider in clinical practice.

Full Text

Duke Authors

Cited Authors

  • Fisher, DA

Published Date

  • April 2006

Published In

Volume / Issue

  • 101 / 4

Start / End Page

  • 753 - 754

PubMed ID

  • 16635223

Pubmed Central ID

  • 16635223

International Standard Serial Number (ISSN)

  • 0002-9270

Digital Object Identifier (DOI)

  • 10.1111/j.1572-0241.2006.00489.x


  • eng

Conference Location

  • United States