Priority access criteria for elective cholecystectomy: a comparison of three scoring methods

N Z Med J. 1998 Jun 26;111(1068):231-3.


Aim: To compare two priority access criteria scoring methods for elective cholecystectomy, with a score based on clinical judgement obtained using a linear analogue scale.

Methods: Patients placed on the waiting list for elective laparoscopic cholecystectomy between June and October 1997 were prioritised using the three methods.

Results: Data were obtained for 22 patients. The distributions of scores were different but there was a significant correlation between them. However, limits of agreement analysis demonstrated little agreement between them with a difference of +/- 30 points (out of a 100) between scores obtained with each method.

Conclusion: The proposed methods for establishing priority access to elective cholecystectomy are poor tools, require validation and bear little relation to expert clinical judgement.

Publication types

  • Comparative Study

MeSH terms

  • Cholecystectomy, Laparoscopic / statistics & numerical data*
  • Elective Surgical Procedures / statistics & numerical data
  • Health Care Rationing
  • Health Priorities*
  • Health Services Accessibility / statistics & numerical data*
  • Humans
  • New Zealand / epidemiology
  • Patient Selection*
  • State Medicine
  • Waiting Lists