{"id":"https://openalex.org/W4295928416","doi":"https://doi.org/10.3389/fdgth.2022.845453","title":"Personalized decision-making for acute cholecystitis: Understanding surgeon judgment","display_name":"Personalized decision-making for acute cholecystitis: Understanding surgeon judgment","publication_year":2022,"publication_date":"2022-09-15","ids":{"openalex":"https://openalex.org/W4295928416","doi":"https://doi.org/10.3389/fdgth.2022.845453","pmid":"https://pubmed.ncbi.nlm.nih.gov/36339515"},"language":"en","primary_location":{"is_oa":true,"landing_page_url":"https://doi.org/10.3389/fdgth.2022.845453","pdf_url":"https://www.frontiersin.org/articles/10.3389/fdgth.2022.845453/pdf","source":{"id":"https://openalex.org/S4210170686","display_name":"Frontiers in Digital Health","issn_l":"2673-253X","issn":["2673-253X"],"is_oa":true,"is_in_doaj":true,"is_indexed_in_scopus":true,"is_core":true,"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true},"type":"article","type_crossref":"journal-article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.frontiersin.org/articles/10.3389/fdgth.2022.845453/pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5074494005","display_name":"Amanda C. Filiberto","orcid":"https://orcid.org/0000-0003-3586-8830"},"institutions":[{"id":"https://openalex.org/I2800717037","display_name":"University of Florida Health","ror":"https://ror.org/04tk2gy88","country_code":"US","type":"funder","lineage":["https://openalex.org/I2800717037"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Amanda C. Filiberto","raw_affiliation_strings":["Department of Surgery, University of Florida Health, Gainesville, FL, United States"],"affiliations":[{"raw_affiliation_string":"Department of Surgery, University of Florida Health, Gainesville, FL, United States","institution_ids":["https://openalex.org/I2800717037"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5031214939","display_name":"Philip A. Efron","orcid":"https://orcid.org/0000-0002-3931-650X"},"institutions":[{"id":"https://openalex.org/I2800717037","display_name":"University of Florida Health","ror":"https://ror.org/04tk2gy88","country_code":"US","type":"funder","lineage":["https://openalex.org/I2800717037"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Philip A. Efron","raw_affiliation_strings":["Department of Surgery, University of Florida Health, Gainesville, FL, United States"],"affiliations":[{"raw_affiliation_string":"Department of Surgery, University of Florida Health, Gainesville, FL, United States","institution_ids":["https://openalex.org/I2800717037"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5073771454","display_name":"Amanda M. Frantz","orcid":"https://orcid.org/0000-0002-3990-1485"},"institutions":[{"id":"https://openalex.org/I2800717037","display_name":"University of Florida Health","ror":"https://ror.org/04tk2gy88","country_code":"US","type":"funder","lineage":["https://openalex.org/I2800717037"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Amanda Frantz","raw_affiliation_strings":["Department of Anesthesiology, University of Florida Health, Gainesville, FL, United States"],"affiliations":[{"raw_affiliation_string":"Department of Anesthesiology, University of Florida Health, Gainesville, FL, United States","institution_ids":["https://openalex.org/I2800717037"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5016909804","display_name":"Azra Bihorac","orcid":"https://orcid.org/0000-0002-5745-2863"},"institutions":[{"id":"https://openalex.org/I2800717037","display_name":"University of Florida Health","ror":"https://ror.org/04tk2gy88","country_code":"US","type":"funder","lineage":["https://openalex.org/I2800717037"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Azra Bihorac","raw_affiliation_strings":["Department of Medicine, University of Florida Health, Gainesville, FL, United States","Intelligent Critical Care Center, University of Florida Health, Gainesville, FL, United States"],"affiliations":[{"raw_affiliation_string":"Intelligent Critical Care Center, University of Florida Health, Gainesville, FL, United States","institution_ids":["https://openalex.org/I2800717037"]},{"raw_affiliation_string":"Department of Medicine, University of Florida Health, Gainesville, FL, United States","institution_ids":["https://openalex.org/I2800717037"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5058111361","display_name":"Gilbert R. Upchurch","orcid":"https://orcid.org/0000-0002-4679-8623"},"institutions":[{"id":"https://openalex.org/I2800717037","display_name":"University of Florida Health","ror":"https://ror.org/04tk2gy88","country_code":"US","type":"funder","lineage":["https://openalex.org/I2800717037"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Gilbert R. Upchurch","raw_affiliation_strings":["Department of Surgery, University of Florida Health, Gainesville, FL, United States"],"affiliations":[{"raw_affiliation_string":"Department of Surgery, University of Florida Health, Gainesville, FL, United States","institution_ids":["https://openalex.org/I2800717037"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5046193991","display_name":"Tyler J. Loftus","orcid":"https://orcid.org/0000-0001-5354-443X"},"institutions":[{"id":"https://openalex.org/I2800717037","display_name":"University of Florida Health","ror":"https://ror.org/04tk2gy88","country_code":"US","type":"funder","lineage":["https://openalex.org/I2800717037"]}],"countries":["US"],"is_corresponding":true,"raw_author_name":"Tyler J. Loftus","raw_affiliation_strings":["Department of Surgery, University of Florida Health, Gainesville, FL, United States","Intelligent Critical Care Center, University of Florida Health, Gainesville, FL, United States"],"affiliations":[{"raw_affiliation_string":"Intelligent Critical Care Center, University of Florida Health, Gainesville, FL, United States","institution_ids":["https://openalex.org/I2800717037"]},{"raw_affiliation_string":"Department of Surgery, University of Florida Health, Gainesville, FL, United States","institution_ids":["https://openalex.org/I2800717037"]}]}],"institution_assertions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5046193991"],"corresponding_institution_ids":["https://openalex.org/I2800717037"],"apc_list":{"value":1900,"currency":"USD","value_usd":1900},"apc_paid":{"value":1900,"currency":"USD","value_usd":1900},"fwci":2.402,"has_fulltext":false,"cited_by_count":11,"citation_normalized_percentile":{"value":0.836262,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":90,"max":91},"biblio":{"volume":"4","issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"primary_topic":{"id":"https://openalex.org/T10518","display_name":"Gallbladder and Bile Duct Disorders","score":0.9997,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10518","display_name":"Gallbladder and Bile Duct Disorders","score":0.9997,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11473","display_name":"Appendicitis Diagnosis and Management","score":0.9996,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12518","display_name":"Diverticular Disease and Complications","score":0.9945,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/cholecystostomy","display_name":"Cholecystostomy","score":0.8516134}],"concepts":[{"id":"https://openalex.org/C2777223184","wikidata":"https://www.wikidata.org/wiki/Q5104302","display_name":"Cholecystostomy","level":4,"score":0.8516134},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.80960155},{"id":"https://openalex.org/C2776641081","wikidata":"https://www.wikidata.org/wiki/Q638774","display_name":"Cholecystectomy","level":2,"score":0.7925704},{"id":"https://openalex.org/C61434518","wikidata":"https://www.wikidata.org/wiki/Q932510","display_name":"General surgery","level":1,"score":0.6876943},{"id":"https://openalex.org/C3019630301","wikidata":"https://www.wikidata.org/wiki/Q376666","display_name":"Acute cholecystitis","level":3,"score":0.68098634},{"id":"https://openalex.org/C2780354107","wikidata":"https://www.wikidata.org/wiki/Q376666","display_name":"Cholecystitis","level":3,"score":0.6580306},{"id":"https://openalex.org/C2777148285","wikidata":"https://www.wikidata.org/wiki/Q64386","display_name":"Gallbladder","level":2,"score":0.52865225},{"id":"https://openalex.org/C2780813298","wikidata":"https://www.wikidata.org/wiki/Q2071287","display_name":"Percutaneous","level":2,"score":0.5007117},{"id":"https://openalex.org/C2987287001","wikidata":"https://www.wikidata.org/wiki/Q638774","display_name":"Laparoscopic cholecystectomy","level":2,"score":0.49215811},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.32274318}],"mesh":[],"locations_count":4,"locations":[{"is_oa":true,"landing_page_url":"https://doi.org/10.3389/fdgth.2022.845453","pdf_url":"https://www.frontiersin.org/articles/10.3389/fdgth.2022.845453/pdf","source":{"id":"https://openalex.org/S4210170686","display_name":"Frontiers in Digital Health","issn_l":"2673-253X","issn":["2673-253X"],"is_oa":true,"is_in_doaj":true,"is_indexed_in_scopus":true,"is_core":true,"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true},{"is_oa":false,"landing_page_url":"https://doaj.org/article/ad2377fe05754ba1b980fc9c63cf6bd6","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_indexed_in_scopus":false,"is_core":false,"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false},{"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9632988","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_indexed_in_scopus":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":["National Institutes of Health"],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true},{"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/36339515","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_indexed_in_scopus":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":["National Institutes of Health"],"type":"repository"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false}],"best_oa_location":{"is_oa":true,"landing_page_url":"https://doi.org/10.3389/fdgth.2022.845453","pdf_url":"https://www.frontiersin.org/articles/10.3389/fdgth.2022.845453/pdf","source":{"id":"https://openalex.org/S4210170686","display_name":"Frontiers in Digital Health","issn_l":"2673-253X","issn":["2673-253X"],"is_oa":true,"is_in_doaj":true,"is_indexed_in_scopus":true,"is_core":true,"host_organization":"https://openalex.org/P4310320527","host_organization_name":"Frontiers Media","host_organization_lineage":["https://openalex.org/P4310320527"],"host_organization_lineage_names":["Frontiers Media"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true},"sustainable_development_goals":[{"score":0.55,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"grants":[],"datasets":[],"versions":[],"referenced_works_count":30,"referenced_works":["https://openalex.org/W144645072","https://openalex.org/W1510964634","https://openalex.org/W1973704628","https://openalex.org/W1987148459","https://openalex.org/W2003015733","https://openalex.org/W2006160260","https://openalex.org/W2035033945","https://openalex.org/W2052156832","https://openalex.org/W2068185353","https://openalex.org/W2090131049","https://openalex.org/W2156419716","https://openalex.org/W2166619331","https://openalex.org/W2187098999","https://openalex.org/W2203253499","https://openalex.org/W2408665467","https://openalex.org/W2653715832","https://openalex.org/W2762299493","https://openalex.org/W2765814213","https://openalex.org/W2793121975","https://openalex.org/W2797775685","https://openalex.org/W2895277112","https://openalex.org/W2896893468","https://openalex.org/W2906901212","https://openalex.org/W2923445040","https://openalex.org/W2953251344","https://openalex.org/W3006079219","https://openalex.org/W3035073080","https://openalex.org/W3160215512","https://openalex.org/W3173256172","https://openalex.org/W3214312095"],"related_works":["https://openalex.org/W4401511041","https://openalex.org/W2964234522","https://openalex.org/W2423045528","https://openalex.org/W2420202969","https://openalex.org/W2402657930","https://openalex.org/W2398644850","https://openalex.org/W2336099597","https://openalex.org/W2156419716","https://openalex.org/W2146376057","https://openalex.org/W1995696453"],"abstract_inverted_index":{"Background":[0],"There":[1,188],"is":[2,28],"sparse":[3],"high-level":[4],"evidence":[5],"to":[6,34,72,171,207,247],"guide":[7],"treatment":[8,19,45,212,228],"decisions":[9,20],"for":[10,53,94,118,143,174,181,217],"severe,":[11],"acute":[12,99],"cholecystitis":[13,183,219],"(inflammation":[14],"of":[15,88,128,134,163,227],"the":[16,41,83,104],"gallbladder).":[17],"Therefore,":[18],"depend":[21],"heavily":[22],"on":[23],"individual":[24,70],"surgeon":[25],"judgment,":[26],"which":[27],"highly":[29],"variable":[30],"and":[31,51,67,86,97,121,152,225],"potentially":[32],"amenable":[33],"personalized,":[35,252],"data-driven":[36,253],"decision":[37,254],"support.":[38,255],"We":[39],"test":[40],"hypothesis":[42],"that":[43,106],"surgeons'":[44],"recommendations":[46,216],"misalign":[47],"with":[48,141,222,251],"perceived":[49,223],"risks":[50,85,224],"benefits":[52,87,226],"laparoscopic":[54,89,119],"cholecystectomy":[55,90,120,142,173,180,236],"(surgical":[56],"removal)":[57],"vs.":[58,91,147,155],"percutaneous":[59,92,122,138],"cholecystostomy":[60,93,139],"(image-guided":[61],"drainage).":[62],"Methods":[63],"Surgery":[64],"attendings,":[65],"fellows,":[66],"residents":[68],"applied":[69],"judgement":[71],"standardized":[73],"case":[74],"scenarios":[75],"in":[76,81,193],"a":[77,125],"live,":[78],"web-based":[79],"survey":[80],"estimating":[82],"quantitative":[84],"both":[95,144],"moderate":[96,145,175],"severe":[98,153,182,218],"cholecystitis,":[100],"as":[101,103],"well":[102],"likelihood":[105,133],"they":[107],"would":[108],"recommend":[109,172],"cholecystectomy.":[110,242],"Results":[111],"Surgeons":[112,230],"predicted":[113,130,194,231],"similar":[114],"30-day":[115],"morbidity":[116,196],"rates":[117],"cholecystostomy.":[123],"However,":[124],"greater":[126,232],"proportion":[127],"surgeons":[129,165],"low":[131],"(<50%)":[132],"full":[135],"recovery":[136,234],"following":[137],"compared":[140],"(30%":[146],"2%,":[148],"p":[149,157,185],"<":[150,158,186],"0.001)":[151,159],"(62%":[154],"38%,":[156],"cholecystitis.":[160],"Ninety-eight":[161],"percent":[162],"all":[164],"were":[166,189,199,220],"likely":[167,170],"or":[168,204,210],"very":[169],"cholecystitis;":[176],"only":[177],"32%":[178],"recommended":[179,241],"(":[184],"0.001).":[187],"no":[190],"significant":[191],"differences":[192],"postoperative":[195],"when":[197],"respondents":[198],"stratified":[200],"by":[201],"academic":[202],"rank":[203],"self-reported":[205],"ability":[206],"predict":[208],"complications":[209],"make":[211],"recommendations.":[213],"Conclusions":[214],"Surgeon":[215],"discordant":[221],"options.":[229],"functional":[233],"after":[235],"but":[237],"less":[238],"than":[239],"one-third":[240],"These":[243],"findings":[244],"suggest":[245],"opportunities":[246],"augment":[248],"surgical":[249],"decision-making":[250]},"abstract_inverted_index_v3":null,"cited_by_api_url":"https://api.openalex.org/works?filter=cites:W4295928416","counts_by_year":[{"year":2025,"cited_by_count":1},{"year":2024,"cited_by_count":7},{"year":2023,"cited_by_count":3}],"updated_date":"2025-05-02T08:34:30.064635","created_date":"2022-09-16"}