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Gallbladder disease and cholecystectomies, active component, U.S. Armed Forces, 2004-2013
MSMR
|July 1, 2014
Summary
Gallbladder disease and its surgical removal (cholecystectomy) are common in U.S. service members, with incidence increasing over a decade. Risk factors like female sex and older age are associated with higher rates.
Area of Science:
- Gastroenterology
- Epidemiology
- Surgical Outcomes
Background:
- Gallbladder disease is a prevalent health issue in the U.S., frequently necessitating cholecystectomy.
- Active component service members experience significant rates of gallbladder disease and subsequent surgical intervention.
Purpose of the Study:
- To analyze the incidence and trends of gallbladder disease and cholecystectomies in active component service members over a 10-year period.
- To identify demographic and occupational risk factors associated with gallbladder disease and cholecystectomy in this population.
Main Methods:
- A 10-year surveillance study identified 20,001 incident cases of gallbladder disease and 15,487 cholecystectomies.
- Incidence rates, trends, and risk factors were analyzed, comparing laparoscopic and open cholecystectomy outcomes.
Main Results:
- The incidence rate of gallbladder disease was 1.4 per 1,000 person-years, increasing by 32% over the study period.
- Laparoscopic cholecystectomy was predominant (94.4%), often performed outpatient (60.3%), and resulted in fewer hospital days than open procedures.
- Higher incidence was observed in females, those over 40, Hispanics, Air Force members, and healthcare occupations.
Conclusions:
- Gallbladder disease and cholecystectomies are common in active duty military personnel.
- Specific demographic and occupational groups face elevated risks, highlighting the need for targeted preventive strategies.