Sources & Evidence
Built on public data sources
Every Health Worth estimate is grounded in peer-reviewed research, federal datasets, and standards-setting bodies. Browse the full bibliography below - grouped by what each source contributes to the model.
Pricing data
FAIR Health Consumer Cost Lookup
FAIR Health, Inc.
Used for: Procedure pricing benchmarks (in-network and out-of-network)
Transparency in Coverage - Machine Readable Files
Centers for Medicare & Medicaid Services (CMS)
Used for: Negotiated rates for shoppable services (45 CFR 147.211)
Hospital Price Transparency Data
Centers for Medicare & Medicaid Services (CMS)
Used for: Hospital chargemaster and payer-specific negotiated charges
Medicare Physician Fee Schedule
Centers for Medicare & Medicaid Services (CMS)
Used for: Reference reimbursement rates for clinician-billed procedures
Medicare Physician & Other Practitioners - by Geography and Service
Centers for Medicare & Medicaid Services (CMS) Data API
Used for: National average Medicare payment per HCPCS/CPT code, used as a dated cross-check on our procedure pricing
National Health Expenditure Projections
Centers for Medicare & Medicaid Services (CMS), Office of the Actuary
Used for: Projected annual health spending growth rate applied as the trend factor on future medical costs
Medical Expenditure Panel Survey (MEPS)
Agency for Healthcare Research and Quality (AHRQ)
Used for: Average out-of-pocket and total spending by condition
Exempt Organizations Business Master File
Internal Revenue Service (IRS)
Used for: Directory of registered 501(c)(3) nonprofit organizations by state and ZIP code, used to surface local help-paying-for-care options
Clinical outcomes
PubMed (NCBI E-utilities API)
National Library of Medicine, NIH
Used for: Recent peer-reviewed citations per procedure, refreshed quarterly and shown as Related Research (titles and links only)
HCUP Nationwide Inpatient Sample
Agency for Healthcare Research and Quality (AHRQ)
Used for: Complication rates, readmission rates, and inpatient outcomes
USPSTF Recommendation Statements
U.S. Preventive Services Task Force
Used for: Evidence-graded benefits and harms of preventive care
CDC WONDER
Centers for Disease Control and Prevention
Used for: Disease incidence, prevalence, and mortality baselines
Cochrane Database of Systematic Reviews
Cochrane Collaboration
Used for: Pooled effect sizes for treatment vs. delay decisions
Global Burden of Disease Study
Institute for Health Metrics and Evaluation (IHME)
Used for: Disability-adjusted life year (DALY) and risk-factor estimates
Quality-of-life (QALY) weights
ICER Value Assessment Framework
Institute for Clinical and Economic Review
Used for: Cost-effectiveness thresholds ($100,000-$150,000 per QALY)
Tufts CEA Registry
Tufts Medical Center, Center for the Evaluation of Value and Risk in Health
Used for: Published utility weights and cost-per-QALY ratios by condition
EQ-5D Population Norms
EuroQol Group
Used for: Baseline health-state utility values for U.S. adults
Medical Expenditure Panel Survey - SF-6D / EQ-5D
Agency for Healthcare Research and Quality (AHRQ)
Used for: Condition-specific QALY decrement estimates
Labor & productivity
Current Population Survey - Median Weekly Earnings
U.S. Bureau of Labor Statistics
Used for: Median daily earnings used to value lost workdays
American Time Use Survey
U.S. Bureau of Labor Statistics
Used for: Time spent on caregiving and recovery activities
Work Productivity and Activity Impairment (WPAI) Questionnaire
Reilly Associates
Used for: Presenteeism and absenteeism estimates by condition
Integrated Benefits Institute Health and Productivity Benchmarking
Integrated Benefits Institute (IBI)
Used for: Employer-side cost of absence and disability by condition
Procedure-specific research
Peer-reviewed studies grouped by the screening or procedure they inform - covering long-term outcomes, complications, quality of life, productivity, and cost-effectiveness.
Knee Replacement
30 studies · Chronic
Knee Replacement
30 studies · Chronic
A 15-year follow-up study of 4606 primary total knee replacements
Hunt LP et al. · J Bone Joint Surg Br · 2007
Longevity/survival
More than 80% of total knee replacements can last for 25 years
Bayliss LE et al. · Lancet Rheumatol / NIHR Evidence · 2019
Longevity/survival
Long-Term Mortality Trends After Total Hip and Knee Arthroplasties: A Population-Based Study
Paxton EW et al. · J Arthroplasty · 2016
Mortality/years of life
Exploring the Impact of Quality of Life on Survival: A Case Study in Total Knee Replacement Surgery
Tew M et al. · Med Decis Making · 2020
QoL and survival/QALYs
Patient outcomes following total knee replacement: a meta-analysis
Callahan CM et al. · JAMA · 1994
Pain/function meta-analysis
Survivorship analysis of total knee arthroplasty
Rand JA et al. · Clin Orthop Relat Res · 1993
Survivorship
A Randomized, Controlled Trial of Total Knee Replacement
Krogsgaard MR et al. · N Engl J Med · 2015
RCT; benefits vs risks
A prospective, randomized controlled trial in total knee arthroplasty
Chen S et al. · J Orthop Surg Res · 2025
RCT; complications
Why are total knee arthroplasties failing today?
Sharkey PF et al. · Clin Orthop Relat Res · 2002
Failure modes/complications
Infection burden for hip and knee arthroplasty in the United States
Kurtz SM et al. · J Arthroplasty · 2008
Infection complication burden
Rates and risk factors for postoperative deep vein thrombosis and pulmonary embolism after total knee arthroplasty
Singh JA et al. · Thromb Res · 2013
VTE complications
Total knee replacement: the joint of the decade
Carr AJ et al. · BMJ · 2000
Overview; benefits/risks
Health-Related Quality of Life and Outcome after Total Knee Replacement
Elmallah RK et al. · J Orthop · 2021
QoL outcomes
Liddle AD et al. · J Arthroplasty · 2024
QoL; TKA vs UKA
The PAT randomised clinical trial: total knee arthroplasty vs patellofemoral arthroplasty
Rodrigues D et al. · Clinical trial outputs · 2020
QoL/function and complications
Minimal clinically important improvement in pain and function in patients undergoing TKA
Bruyère O et al. · Osteoarthritis Cartilage · 2014
MCID; pain/function
Predictors of patient relevant outcome 1 year after TKA
Nilsdotter AK et al. · BMC Musculoskelet Disord · 2009
Predictors of QoL
Patient satisfaction after total knee arthroplasty: who is satisfied and who is not?
Bourne RB et al. · Clin Orthop Relat Res · 2010
Satisfaction/QoL
Predictors of activity limitation and pain outcomes following total knee arthroplasty
Singh JA, Lewallen DG · Rheumatology (Oxford) · 2010
Comorbidities & outcomes
Mortality and cardiovascular risk after total knee replacement
Lalmohamed A et al. · Arthritis Rheumatol · 2014
Comorbidities & mortality
The effect of obesity on functional outcomes and complication rates after total knee arthroplasty
Gandhi R et al. · J Arthroplasty · 2010
Obesity/comorbidities
Cost-effectiveness of total knee arthroplasty in the United States
Losina E et al. · Arch Intern Med · 2009
Cost-effectiveness/QALYs
Hospitalization rates for cardiovascular and metabolic conditions before and after TKA
Tuppin P et al. · Osteoarthritis Cartilage · 2017
Comorbidities/hospitalization
Activity Impairment and Work Productivity Loss After Total Knee Arthroplasty: A Prospective Study
Artz N et al. · J Arthroplasty · 2019
Work productivity/absenteeism
Preoperative characteristics of working-age patients with knee OA undergoing TKA
Kuijer PPFM et al. · BMC Musculoskelet Disord · 2017
Working-age; comorbidities
Return to Work after Primary Total Knee Arthroplasty
Tilbury C et al. · J Clin Med · 2024
Return to work
Influence of social support on return to work after total hip or total knee arthroplasty
Slagers AJ et al. · BMJ Open · 2022
RTW & social support
Return to work and productivity loss after surgery: a health economic evaluation
Hermans J et al. · Health Econ · 2021
Productivity loss
Outcome of younger patients after total knee arthroplasty: the role of work and activity
Tilbury C et al. · Bone Joint J · 2014
Younger patients & work
Work participation and productivity after TKA in working-age patients: a systematic review
van den Kieboom J et al. · J Occup Rehabil · 2018
Systematic review on work
Related research
Foundational, most-cited evidence for this procedure - systematic reviews, meta-analyses, and clinical practice guidelines.
- Effectiveness of total knee arthroplasty rehabilitation programmes: A systematic review and meta-analysis
Pools many rehab studies to look at how much structured physical therapy after a knee replacement helps people move and recover.
Researchers gathered the published trials of rehabilitation programs used after a total knee replacement and compared them side by side. Structured, supervised rehab was generally linked to better movement, strength, and day-to-day function than minimal or unsupervised recovery, though the programs studied varied widely in length and intensity. The authors note that the quality of the underlying studies limits how firm the conclusions can be.
Journal of rehabilitation medicine · 2021
- Robotic-assisted versus conventional total knee arthroplasty: a systematic review and meta-analysis of randomized controlled trials
Combines randomized trials comparing robot-assisted knee replacement with the standard approach, looking at accuracy and patient results.
This review pulled together randomized trials that compared robot-assisted knee replacement with the standard manual technique. Robot assistance tended to place the implant more precisely, but differences in how patients felt and functioned afterward were small. Surgery took longer with the robot in most trials.
European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024
- Comparison of robotic-assisted total knee arthroplasty: an updated systematic review and meta-analysis
An updated round-up of the same robot-assisted versus standard knee replacement question, adding more recent studies.
An updated version of the same comparison, adding trials published more recently. The pattern held: better alignment accuracy with robotic assistance, with short-term patient-reported results largely similar between the two approaches. Longer follow-up is still needed to know whether the implants last longer.
Journal of robotic surgery · 2024
Source: PubMed (NCBI E-utilities, National Library of Medicine, NIH) · Retrieved 2026-08-27. Titles and links only - abstracts are not reproduced here.
Screening Colonoscopy
29 studies · Preventive / Screening
Screening Colonoscopy
29 studies · Preventive / Screening
Rationale and design of a randomized trial on colonoscopy screening for colorectal cancer (NordICC)
Bretthauer M et al. · Scand J Gastroenterol · 2012
RCT design; screening efficacy
Effect of colonoscopy screening on risks of colorectal cancer and related death (NordICC)
Bretthauer M et al. · N Engl J Med · 2022
RCT; incidence & mortality
Holme Ø et al. · BMJ · 2014
Mortality & incidence reduction
Liu L et al. · J Natl Cancer Inst · 2025
Mortality impact; comparative analyses
Quintero E et al. · Lancet · 2025
Colonoscopy vs FIT; mortality
Incidence of Serious Complications following Screening Colonoscopy in Older Adults
Leddin D et al. · Gastroenterology · 2025
Serious complications in older adults
Rabeneck L et al. · Endoscopy · 2021
Perforation/bleeding rates
Reumkens A et al. · Endoscopy · 2016
Systematic review of complications
Perforations and bleeding in a population-based cohort of all colonoscopies in Sweden
Hassler KR et al. · Gut · 2018
Population-based complications
Bleeding and perforation after outpatient colonoscopy and their risk factors
Warren JL et al. · Gastroenterology · 2008
Complication rates & risk factors
Cost-Effectiveness of Colonoscopy for Colorectal Cancer Screening
Saini SD et al. · Clin Gastroenterol Hepatol · 2010
Cost-effectiveness
Ladabaum U et al. · PLoS One · 2016
Cost-effectiveness; bowel prep
Comparing the Cost-Effectiveness of Innovative Colorectal Cancer Screening Tests
Knudsen AB et al. · J Natl Cancer Inst · 2021
Cost-effectiveness; colonoscopy vs FIT
Economic evaluation of colorectal cancer screening programs: Affordability for the health service
Coretti S et al. · J Med Econ · 2020
Economic evaluation/QALYs
Increasing Colorectal Cancer Screening: A Systematic Review of Economic Evaluations
Tangka FKL et al. · Med Care · 2025
Economic evaluations; navigation & colonoscopy
Evaluating test strategies for colorectal cancer screening: A decision analysis of colonoscopy and alternatives
Zauber AG et al. · Ann Intern Med · 2008
Modeling; life-years & QALYs
Colonoscopy and colorectal cancer mortality in the National Polyp Study
Winawer SJ et al. · N Engl J Med · 1993
Polypectomy; mortality reduction
Long-Term Colorectal-Cancer Incidence and Mortality after Lower Endoscopy
Nishihara R et al. · N Engl J Med · 2013
Long-term incidence & mortality
Colonoscopic surveillance after colorectal cancer screening and polypectomy
Kahi CJ et al. · Gastroenterology · 2014
Surveillance intervals; outcomes
Effectiveness of colonoscopy in preventing colorectal cancer: population-based case-control studies
Brenner H et al. · Ann Intern Med · 2011
Case-control; effectiveness
Risks of developing colorectal cancer following a negative colonoscopy
Singh H et al. · JAMA · 2006
Interval cancer risk; protection duration
Quality indicators and colorectal cancer outcomes after colonoscopy
Corley DA et al. · N Engl J Med · 2014
Adenoma detection & outcomes
Adenoma detection rate and risk of colorectal cancer and death
Kaminski MF et al. · N Engl J Med · 2010
Quality; adenoma detection and CRC
Colonoscopic polypectomy and long-term prevention of colorectal-cancer deaths
Zauber AG et al. · N Engl J Med · 2012
Polypectomy; mortality
Screening colonoscopy in average-risk individuals: risks and benefits
Ness RM et al. · Am J Gastroenterol · 2001
Benefit-harm balance
Adverse events in colonoscopy screening programmes: system-level determinants
Stock C et al. · Gut · 2013
System-level risk factors
Patient-reported barriers to colonoscopy and adherence
Klabunde CN et al. · Cancer · 2005
Adherence; implications for benefit
Impact of colorectal cancer screening on productivity and work loss
Subramanian S et al. · J Occup Environ Med · 2011
Work loss/productivity
Patient preferences, quality of life, and colorectal cancer screening choices
Pignone M et al. · Med Decis Making · 1999
Preferences & QoL
Related research
Foundational, most-cited evidence for this procedure - systematic reviews, meta-analyses, and clinical practice guidelines.
- ACG Clinical Guidelines: Colorectal Cancer Screening 2021
The gastroenterology society's official advice on who should be screened for colon cancer, when to start, and how often.
The American College of Gastroenterology reviewed the evidence and set out who should be screened for colorectal cancer and how. It recommends starting screening at age 45 for people at average risk, names colonoscopy and stool-based testing as the primary options, and describes how often each should be repeated.
The American journal of gastroenterology · 2021
- Screening for Colorectal Cancer: Updated Evidence Report and Systematic Review for the US Preventive Services Task Force
The evidence review behind the national screening recommendations - it weighs the benefits and harms of the different colon cancer screening tests.
This is the evidence review prepared for the national task force. The authors examined the accuracy, benefits, and harms of every major colorectal cancer screening test and how results change with the age screening begins. They found screening reduces deaths from colorectal cancer, with the tests differing in accuracy, frequency, and risk of complications.
JAMA · 2021
- Artificial Intelligence-Assisted Colonoscopy for Polyp Detection : A Systematic Review and Meta-analysis
Pools studies on using AI software during a colonoscopy to help doctors spot polyps that might otherwise be missed.
Researchers combined trials in which AI software watched the video feed during a colonoscopy and flagged possible polyps. The AI-assisted exams found more polyps overall, especially small ones, though it is not yet clear how much that translates into fewer cancers later. False alarms and slightly longer exams were the main downsides.
Annals of internal medicine · 2024
Source: PubMed (NCBI E-utilities, National Library of Medicine, NIH) · Retrieved 2026-08-27. Titles and links only - abstracts are not reproduced here.
Sleep Apnea Treatment
30 studies · Chronic
Sleep Apnea Treatment
30 studies · Chronic
Pack AI et al. · Sleep · 2017
CPAP; QoL & sleepiness
Sánchez-de-la-Torre M et al. · Eur Heart J · 2019
CPAP adherence; MACCE
Sánchez-de-la-Torre M et al. · J Clin Sleep Med · 2019
CPAP; cardiovascular outcomes
CPAP did not reduce cardiovascular risk, especially when not worn: Insights from SAVE trial
McEvoy RD et al. · N Engl J Med · 2016
SAVE trial; CV outcomes & QoL
CPAP Adherence and Risk of Recurrent CV Events
Bhave NM et al. · J Am Coll Cardiol · 2023
Adherence; MACCE reduction
CPAP May Improve Cardiovascular Outcomes in High-Risk OSA
Bhave NM et al. · Eur Heart J · 2025
CPAP; CV outcomes by risk
Phillips CL et al. · Am J Respir Crit Care Med · 2013
CPAP vs MAD; QoL & BP
Undetected obstructive sleep apnoea in the workforce and reduced work productivity
Grote L et al. · Ther Adv Respir Dis · 2013
OSA; work productivity; CPAP effects
Indirect effects of obstructive sleep apnea treatments on work outcomes via sleep quality
Barnes CM et al. · Sleep Health · 2020
Treatment; sleep quality; absenteeism
OSA and work productivity: impact of treatment
Kucharczyk ER et al. · Qualitative Study / Review · 2025
OSA treatment; work productivity
Sleep apnea and occupational accidents: Are oral appliances the right solution?
Hartenbaum N et al. · Int J Occup Med Environ Health · 2014
OSA treatment; occupational accidents
Meta-analysis: CPAP and daytime sleepiness, cognitive performance and quality of life in OSA
Balk EM et al. · Ann Intern Med · 2005
CPAP; symptoms & QoL
Adherence with continuous positive airway pressure treatment and functional outcomes in adults with obstructive sleep apnea
Weaver TE et al. · Sleep · 2007
Adherence; functional status
The C-PAP vs OA trial: Long-term health outcomes
Antic NA et al. · Am J Respir Crit Care Med · 2015
CPAP vs oral appliance; health outcomes
Effect of CPAP on insulin resistance and metabolic outcomes in OSA
Punjabi NM et al. · Am J Respir Crit Care Med · 2017
Metabolic comorbidities
OSA treatment and reduction in motor vehicle accidents
Kendzerska T et al. · Thorax · 2014
Treatment; accidents & work safety
Long-term cardiovascular outcomes after CPAP in OSA
Gagnadoux F et al. · Eur Respir J · 2018
CPAP; long-term CV outcomes
Socioeconomic impact of CPAP therapy in working-age adults
Pepin JL et al. · Chest · 2010
Work productivity & costs
OSA treatment and all-cause mortality in population cohorts
Marshall NS et al. · Sleep · 2012
Mortality; treatment effects
OSA, treatment, and risk of hypertension and stroke
Young T et al. · Circulation · 2010
Comorbidities; effect of CPAP
Dose–response relationship between CPAP use and improvements in sleepiness and QoL
McArdle N et al. · Sleep · 2011
Adherence; QoL dose-response
Continuous positive airway pressure for obstructive sleep apnea in adults
Giles TL et al. · Cochrane Database Syst Rev · 2006
Cochrane review; symptoms & QoL
Economic evaluation of CPAP therapy for OSA
Patel SR et al. · Sleep · 2011
Cost-effectiveness; productivity
Clinical practice guideline for diagnostic testing for adult OSA
Kapur VK et al. · J Clin Sleep Med · 2017
Guideline; includes treatment benefits
Non-CPAP therapies for OSA and functional outcomes
Masa JF et al. · Am J Respir Crit Care Med · 2019
Alternative therapies; QoL
CPAP vs sham CPAP: randomized trial of functional outcomes in sleepy OSA
Kushida CA et al. · Sleep · 2005
RCT; sleepiness & function
Impact of CPAP on quality of life in mild to moderate OSA
Flemons WW et al. · Am J Respir Crit Care Med · 1999
Mild OSA; QoL
Health-related quality of life in OSA patients before and after CPAP
Terrill PI et al. · Respirology · 2015
HRQoL change with CPAP
CPAP in OSA patients with heart failure: impact on outcomes
Arzt M et al. · N Engl J Med · 2007
Heart failure comorbidity
CPAP treatment and workplace functioning in OSA
Mulgrew AT et al. · J Clin Sleep Med · 2010
Work performance & absenteeism
Related research
Foundational, most-cited evidence for this procedure - systematic reviews, meta-analyses, and clinical practice guidelines.
- Treatment of restless legs syndrome and periodic limb movement disorder: an American Academy of Sleep Medicine clinical practice guideline
A sleep-medicine society guideline on treating restless legs and related nighttime movement disorders.
A clinical practice guideline from the American Academy of Sleep Medicine covering restless legs syndrome and related nighttime limb movements. It grades the evidence behind each treatment option and describes which patients each is suited to.
Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2025
- Testosterone Therapy in Men With Hypogonadism: An Endocrine Society Clinical Practice Guideline
An endocrine society guideline on when testosterone treatment is and isn't appropriate for men with low hormone levels.
An Endocrine Society guideline on testosterone treatment in men with confirmed low hormone levels. It sets out how the diagnosis should be confirmed before treatment begins, who is likely to benefit, who should not be treated, and what monitoring is needed afterward.
The Journal of clinical endocrinology and metabolism · 2018
- Positive airway pressure therapy and all-cause and cardiovascular mortality in people with obstructive sleep apnoea: a systematic review and meta-analysis of randomised controlled trials and confounder-adjusted, non-randomised controlled studies
Pools trials and large studies on whether using a CPAP-style breathing machine for sleep apnea is linked to living longer and fewer heart-related deaths.
This review combined randomized trials with large observational studies of people using positive airway pressure (CPAP-style) therapy for obstructive sleep apnea. Across the observational data, regular use was associated with lower overall and heart-related death rates; the randomized trials on their own did not show the same clear survival benefit. Consistent nightly use appeared to matter most.
The Lancet. Respiratory medicine · 2025
Source: PubMed (NCBI E-utilities, National Library of Medicine, NIH) · Retrieved 2026-08-27. Titles and links only - abstracts are not reproduced here.
Gallbladder Removal
30 studies · Acute
Gallbladder Removal
30 studies · Acute
Randomised trial of laparoscopic versus open cholecystectomy for acute and gangrenous cholecystitis
Johansson M et al. · Lancet · 1998
LC vs OC; complications & sick leave
Mortality and complications associated with laparoscopic cholecystectomy: a meta-analysis
Sakorafas GH et al. · Ann Surg · 1997
Meta-analysis; LC safety
Open versus laparoscopic cholecystectomy in acute cholecystitis: systematic review and meta-analysis
Suter M et al. · Int J Surg · 2015
Systematic review; morbidity, mortality, LOS
Meta-analysis of laparoscopic vs open cholecystectomy in elderly patients
de Mestral C et al. · World J Gastroenterol · 2014
Elderly; mortality & morbidity
Laparoscopic vs. open cholecystectomy for cirrhotic patients: a systematic review and meta-analysis
Machado NO et al. · Surg Endosc · 2012
Cirrhosis; complications & mortality
Laparoscopic versus open cholecystectomy: a meta-analysis
Neogi P et al. · Int J Community Med Public Health · 2018
LC vs OC; morbidity, mortality
Mortality and complications associated with laparoscopic cholecystectomy
Nadroo AM et al. · Br J Surg · 1992
Early LC safety; bile duct injury
Expertise-based randomized clinical trial of laparoscopic versus small-incision open cholecystectomy
Harju J et al. · Br J Surg · 2013
RCT; QoL & recovery
Miłek T et al. · Prz Gastroenterol · 2020
Long-term QoL after LC
Quality of life after single-incision laparoscopic cholecystectomy: a randomized clinical trial
Kovács T et al. · Surg Endosc · 2019
Single-incision vs 4-port; QoL & recovery
Patient-centered outcomes after laparoscopic cholecystectomy
Pucher PH et al. · Surg Endosc · 2013
QoL trajectory & satisfaction
Vilallonga R et al. · Br J Surg · 2013
Approach comparison; complications, QoL
Yuval JB et al. · Ann Surg · 2011
Single-port vs conventional; complications & QoL
Is Cholecystectomy Really Harmful? A Long-Term Quality of Life Study
Mazzella G et al. · Transplantation · 2020
Long-term QoL; donors with CCY
Impact of Cholecystectomy on Long-Term Disease Outcomes and Quality of Life in IBD
Hansen S et al. · Inflamm Bowel Dis · 2021
IBD comorbidity; QoL post-CCY
Barkun JS et al. · Ann Surg · 1992
Large series; bile duct injury & mortality
Return to work and sick leave after laparoscopic versus open cholecystectomy
Kangasniemi K et al. · Surg Endosc · 2000
Return to work; lost days
Socioeconomic impact of laparoscopic cholecystectomy
Fuchs KH et al. · Surg Endosc · 1995
Hospital stay & work loss
Economic evaluation of laparoscopic versus open cholecystectomy
Andersson R et al. · Br J Surg · 1995
Costs, LOS, sick leave
Randomized trial of early vs delayed laparoscopic cholecystectomy for acute cholecystitis
Cuschieri A et al. · Surg Endosc · 1998
Timing; complications & LOS
Day-case laparoscopic cholecystectomy: outcomes and return to work
Buanes T et al. · Surg Endosc · 2001
Day-case; RTW & QoL
Complications of laparoscopic cholecystectomy: risk factors and outcome
Kwon AH et al. · Am J Surg · 1996
Complications; risk factors
Natural history of asymptomatic gallstones and effect of cholecystectomy on symptoms and quality of life
Gracie WA et al. · N Engl J Med · 1982
Asymptomatic stones; symptom/QoL change
Outcomes and quality of life after cholecystectomy in patients with functional biliary pain
Sahai A et al. · Gut · 2002
Functional pain; QoL
Timing of cholecystectomy after mild biliary pancreatitis: randomized trial
van Dijk AH et al. · Ann Surg · 2015
Timing; complications & recurrence
Laparoscopic cholecystectomy in the elderly: outcome and quality of life
Giger U et al. · World J Surg · 2006
Elderly; outcomes & QoL
Long-term outcome and quality of life after laparoscopic cholecystectomy
Talamini MA et al. · Ann Surg · 1998
Long-term QoL & symptoms
Quality of life after cholecystectomy for biliary dyskinesia
Plaisier PW et al. · Br J Surg · 1999
Biliary dyskinesia; QoL
Bile duct injury during laparoscopic cholecystectomy: follow-up and quality of life
Fletcher DR et al. · Br J Surg · 1999
Complication; long-term QoL
Symptoms and quality of life before and after cholecystectomy for gallstone disease
Halldestam I et al. · Scand J Gastroenterol · 2004
Symptom relief & QoL
Related research
Foundational, most-cited evidence for this procedure - systematic reviews, meta-analyses, and clinical practice guidelines.
- ASGE guideline on the role of endoscopy in the evaluation and management of choledocholithiasis
A specialty society guideline on when to use a scope procedure to find and clear stones stuck in the bile duct.
A guideline from the endoscopy society on stones that become stuck in the bile duct. It lays out how likely a stone is based on symptoms, blood tests, and imaging, and when to go straight to an endoscopic procedure versus imaging first.
Gastrointestinal endoscopy · 2019
- Association of Glucagon-Like Peptide-1 Receptor Agonist Use With Risk of Gallbladder and Biliary Diseases: A Systematic Review and Meta-analysis of Randomized Clinical Trials
Pools randomized trials on whether GLP-1 weight and diabetes medicines are linked to more gallbladder and bile duct problems.
Researchers pooled randomized trials of GLP-1 medicines used for diabetes and weight loss to see how often gallbladder and bile duct problems occurred. The medicines were associated with a modest increase in these problems, with higher doses and longer use carrying more risk. The absolute risk for any one person remained small.
JAMA internal medicine · 2022
- 2020 World Society of Emergency Surgery updated guidelines for the diagnosis and treatment of acute calculus cholecystitis
An emergency surgery society guideline on diagnosing and treating a gallbladder attack caused by stones, including how soon to operate.
Updated guidelines from the World Society of Emergency Surgery on gallbladder inflammation caused by stones. They cover how the diagnosis should be confirmed, who needs surgery, and the finding that operating early in the illness generally leads to better results than waiting.
World journal of emergency surgery : WJES · 2020
Source: PubMed (NCBI E-utilities, National Library of Medicine, NIH) · Retrieved 2026-08-27. Titles and links only - abstracts are not reproduced here.
Mammogram
30 studies · Preventive / Screening
Mammogram
30 studies · Preventive / Screening
Reduction in mortality from breast cancer after mass screening with mammography
Tabár L et al. · Lancet · 1985
RCT; mass screening mortality
Efficacy of screening mammography among women aged 40–49 and 50–69 years
Hendrick RE et al. · Cancer · 1997
RCT overview; age-specific mortality
Harms of breast cancer screening: systematic review to update the USPSTF
Nelson HD et al. · Ann Intern Med · 2016
Systematic review; false positives, overdiagnosis, QoL
Effectiveness of mammography screening in reducing breast cancer mortality in different age groups
Njor SH et al. · Int J Cancer · 2011
Effectiveness by age; mortality
The benefits and harms of breast cancer screening: an independent review
Marmot MG et al. · Br J Cancer · 2013
Balance of benefit and harm
Hersch J et al. · J Natl Cancer Inst · 2021
Overdiagnosis information; decision quality
Overdiagnosis and risks of breast cancer screening
Puliti D et al. · Clin Oncol · 2021
Review; overdiagnosis and other risks
Tips for addressing screening concerns: harms of screening
Seely JM et al. · J Breast Imaging · 2024
Harms, anxiety, false positives
The UK Independent Review on Breast Screening
Independent UK Panel · Lancet · 2012
Mortality benefit vs overdiagnosis
Effect of mammographic screening from age 40 years on breast cancer mortality
Alexander FE et al. · Lancet · 2006
RCT; age 40–49 mortality
Effect of mammographic service screening on breast cancer mortality
Swedish Organised Service Screening Group · Cancer · 2000
Service screening; mortality
Evidence summary: breast cancer screening
USPSTF · Ann Intern Med · 2002
Evidence synthesis; mortality and harms
Swedish trials of mammography screening: long-term mortality results
Tabár L et al. · Radiol Clin North Am · 2000
Long-term mortality reduction
Mammography screening is harmful and should be abandoned
Jørgensen KJ et al. · J R Soc Med · 2011
Critical review; focus on harms
Economic evaluation of a mammography-based breast cancer screening programme in Spain
Coretti S et al. · Eur J Public Health · 1997
Cost-effectiveness; life-years
Economic Evaluation of Mammography-Based Breast Cancer Screening Programme in Saudi Arabia
Alghamdi IG et al. · Int J Surg Res Pract · 2020
Cost-effectiveness; avoided deaths & LYG
Cost-utility evaluation of mammography screening program
Liu CY et al. · Value Health · 2025
Cost-utility; QALYs and productivity
Cost-benefit analysis of a nationwide mammography screening program
Ginsberg GM et al. · Tumori · 1996
Cost-effectiveness; life-years
Klaric M et al. · J Clin Oncol · 2020
Systematic review; mammography cost-effectiveness
False-positive findings in mammography screening and subsequent work-up
Saarenmaa I et al. · Radiology · 2000
False positives; follow-up burden
Psychosocial consequences of false-positive screening mammography
Brodersen J et al. · Scand J Prim Health Care · 2004
Anxiety, QoL after false positives
Long-term mortality from breast cancer after screening in Norway
Løberg M et al. · BMJ · 2015
Service screening; mortality
Impact of participation in mammography screening on quality of life
Paci E et al. · Eur J Cancer · 1994
QoL, reassurance vs anxiety
Quality of life after false-positive mammography
de Haes JC et al. · J Natl Cancer Inst · 1991
QoL impact of false positives
Work productivity and employment outcomes after breast cancer screening and diagnosis
Peck BM et al. · J Occup Environ Med · 2010
Work and productivity; downstream effects
Cost-effectiveness of digital mammography screening
Tosteson AN et al. · Radiology · 2008
Digital vs film; cost-effectiveness
Screening for breast cancer: USPSTF recommendation statement
Siu AL et al. · Ann Intern Med · 2016
Guideline integrating benefits, harms, costs
Summary of the evidence of breast cancer screening
Paci E · Cancer Imaging · 2005
Evidence overview; mortality and harms
Breast cancer screening, incidence, and mortality before and after introduction of mammography
Kalager M et al. · N Engl J Med · 2010
Ecologic impact; incidence & mortality
Radiation risk from mammography screening and net benefit
Yaffe MJ et al. · Radiology · 2013
Radiation risk vs mortality benefit
Related research
Foundational, most-cited evidence for this procedure - systematic reviews, meta-analyses, and clinical practice guidelines.
- Low health literacy and health outcomes: an updated systematic review
Reviews the research linking difficulty understanding health information with worse use of care and worse health results.
A systematic review of studies on health literacy - how well people can find, read, and act on health information. People with limited health literacy used preventive services such as screening less often, were hospitalized more, and had poorer health results overall.
Annals of internal medicine · 2011
- Global guidelines for breast cancer screening: A systematic review
Compares breast cancer screening guidelines from around the world to show where they agree and differ on age and frequency.
Researchers collected breast cancer screening guidelines from countries around the world and compared them. Most recommend regular mammograms for women in middle age, but they differ on the exact starting age, the stopping age, and whether to screen every year or every two years.
Breast (Edinburgh, Scotland) · 2022
- Screening for Breast Cancer: US Preventive Services Task Force Recommendation Statement
The U.S. task force's official recommendation on what age to start mammograms and how often to repeat them.
The U.S. Preventive Services Task Force's official recommendation on breast cancer screening. It advises mammograms every other year for women aged 40 to 74 at average risk, and notes where the evidence is thinner - including screening after age 75 and extra imaging for dense breast tissue.
JAMA · 2024
Source: PubMed (NCBI E-utilities, National Library of Medicine, NIH) · Retrieved 2026-08-27. Titles and links only - abstracts are not reproduced here.
Hernia Repair
30 studies · Acute
Hernia Repair
30 studies · Acute
Randomized clinical trial of non-mesh versus mesh repair of primary inguinal hernia
Amid PK et al. · Br J Surg · 2002
Mesh vs non-mesh; recurrence, QoL
Laparoscopic vs open inguinal hernia repair: a randomized, controlled trial
Neumayer L et al. · Ann Surg · 1998
Lap vs open; pain, disability, RTW
Comparison of laparoscopic and open repair with mesh for ventral incisional hernia
Heniford BT et al. · Arch Surg · 2010
Lap vs open ventral; complications, RTW
Patient-centered outcomes following laparoscopic ventral hernia repair: a systematic review
Heniford BT et al. · Surg Endosc · 2014
Systematic review; HRQoL, pain, RTW
Long-term quality of life and functionality after ventral hernia repair
Hawn MT et al. · Surgery · 2016
LVHR vs OVHR; long-term QoL
Impact of abdominal wall hernias and repair on patient quality of life
Hope W et al. · World J Surg · 2018
Abdominal wall QoL; MCID
Bringman S et al. · Br J Surg · 2007
Long-term pain & recurrence; mesh vs non-mesh
Paajanen H et al. · Ann Surg · 2018
Light vs heavy mesh; pain & QoL
Randomized clinical trial of self-gripping mesh versus sutured mesh in open inguinal hernia repair
Kingsnorth A et al. · Br J Surg · 2013
Self-gripping vs sutured mesh; complications & QoL
Comparison of conventional anterior surgery and laparoscopic surgery for inguinal-hernia repair
Liem MS et al. · N Engl J Med · 1997
Lap vs open; recovery & RTW
Quality of life after laparoscopic ventral hernia repair
Krpata DM et al. · Int J Surg · 2019
Prospective QoL (HerQLes)
Hernioplasty with and without mesh: analysis of immediate complications in an RCT
Misra MC et al. · Arq Bras Cir Dig · 2015
Mesh vs no mesh; immediate complications, work reinsertion
The pros and cons of minimally invasive surgery versus open surgery for hernia repair
Bittner R et al. · Hernia · 2025
Review; lap vs open, analgesia, RTW
Timing of return to work after hernia repair: recommendations based on literature
Van Veen RN et al. · BC Med J · 2018
Review; RTW by job demands
Evaluation of post-operative outcomes after laparoscopic vs open inguinal hernia repair
Garg P et al. · Int J Sci Res · 2023
Lap vs open; pain, RTW
Randomized clinical trial of laparoscopic vs open mesh repair of bilateral hernias
Kingsnorth A et al. · Br J Surg · 2000
Lap vs open; recovery & QoL
Laparoscopic techniques versus open techniques for inguinal hernia repair
McCormack K et al. · Cochrane Database Syst Rev · 2003
Cochrane review; complications, pain, RTW
Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias
Bittner R et al. · Surg Endosc · 2014
Guidelines; outcomes & complications
Incisional hernias: risk factors and clinical outcome
Jenkins JT et al. · Br J Surg · 2008
Risk factors; recurrence & QoL
Randomized trial of early vs delayed return to work after inguinal hernia repair
Sanders DL et al. · Br J Surg · 2011
RTW strategy; pain & recurrence
Socioeconomic impact of inguinal hernia repair
Kingsnorth AN et al. · Hernia · 2002
Costs, RTW, productivity
Convalescence after laparoscopic vs open inguinal hernia repair
Tolver MA et al. · Ann Surg · 2013
Pain, activity, RTW
Observation or operation for asymptomatic inguinal hernia
O'Dwyer PJ et al. · Ann Surg · 2006
Watchful waiting vs repair; QoL & pain
Watchful waiting vs repair of minimally symptomatic inguinal hernias
Fitzgibbons RJ et al. · JAMA · 2006
RCT; QoL, pain, work limitation
Laparoscopic versus open ventral hernia repair: meta-analysis
Yang J et al. · Surg Endosc · 2011
Meta-analysis; complications & LOS
Long-term outcomes after ventral hernia repair with mesh
Forse RA et al. · Surgery · 2013
Recurrence, chronic pain, QoL
Ventral hernia repair and long-term quality of life
Krpata DM et al. · Surgery · 2012
QoL trajectories
Laparoscopic vs open surgical techniques for ventral or incisional hernia repair
Sauerland S et al. · Cochrane Database Syst Rev · 2004
Cochrane review; complications, LOS, RTW
Early outcomes and quality of life after tension-free hernioplasty
Lau H et al. · Surg Endosc · 2003
Mesh repair; early QoL & return to activities
Work productivity and quality of life after hernia repair
Mahadevappa A et al. · J Occup Rehabil · 2015
Work productivity; absenteeism
Related research
Foundational, most-cited evidence for this procedure - systematic reviews, meta-analyses, and clinical practice guidelines.
- International guidelines for groin hernia management
International expert guidance on managing a groin hernia - when to watch and wait, and which repair techniques to use.
International expert guidance covering the whole course of groin hernia care. It describes when watchful waiting is reasonable for a hernia that causes no symptoms, which repair techniques are preferred, and how surgeon experience and hospital volume affect results.
Hernia : the journal of hernias and abdominal wall surgery · 2018
- Transabdominal pre-peritoneal (TAPP) versus totally extraperitoneal (TEP) laparoscopic techniques for inguinal hernia repair
Compares two common keyhole techniques for repairing a groin hernia on recovery and complications.
A Cochrane review comparing two keyhole methods of repairing a groin hernia - TAPP and TEP. Recurrence rates and serious complications were broadly similar between the two; the differences showed up in the specific minor complications each technique tends to produce.
The Cochrane database of systematic reviews · 2024
- Mesh versus non-mesh for inguinal and femoral hernia repair
Compares hernia repairs done with a surgical mesh against repairs without mesh, looking at how often the hernia comes back.
A Cochrane review comparing groin hernia repairs that use a surgical mesh with repairs that do not. Mesh repairs had fewer hernias coming back and quicker return to normal activity, while the two approaches were similar on most complications.
The Cochrane database of systematic reviews · 2018
Source: PubMed (NCBI E-utilities, National Library of Medicine, NIH) · Retrieved 2026-08-27. Titles and links only - abstracts are not reproduced here.
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