ArticleSurgical endoscopy2011
Gallstone disease in the elderly: are older patients managed differently?
Article in Surgical endoscopy, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 65 citations in OpenAlex.
- Pooled it
- Safety of Cholecystectomy in Nonagenarians: A Systematic Review and Meta-Analysis.Geriatrics (Basel, Switzerland) · 2026Review
- Post-ERCP clearance of bile duct stones: should the gallbladder be left in-situ?Surgical endoscopy · 2025Article
- Which octogenarian patients are at higher risk after cholecystectomy for symptomatic gallstone disease? A single center cohort study.World journal of clinical cases · 2022Article
- Readmissions After Biliary Acute Pancreatitis: Analysis of the Nationwide Readmissions Database.Gastroenterology research · 2022Article
- Forecasting outcomes after cholecystectomy in octogenarian patients.Surgical endoscopy · 2022Article
- Outcomes of percutaneous cholecystostomy in elderly patients: a systematic review and meta-analysis.Przeglad gastroenterologiczny · 2021Review
- Bile Duct Stones Predict a Requirement for Cholecystectomy in Older Patients.World journal of surgery · 2020Article
- Evolution in the management of acute cholecystitis in the elderly: population-based cohort study.Surgical endoscopy · 2018Article
- Are They Too Old for Surgery? Safety of Cholecystectomy in Superelderly Patients (≥ Age 90).The Permanente journal · 2017Article
- Trends in Follow-Up of Patients Presenting to the Emergency Department with Symptomatic Cholelithiasis.Journal of the American College of Surgeons · 2016Article
- Recurrence of biliary disease following non-operative management in elderly patients.Surgical endoscopy · 2015Article
- Epidemiology, management, and economic evaluation of screening of gallstone disease among type 2 diabetics: A systematic review.World journal of clinical cases · 2015Review
- The risk paradox: use of elective cholecystectomy in older patients is independent of their risk of developing complications.Journal of the American College of Surgeons · 2015Article
- Cholecystectomy for biliary dyskinesia: how did we get there?Digestive diseases and sciences · 2014Review
- Cost-effectiveness of elective laparoscopic cholecystectomy versus observation in older patients presenting with mild biliary disease.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2014Article
- Cholecystectomy for the elderly: no hesitation for otherwise healthy patients.Surgical endoscopy · 2014Article
- Cholecystectomy in octogenarians: recent 5 years' experience.Korean journal of hepato-biliary-pancreatic surgery · 2013Article
- A population-based cohort study of symptomatic gallstone disease in diabetic patients.World journal of gastroenterology · 2012Article
- Concept of the pathogenesis and treatment of cholelithiasis.World journal of hepatology · 2012Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis study aimed to describe the differences in the management of symptomatic gallstone disease within different elderly groups and to evaluate the association between older age and surgical treatment.
methodsThis single-institution retrospective chart review included all patients 65 years old and older with an initial hospital visit for symptomatic gallstone disease between 2004 and 2008. The patients were stratified into three age groups: group 1 (age, 65-74 years), group 2 (age, 75-84 years), and group 3 (age, ≥ 85 years). Patient characteristics and presentation at the initial hospital visit were described as well as the surgical and other nonoperative interventions occurring over a 1-year follow-up period. Logistic regression was performed to assess the effect of age on surgery.
resultsData from 397 patient charts were assessed: 182 in group 1, 160 in group 2, and 55 in group 3. Cholecystitis was the most common diagnosis in groups 1 and 2, whereas cholangitis was the most common diagnosis in group 3. Elective admissions to a surgical ward were most common in group 1, whereas urgent admissions to a medical ward were most common in group 3. Elective surgery was performed at the first visit for 50.6% of group 1, for 25.6% of group 2, and for 12.7% of group 3, with a 1-year cumulative incidence of surgery of 87.4% in group 1, 63.5% in group 2, and 22.1% in group 3. Inversely, cholecystostomy and endoscopic retrograde cholangiopancreatography (ERCP) were used more often in the older groups. Increased age (odds ratio [OR], 0.87; 95% confidence interval [CI], 0.84-0.91) and the Charlson Comorbidity Index (OR, 0.80; 95% CI, 0.69-0.94) were significantly associated with a decreased probability of undergoing surgery within 1 year after the initial visit.
conclusionEven in the elderly population, older patients presented more frequently with severe disease and underwent more conservative treatment strategies. Older age was independently associated with a lower likelihood of surgery.
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Registered trials
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