Evidence map›Paper›PMID 30867674›Full record

ReviewWorld journal of emergency surgery : WJES

2017 WSES and SICG guidelines on acute calcolous cholecystitis in elderly population.

Michele Pisano, Marco Ceresoli, Stefania Cimbanassi, Kurinchi Gurusamy, Federico Coccolini, Giuseppe Borzellino, Gianluca Costa, Niccolò Allievi, Bruno Amato, Djamila Boerma and 18 more

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in World journal of emergency surgery : WJES. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04542512 (Risk Factors for Necrotic Cholecystitis During COVID-19 Pandemic), which is not on this map. Cited by 40 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 7 pooled it
10.6field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT04542512 unknown statusnot on this map

Risk Factors for Necrotic Cholecystitis During COVID-19 Pandemic: the ChoCO-WSES Prospective Observational Multicenter International Study.

Typeobservational_patient_registrySponsorPoissy-Saint Germain HospitalRan2020 to 2021Enrolled800ConditionsCholecystitis, Acute, Cholecystitis, Gangrenous, Cholecystitis Suppurative
3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 7 syntheses or guidelines pooled it, 108 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Prophylactic cholecystectomy offers best outcomes following ERCP clearance of common bile duct stones: a meta-analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023
    Pooled it
  4. Guideline
  5. Pooled it
  6. Pooled it
  7. Guideline
  8. Article
  9. Article
  10. Article
  11. Article
  12. Cholecystostomy tube management in acute cholecystitis: a population-based cohort study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Updates on Antibiotic Regimens in Acute Cholecystitis.Medicina (Kaunas, Lithuania) · 2024
    Review
  18. Review
  19. Observational
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

28 authors at 17 institutions in 4 countries.

Michele Pisano1st Surgical Unit, Department of Emergency, Papa Giovanni Hospital XXIII, Bergamo, Italy.ORCID 0000-0001-9237-3530
Marco Ceresoli2General Surgery Department, Milano-Bicocca University, School of Medicine and Surgery, Monza, Italy.
Stefania Cimbanassi3Milano Trauma Network, ASST Niguarda Hospital, Milan, Italy.
Kurinchi Gurusamy4Division of Surgery and Interventional Science, University College London, London, UK.
Federico Coccolini5General, Emergency and Trauma Surgery, Bufalini Hospital, Cesena, Italy.
Giuseppe Borzellino6Department of Surgery, University Hospital of Verona, Verona, Italy.
Gianluca Costa7Surgical and Medical Department of Translational Medicine, Sant'Andrea Teaching Hospital, "Sapienza" University of Rome, Rome, Italy.
Niccolò Allievi1st Surgical Unit, Department of Emergency, Papa Giovanni Hospital XXIII, Bergamo, Italy.
Bruno Amato8Department of Clinical Medicine and Surgery, University of Naples Federico II, Medical School, Naples, Italy.
Djamila Boerma9Department of Surgery, St. Antonius Hospital, Nieuwegein, Netherlands.
Pietro Calcagno1st Surgical Unit, Department of Emergency, Papa Giovanni Hospital XXIII, Bergamo, Italy.
Luca Campanati1st Surgical Unit, Department of Emergency, Papa Giovanni Hospital XXIII, Bergamo, Italy.
Fabio Cesare CampanileOspedale San Giovanni Decollato, Andosilla, Civita Castellana, Italy.
Alberto Casati11Trauma Surgery, Maggiore Hospital, Bologna, Italy.
Osvaldo Chiara3Milano Trauma Network, ASST Niguarda Hospital, Milan, Italy.
Antonio Crucitti12General and Minimally Invasive Surgery Unit, Cristo Re Hospital, Sacro Cuore Catholic University, Rome, Italy.
Salomone di Saverio13Cambridge Colorectal Unit, Box 201,Cambridge University Hospitals NHS Foundation Trust, Addenbrooke's Hospital, Cambridge Biomedical Campus, Cambridge, UK.
Marco Filauro14E.O.Ospedale Galliera di Genova, SC Chirurgia generale ed epatobiliopancreatica, Genova, Italy.
Francesco Gabrielli2General Surgery Department, Milano-Bicocca University, School of Medicine and Surgery, Monza, Italy.
Angelo Guttadauro2General Surgery Department, Milano-Bicocca University, School of Medicine and Surgery, Monza, Italy.
Yoram KlugerDepartment of General Surgery, Division of Surgery, Rambam Health Care Campus, Haifa, Israel.
Stefano Magnone1st Surgical Unit, Department of Emergency, Papa Giovanni Hospital XXIII, Bergamo, Italy.
Cecilia Merli16Unit of Emergency Medicine Bufalini Hospital, Cesena, Italy.
Elia Poiasina1st Surgical Unit, Department of Emergency, Papa Giovanni Hospital XXIII, Bergamo, Italy.
Alessandro Puzziello17General and Day Surgery Unit, San Giovanni di Dio Hospital, University of Salerno, Fisciano, Italy.
Massimo SartelliSurgical Department, Hospital of Macerata, Macerata, Italy.
Fausto CatenaDepartment of Emergency Surgery, Parma Maggiore Hospital, Parma, Italy.
Luca Ansaloni6Department of Surgery, University Hospital of Verona, Verona, Italy.
Ospedale Papa Giovanni XXIII · ITUniversity of Milano-Bicocca · ITAzienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda · ITOspedale “M. Bufalini” di Cesena · ITUniversity of Verona · ITAzienda Ospedaliera Sant'Andrea · ITCambridge University Hospitals NHS Foundation Trust · GBEnte Ospedaliero Ospedali Galliera · ITFederico II University Hospital · ITOspedale di Civita Castellana · ITOspedale Maggiore Carlo Alberto Pizzardi · ITRambam Health Care Campus · ILSt. Antonius Ziekenhuis · NLUniversità Cattolica del Sacro Cuore · ITUniversity College London · GBUniversity of Macerata · ITUniversity of Salerno · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGallstone disease is very common afflicting 20 million people in the USA. In Europe, the overall incidence of gallstone disease is 18.8% in women and 9.5% in men. The frequency of gallstones related disease increases by age. The elderly population is increasing worldwide.

aimThe present guidelines aims to report the results of the World Society of Emergency Surgery (WSES) and Italian Surgical Society for Elderly (SICG) consensus conference on acute calcolous cholecystitis (ACC) focused on elderly population. MATERIAL AND

methodsThe 2016 WSES guidelines on ACC were used as baseline; six questions have been used to investigate the particularities in elderly population; the answers have been developed in terms of differences compared to the general population and to statements of the 2016 WSES Guidelines. The Consensus Conference discusses, voted, and modified the statements. International experts contributed in the elaboration of final statements and evaluation of the level of scientific evidences.

resultsThe quality of the studies available decreases when we approach ACC in elderly. Same admission laparoscopic cholecystectomy should be suggested for elderly people with ACC; frailty scores as well as clinical and surgical risk scores could be adopted but no general consensus exist. The role of cholecystostomy is uncertain. DISCUSSION AND

conclusionsThe evaluation of pro and cons for surgery or for alternative treatments in elderly suffering of ACC is more complex than in young people; also, the oldest old age is not a contraindication for surgery; however, a larger use of frailty and surgical risk scores could contribute to reach the best clinical judgment by the surgeon. The present guidelines offer the opportunity to share with the scientific community a baseline for future researches and discussion.

Indexed as

AgedAged, 80 and overCholecystitis, AcuteCholecystostomyFemaleGeriatricsGuidelines as TopicHumansMaleAcute calcolous cholecystitisAntibioticsDiagnosisElderlyFrailtyHigh-risk patientsSurgery

Identifiers

PMID30867674
PMCPMC6399945
OpenAlexW2924477332

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.