Evidence map›Paper›PMID 33481109›Full record

ArticleSurgical endoscopy2022

Evaluation of socioeconomic and healthcare disparities on same admission cholecystectomy after endoscopic retrograde cholangiopancreatography among patients with acute gallstone pancreatitis.

Fouad Chouairi, Thomas R McCarty, Kelly E Hathorn, Prabin Sharma, Harry R Aslanian, Priya A Jamidar, Christopher C Thompson, Thiruvengadam Muniraj

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Article in Surgical endoscopy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

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6citing papers in PubMed
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1 · What the graph read from it

What it found

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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.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. National Trends in Interventions for Pediatric Gallstone Pancreatitis.Journal of laparoendoscopic & advanced surgical techniques. Part A · 2024
    Article
  5. Article
  6. Review
4 · The record

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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

8 authors.

Fouad ChouairiYale University School of Medicine, New Haven, CT, USA.
Thomas R McCartyDivision of Gastroenterology, Hepatology and Endoscopy, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.ORCID 0000-0003-4517-5261
Kelly E HathornDivision of Gastroenterology, Hepatology and Endoscopy, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Prabin SharmaSection of Gastroenterology, Yale-New Haven Health-Bridgeport Hospital, Bridgeport, CT, USA.
Harry R AslanianSection of Digestive Diseases, Yale University School of Medicine, New Haven, CT, USA.
Priya A JamidarSection of Digestive Diseases, Yale University School of Medicine, New Haven, CT, USA.
Christopher C ThompsonDivision of Gastroenterology, Hepatology and Endoscopy, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
Thiruvengadam MunirajSection of Digestive Diseases, Yale University School of Medicine, New Haven, CT, USA. thiruvengadam.muniraj@yale.edu.

Funding

National Institutes of Health (US) T32 DK007533-35
6 · The paper itself

Abstract

backgroundDespite literature and guidelines recommending same admission cholecystectomy (CCY) after endoscopic retrograde cholangiopancreatography (ERCP) for patients with acute gallstone pancreatitis, clinical practice remains variable. The aim of this study was to investigate the role of clinical and socio-demographic factors in the management of acute gallstone pancreatitis.

methodsPatients with acute gallstone pancreatitis who underwent ERCP during hospitalization were reviewed from the U.S. Nationwide Inpatient Sample database between 2008 and 2014. Patients were classified by treatment strategy: ERCP + same admission CCY (ERCP + CCY) versus ERCP alone. Measured variables including age, race/ethnicity, Charlson Comorbidity Index (CCI), hospital type/region, insurance payer, household income, length of hospital stay (LOS), hospitalization cost, and in-hospital mortality were compared between cohorts using χ

resultsA total of 205,012 patients (ERCP + CCY: n = 118,318 versus ERCP alone: n = 86,694) were analyzed. A majority (53.4%) of patients that did not receive same admission CCY were at urban-teaching hospitals. LOS was longer with higher associated costs for patients with same admission CCY [(6.8 ± 5.6 versus 6.4 ± 6.5 days; P < 0.001) and ($69,135 ± 65,913 versus $52,739 ± 66,681; P < 0.001)]. Mortality was decreased significantly for patients who underwent ERCP + CCY versus ERCP alone (0.4% vs 1.1%; P < 0.001). Multivariable regression demonstrated female gender, Black race, higher CCI, Medicare payer status, urban-teaching hospital location, and household income decreased the odds of undergoing same admission CCY + ERCP (all P < 0.001).

conclusionBased upon this analysis, multiple socioeconomic and healthcare-related disparities influenced the surgical management of acute gallstone pancreatitis. Further studies to investigate these disparities are indicated.

Indexed as

GallstonesPancreatitisAgedCholangiopancreatography, Endoscopic RetrogradeCholecystectomyFemaleHealthcare DisparitiesHospitalizationHumansMedicareRetrospective StudiesSocioeconomic FactorsUnited StatesCholecystectomyEndoscopic retrograde cholangiopancreatography (ERCP)Gallstone pancreatitisHealthcare disparitiesHealth outcomesPancreatitis

Identifiers

PMID33481109

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