Evidence map›Paper›PMID 40033631›Full record

ArticleJournal of hepato-biliary-pancreatic sciences2025

Mortality and cardiovascular disease after cholecystectomy in type 2 diabetes: A nationwide longitudinal cohort study.

Han Na Jung, Ji Hye Heo, Eun Roh, Kyung-Do Han, Jun Goo Kang, Seong Jin Lee, Sung-Hee Ihm

Abstract read
In one paragraph

Article in Journal of hepato-biliary-pancreatic sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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.

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

3 citing papers in PubMed.

  1. Article
  2. Observational
  3. 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

7 authors.

Han Na JungDepartment of Internal Medicine, Hallym University College of Medicine, Chuncheon-si, Gangwon-do, Republic of Korea.
Ji Hye HeoDepartment of Internal Medicine, Hallym University College of Medicine, Chuncheon-si, Gangwon-do, Republic of Korea.
Eun RohDepartment of Internal Medicine, Hallym University College of Medicine, Chuncheon-si, Gangwon-do, Republic of Korea.
Kyung-Do HanDepartment of Statistics and Actuarial Science, College of Natural Sciences, Soongsil University, Seoul, Republic of Korea.
Jun Goo KangDepartment of Internal Medicine, Hallym University College of Medicine, Chuncheon-si, Gangwon-do, Republic of Korea.ORCID https://orcid.org/0000-0001-9523-7251
Seong Jin LeeDepartment of Internal Medicine, Hallym University College of Medicine, Chuncheon-si, Gangwon-do, Republic of Korea.
Sung-Hee IhmDepartment of Internal Medicine, Hallym University College of Medicine, Chuncheon-si, Gangwon-do, Republic of Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe long-term effects of cholecystectomy on mortality and cardiovascular disease (CVD) in patients with diabetes have not been evaluated. In the present study, we investigated the longitudinal effects of cholecystectomy on mortality and CVD in a population-based cohort with type 2 diabetes (T2D).

methodsIn total, 2 216 930 national health examination participants with T2D, including 19 258 patients with cholecystectomy, were followed up for a median of 7.9 years. The adjusted hazard ratios (aHRs) were calculated for all-cause mortality and CVD (myocardial infarction or ischemic stroke) in the cholecystectomy group compared with the nonoperative controls.

resultsThe cholecystectomy group had a significantly higher risk of mortality than controls (aHR 1.10, 95% confidence interval [CI]: 1.06-1.14), which was more pronounced in younger participants (aHR 1.67 [1.38-2.03], 1.22 [1.13-1.31], and 1.05 [1.00-1.10] for those aged <50, 50-64, and ≥65 years) and participants with less advanced diabetes treatment. The risk of CVD was increased with cholecystectomy only in those aged <50 years (aHR 1.24 [1.01-1.52]).

conclusionsCholecystectomy in patients with T2D is associated with an increased risk of all-cause mortality, particularly in younger patients without diabetes medication. Only patients aged <50 years have a higher risk of developing CVD after cholecystectomy.

Indexed as

Cardiovascular DiseasesCholecystectomyDiabetes Mellitus, Type 2AdultAgedCause of DeathCohort StudiesFemaleHumansLongitudinal StudiesMaleMiddle AgedRisk Factorscardiovascular diseasecholecystectomydiabetesmortality

Identifiers

PMID40033631
PMCPMC12276458

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.