Evidence map›Paper›PMID 42395137›Full record

ArticleAnnals of gastroenterological surgery2026

Reappraisal of Real-World Management of Acute Cholecystitis in Elderly Patients Based on the Adherence to Tokyo Guidelines 2018 (TG18): A Multicenter Study on Anzu HPB Surgical Meeting.

Yuta Kobayashi, Shojiro Hata, Ryo Oikawa, Tetsuya Nakazato, Hiroki Sakata, Hirokazu Yamaguchi, Yutaka Suzuki, Yoshihiro Sakamoto

Abstract read
In one paragraph

Article in Annals of gastroenterological surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Yuta KobayashiDepartment of Gastroenterological Surgery Showa General Hospital Kodaira Japan.ORCID https://orcid.org/0000-0001-6013-456X
Shojiro HataDepartment of Gastroenterological Surgery Showa General Hospital Kodaira Japan.
Ryo OikawaDepartment of Gastroenterological Surgery Showa General Hospital Kodaira Japan.
Tetsuya NakazatoDepartment of Surgery Tokyo Metropolitan Institute for Geriatrics and Gerontology Tokyo Japan.
Hiroki SakataDepartment of Surgery Kanto Rosai Hospital Kawasaki Japan.
Hirokazu YamaguchiDepartment of Gastroenterological Surgery Showa General Hospital Kodaira Japan.
Yutaka SuzukiDepartment of Gastroenterological Surgery Kyorin University Suginami Hospital Tokyo Japan.ORCID https://orcid.org/0000-0002-2603-5688
Yoshihiro SakamotoDepartment of Hepato-Biliary-Pancreatic Surgery Kyorin University Hospital Tokyo Japan.ORCID https://orcid.org/0000-0001-7279-9702

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Although the Tokyo Guidelines 2018 (TG18) recommend optimal management for acute cholecystitis (AC) using an age-adjusted index, the implementation and outcomes of treatment strategies in elderly patients with AC remain unclear. Methods: A total of 461 patients aged ≥ 70 years with AC from five institutions were retrospectively analyzed, including those who underwent early surgery ( Results: Among Grade I/II AC patients, overall complication rates in Groups A, B, and C were 16.4%, 34.0%, and 8.3%, respectively (A vs. B: Conclusion: In the present trial, treatment for AC was consistent with TG18 recommendations in 45% of patients. Compared with TG18-aligned treatment, more conservative treatment was associated with comparable morbidities, while more aggressive treatment was associated with a higher incidence of major morbidities.

Indexed as

cholecystitiselderlysurgeryTG18

Identifiers

PMID42395137
PMCPMC13327017

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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.