Evidence map›Paper›PMID 42758175›Full record

ArticleSurgical endoscopy2026

Racial disparities in the rate of same-admission cholecystectomy following biliary pancreatitis.

Yael Weisz, Brynne Ichiuji, Matthew Ashbrook, Anaar Siletz, Matthew Martin, Kenji Inaba, Kazuhide Matsushima

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Article in Surgical endoscopy, 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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1 · What the graph read from it

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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

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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

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0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Yael WeiszDivision of Acute Care Surgery, Department of Surgery, University of Southern California, Los Angeles, CA, USA.ORCID http://orcid.org/0009-0000-8851-1451
Brynne IchiujiDivision of Acute Care Surgery, Department of Surgery, University of Southern California, Los Angeles, CA, USA.
Matthew AshbrookDivision of Acute Care Surgery, Department of Surgery, University of Southern California, Los Angeles, CA, USA.
Anaar SiletzDivision of Acute Care Surgery, Department of Surgery, University of Southern California, Los Angeles, CA, USA.
Matthew MartinDivision of Acute Care Surgery, Department of Surgery, University of Southern California, Los Angeles, CA, USA.
Kenji InabaDivision of Acute Care Surgery, Department of Surgery, University of Southern California, Los Angeles, CA, USA.
Kazuhide MatsushimaDivision of Acute Care Surgery, Department of Surgery, University of Southern California, Los Angeles, CA, USA. kazuhide.matsushima@med.usc.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSame-admission cholecystectomy in mild and moderate biliary pancreatitis is known to be associated with reduced rates of recurrent biliary complications. While practice guidelines recommend same-admission cholecystectomy, the contemporary management of mild and moderate biliary pancreatitis remains unknown. The objective of this study is to assess practice patterns of same-admission cholecystectomy following mild and moderate biliary pancreatitis.

methodsThe National Inpatient Sample was queried for patients (age ≥ 18 years) with biliary pancreatitis between January 2016 and December 2021. The Modified Bedside Index for Severity in Acute Pancreatitis was used to identify patients with mild and moderate pancreatitis. Management strategies included non-operative management (NOM) and same-admission cholecystectomy. Multivariable Cox regression evaluated the association between clinical variables and same-admission cholecystectomy.

resultsA total of 482,705 patients with mild and moderate pancreatitis were identified, with 283,435 (59%) undergoing same-admission cholecystectomy. Compared to White patients, Black patients were younger (54 years [interquartile range: 37-66] vs. 63 years [47-75], p < 0.001), more likely to be female (69% vs. 57%, p < 0.001), and had lower Elixhauser Comorbid Index (ECI) (3 [0-10] vs 3 [0-10], p = 0.013). Multivariable Cox regression showed that younger age (hazard ratio [HR] 0.993 per 1-year increment, 95% confidence interval (CI) 0.993-0.994, p < 0.001), female sex (HR 1.157, 95% CI 1.136-1.178, p < 0.001), lower ECI (HR 0.947, 95% CI 0.946-0.948, p < 0.001), and White race (HR 1.208, 95% CI 1.171-1.247, p < 0.001) as well as Hispanic (HR 1.320, 95% CI 1.274-1.368, p < 0.001) as compared to Black race had increased likelihood of undergoing same-admission cholecystectomy.

conclusionDespite current recommendations, same-admission cholecystectomy was found to be underutilized in mild and moderate pancreatitis and was less likely to be performed in Black patients compared to White and Hispanic patients.

Indexed as

Biliary pancreatitisCholecystectomyOutcomeRacial disparities

Identifiers

PMID42758175

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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.