Journal article
National Trends in Cholecystectomy and Endoscopic Retrograde Cholangiopancreatography During Index Hospitalization for Mild Gallstone Pancreatitis
World journal of surgery, Vol.46(3), pp.524-530
03/2022
DOI: 10.1007/s00268-021-06389-6
PMID: 34817621
Abstract
Background
Guidelines call for cholecystectomy during the index hospitalization for patients with gallstone pancreatitis. Therefore, the study sought to determine the trends for cholecystectomy and Endoscopic Retrograde Cholangiopancreatography (ERCP) for mild gallstone pancreatitis.
Methods
A retrospective analysis of the 2010–2018 Nationwide Readmission Database (NRD) was performed to identify patients with mild gallstone pancreatitis. The primary aim was to identify the trends in the use of cholecystectomy in these patients, and the secondary aim was to assess if ERCP alone was protective against readmission.
Results
A total of 510,470 patients with mild gallstone pancreatitis were identified. There has been an increasing trend in ERCP use (25% in 2018 vs. 22% in 2010; p‐0.001) and a decline in cholecystectomy (37% in 2018 vs. 46% in 2010; p‐0.001) prior to discharge. Multivariate analysis revealed higher 30‐day readmission for patients who underwent ERCP without cholecystectomy (odds ratio1.3; 95% confidence interval, 1.1–3.5) during the index admission.
Conclusions
There has been a decline in the use of cholecystectomy during index hospitalization for mild gallstone pancreatitis. In addition, ERCP was not protective against 30‐day readmission from mild gallstone pancreatitis.
Details
- Title: Subtitle
- National Trends in Cholecystectomy and Endoscopic Retrograde Cholangiopancreatography During Index Hospitalization for Mild Gallstone Pancreatitis
- Creators
- Hassan Aziz - Tufts UniversityNicole Segalini - Lafayette CollegeZubair Ahmed - Allied HospitalShahzaib Ahmad - King Edward Medical UniversityMartin D. Goodman - Tufts UniversityMartin Hertl - Tufts University
- Resource Type
- Journal article
- Publication Details
- World journal of surgery, Vol.46(3), pp.524-530
- Publisher
- Springer International Publishing
- DOI
- 10.1007/s00268-021-06389-6
- PMID
- 34817621
- ISSN
- 0364-2313
- eISSN
- 1432-2323
- Number of pages
- 7
- Language
- English
- Date published
- 03/2022
- Academic Unit
- Surgery
- Record Identifier
- 9984701541802771
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