Predictors of same-admission cholecystectomy in mild, acute, biliary pancreatitis

Topic: Amyloid, tau and blood-test diagnosis

Failure to perform same-admission cholecystectomy (SA-CCY) for mild, acute, biliary pancreatitis (MABP) is a recognized risk factor for recurrence and readmission. However, rates of SA-CCY are low and factors associated with these low rates require elucidation. Primary MAPB admissions were pooled from NIS 2000-2014 (weighted n = 578 258). Patients with chronic pancreatitis, pancreatic masses, alcohol-related disorders, hypertriglyceridemia, acute cholecystitis and AP-related organ dysfunction or complications were excluded. Annual rates of SA-CCY were calculated. Regression model for prediction of SA-CCY was built on 2010-2011 subset (weighted n = 74 169), yielding 96.3% of complete observations. Nationwide rate of SA-CCY in the U.S. was 40.8%. In multivariate analysis, SA-CCY was positively associated with BMI>30 (OR = 1.4, 95%CI 1.2-1.6), Asian ethnicity (vs. Black; OR = 1.2, 95%CI 1.0-1.5), private insurance (vs. Medicare; OR = 1.1, 95%CI 1.0-1.3), large (vs. small; OR = 1.3, 95%CI 1.2-1.4) urban hospitals (vs. rural; OR = 1.5 95%CI 1.3-1.7) of the South (vs. Northeast; OR = 1.5, 95%CI 1.3-1.7), as well as with chronic cholecystitis (OR = 17.0, 95%CI 15.4-18.7) and abdominal-wall hernias (OR = 5.2; 95%CI 3.0-8.9); the latter two predictors were not included in the final model. SA-CCY was negatively associated with age >40 (OR = 0.72; 95%CI 0.66-0.79), male gender (OR = 0.86, 95%CI 0.80-0.93), dementia (OR = 0.88, 95%CI 0.72-1.1), chronic comorbidities (OR = 0.64; 95%CI 0.54-0.77) and ostomies (OR = 0.51; 95%CI 0.31-0.86). Adherence to SA-CCY guidelines for MABP remains inadequate. Independent geographic variation in SA-CCY rates may be related to reimbursement differences, ownership of AP patients, accessibility to surgical care, or cultural characteristics of the patient population.

Key findings

• However, rates of SA-CCY are low and factors associated with these low rates require elucidation.
• In multivariate analysis, SA-CCY was positively associated with BMI>30 (OR = 1.4, 95%CI 1.2-1.6), Asian ethnicity (vs.
• SA-CCY was negatively associated with age >40 (OR = 0.72; 95%CI 0.66-0.79), male gender (OR = 0.86, 95%CI 0.80-0.93), dementia (OR = 0.88, 95%CI 0.72-1.1), chronic comorbidities (OR = 0.64; 95%CI 0.54-0.77) and ostomies (OR = 0.51; 95%CI 0.31-0.86).

Why it matters

This study of mild, acute, biliary pancreatitis found that dementia was among the factors negatively associated with same-admission cholecystectomy. It is about surgical care decisions in pancreatitis, not about treating, curing, or preventing Alzheimer's disease.

Study details

• Participants578
• Effect size96.3%; 40.8%; OR = 1.4
• Evidence strengthLow

Read the original

• DOI: 10.1016/j.hpb.2021.04.002
• PubMed: 34099373
• Original source →
• Free full text: HPB →

Full text: free to read — OpenAlex lists this copy as free to read: the link above (checked 6 Feb 1020).

@article{artem2021-34099373,
  author  = {Artem, Shmelev and Anna, Axentiev and Hossain Mian, B. and Cunningham Steven, C.},
  title   = {{Predictors of same-admission cholecystectomy in mild, acute, biliary pancreatitis}},
  journal = {HPB : the official journal of the International Hepato Pancreato Biliary Association},
  year    = {2021},
  doi     = {10.1016/j.hpb.2021.04.002},
  pmid    = {34099373},
  url     = {https://doi.org/10.1016/j.hpb.2021.04.002}
}

Related studies in Health systems and care delivery

• Delirium and incident nursing home admission among people with and without dementia Age and ageing · 2026-05-03 · usefulness score 73/100
• Precipitating and predisposing events and symptoms for admission to assisted living or nursing home care Canadian geriatrics journal : CGJ · 2013-03-05 · usefulness score 55/100
• Mobility and cognition at admission to the nursing home - a cross-sectional study BMC geriatrics · 2018-01-30 · usefulness score 52/100
• Long‐Term Mortality Predictors Using a Machine‐Learning Approach in Patients With Chronic Limb‐Threatening Ischemia After Peripheral Vascular Intervention Journal of the American Heart Association · 2024-05-18 · usefulness score 51/100
• Long-Term Care Service Trajectories and Their Predictors for Persons Living With Dementia: Results From a Canadian Study Journal of aging and health · 2017-08-17 · usefulness score 50/100
• Psychosis, depression and behavioural disturbances in Sydney nursing home residents: prevalence and predictors International journal of geriatric psychiatry · 2001-05-01 · usefulness score 36/100

Also in Health systems and care delivery

172 studies in the library are filed under Health systems and care delivery with no topic tag they share with another; these are this study's neighbours in a fixed tour of them. The Health systems and care delivery hub.

• Incident Hearing Loss and Comorbidity JAMA Otolaryngology–Head & Neck Surgery · 2018-11-12 · usefulness score 59/100 · Health systems and care delivery
• Current practices by Alzheimer's Disease Research Centers to remunerate research participants Alzheimer's & dementia : the journal of the Alzheimer's Association · 2025-01-27 · usefulness score 52/100 · Health systems and care delivery
• The Clinical and Economic Burden of Newly Diagnosed Alzheimer’s Disease in a Medicare Advantage Population American Journal of Alzheimer s Disease & Other Dementias® · 2013-05-17 · usefulness score 54/100 · Health systems and care delivery

Similar studies

• Comparing predictors of conversion and decline in mild cognitive impairment 2010 · Genetics
• Predictors of progression from mild cognitive impairment to Alzheimer disease 2007 · Mild cognitive impairment
• Comparison of predictive modeling approaches for 30-day all-cause non-elective readmission risk 2016 · End-of-life care
• Clinical prediction of Alzheimer disease dementia across the spectrum of mild cognitive impairment 2007 · Cognitive tests and assessment
• Predictors of inadequate bowel preparation for colonoscopy 2001 · Vascular contributions
• Predictors of conversion to dementia of probable Alzheimer type in patients with mild cognitive impairment 2006 · Genetics

More on Health systems and care delivery

• A review that covers this ground Predicting discharge to institutional long-term care following acute hospitalisation: a systematic review and meta-analysis Age and ageing · 2017-07-01 · usefulness score 86/100
• Newest in this subject Family physicians' attitudes toward people with dementia and their association with empathy Research Square · 2026-10-14 · Preprint — not yet peer-reviewed · usefulness score 16/100
• Newest in this subject Performance of Claims-based Alzheimer’s Disease and Related Dementias Algorithms in Medicare Advantage and Fee-for-Service Populations The Journals of Gerontology Series A · 2026-09-17 · Peer-reviewed · usefulness score 52/100

See all studies in Health systems and care delivery →