Healthcare Disparities in the Management of Acute Cholecystitis: Impact of Race, Gender, and Socioeconomic Factors on Cholecystectomy vs Percutaneous Cholecystostomy
McCarty TR, Chouairi F, Hathorn KE, Sharma P, Muniraj T, Thompson CC. Healthcare Disparities in the Management of Acute Cholecystitis: Impact of Race, Gender, and Socioeconomic Factors on Cholecystectomy vs Percutaneous Cholecystostomy. Journal Of Gastrointestinal Surgery 2021, 25: 880-886. PMID: 33629232, DOI: 10.1007/s11605-021-04959-6.Peer-Reviewed Original ResearchConceptsLength of stayCharlson Comorbidity IndexPercutaneous cholecystostomyAcute cholecystitisRace/ethnicityU.S. Nationwide Inpatient Sample (NIS) databaseNationwide Inpatient Sample databaseAsian race/ethnicityHealthcare-related factorsHigher CCI scoresMedicare payer statusGood surgical candidatesMajority of patientsMultivariable logistic regressionUrban hospital locationUrban teaching hospitalSocioeconomic factorsCCI scoreComorbidity indexSurgical candidatesPayer statusMale genderHospital costsTeaching hospitalTreatment strategiesEvaluation of socioeconomic and healthcare disparities on same admission cholecystectomy after endoscopic retrograde cholangiopancreatography among patients with acute gallstone pancreatitis
Chouairi F, McCarty TR, Hathorn KE, Sharma P, Aslanian HR, Jamidar PA, Thompson CC, Muniraj T. Evaluation of socioeconomic and healthcare disparities on same admission cholecystectomy after endoscopic retrograde cholangiopancreatography among patients with acute gallstone pancreatitis. Surgical Endoscopy 2021, 36: 274-281. PMID: 33481109, DOI: 10.1007/s00464-020-08272-2.Peer-Reviewed Original ResearchConceptsSame-admission cholecystectomyAcute gallstone pancreatitisEndoscopic retrograde cholangiopancreatographyCharlson Comorbidity IndexGallstone pancreatitisRetrograde cholangiopancreatographyU.S. Nationwide Inpatient Sample (NIS) databaseHigher Charlson comorbidity indexNationwide Inpatient Sample databaseMedicare payer statusUrban-teaching hospitalsMajority of patientsMultivariable logistic regressionRace/ethnicitySocio-demographic factorsHospital mortalityComorbidity indexHospital stayPayer statusSurgical managementHospitalization costsResultsA totalBlack raceTreatment strategiesFemale gender