Disparities Among Racial Groups in Same-Hospital Admission Rates for Cholecystectomy After Biliary Pancreatitis

Overview

This study investigates racial disparities in same-admission cholecystectomy (SAC) rates among patients with mild-to-moderate biliary pancreatitis. Findings indicate that Black patients are less likely to undergo SAC compared to White patients.

Background

Acute pancreatitis is a leading cause of hospitalization in the USA, often linked to gallstones. Early cholecystectomy during hospitalization is recommended to prevent complications. However, disparities in surgical treatment based on race persist, necessitating further examination of these patterns.

Data Highlights

In a cohort of patients with mild-to-moderate biliary pancreatitis, the study found that only 45% of Black patients underwent SAC compared to 65% of White patients. Additionally, the average time to surgery for Black patients was significantly longer than for their White counterparts.

Key Findings

• Black patients are less likely to receive same-admission cholecystectomy compared to White patients.

• Variation in SAC implementation exists despite evidence-based guidelines recommending early cholecystectomy.

• Factors contributing to disparities include race and insurance status.

Clinical Implications

Healthcare providers should be aware of the racial disparities in surgical treatment for biliary pancreatitis.

Conclusion

The study highlights the disparities in surgical treatment for biliary pancreatitis.

Related Resources & Content

1. Surgical Endoscopy, 2024 -- Early cholecystectomy for biliary acute pancreatitis or choledocholithiasis in pediatric patients leads to decreased 30-day readmission rates

2. mdspire news, 2024 -- Same‐admission cholecystectomy linked to lower pancreatitis recurrence

3. Surgical Endoscopy, 2023 -- Initial cholecystectomy for acute cholecystitis in pediatric patients leads to lower 30-day readmission rates

4. AJG-23-1246 419..437 -- ACG guideline on acute pancreatitis

5. Surgical Endoscopy — Comparative Analysis of Staged versus Initial Admission Laparoscopic Cholecystectomy and Bile Duct Exploration: Outcomes and Surgical Challenges in 5750 Patients

6. Same-admission versus interval cholecystectomy for mild gallstone pancreatitis (PONCHO): a multicentre randomised controlled trial

7. Racial disparities in the management of gallstone pancreatitis: deviations from standard of care

8. AJG-23-1246 419..437