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

At a Glance

Key Highlights

• Cholecystectomy during index hospitalization is recommended for mild-to-moderate biliary pancreatitis.

• Same-admission cholecystectomy (SAC) reduces readmissions and hospital length of stay.

• Racial disparities exist in the implementation of SAC among patients.

Guideline-Based Recommendations

Diagnosis

• Diagnosis of acute biliary pancreatitis based on ICD-10-CM codes.

Management

• Perform cholecystectomy during the index hospitalization for patients with mild-to-moderate biliary pancreatitis.

Monitoring & Follow-up

• Monitor for in-hospital complications and outcomes such as mortality and length of stay.

Risks

• Failure to perform early cholecystectomy increases the risk of recurrent biliary and pancreatic complications.

Patient & Prescribing Data

Patients with mild-to-moderate biliary pancreatitis, predominantly aged 56 years.

SAC is more common in younger, female, and Hispanic patients with lower comorbidity scores.

Clinical Best Practices

• Implement same-admission cholecystectomy for eligible patients to improve outcomes.

• Address racial and socioeconomic disparities in surgical treatment access.

Related Resources & Content

• Society of American Gastrointestinal and Endoscopic Surgeons Guidelines