{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T19:10:21Z","timestamp":1793819421535,"version":"4.6.1"},"reference-count":18,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T00:00:00Z","timestamp":1781654400000},"content-version":"vor","delay-in-days":16,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Geriatrics Gerontology Int"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>With an aging population, endoscopic retrograde cholangiopancreatography (ERCP) is increasingly performed in older patients; however, conventional risk stratification tools may not adequately capture geriatric vulnerability. We aimed to evaluate whether the Geriatric\u20108 (G8) screening tool predicts in\u2010hospital mortality in older patients undergoing ERCP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective, single\u2010center study included 201 hospitalized patients aged \u2265\u200975\u2009years who underwent ERCP between January 2023 and September 2024. The G8 score was assessed during the first ERCP. The primary outcome was in\u2010hospital mortality. Receiver operating characteristic (ROC) analysis determined the G8 cutoff value, and logistic regression was used to examine the association between a low G8 score and in\u2010hospital mortality.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Patients who died during hospitalization had significantly lower G8 scores than survivors (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.004). The ROC analysis demonstrated an area under the curve of 0.769, with a cutoff G8 score of 10. In\u2010hospital mortality was significantly higher in the low\u2010G8 group than in the high\u2010G8 group (10.2% vs. 0.9%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). In multivariable logistic regression models adjusted for one clinically relevant confounder at a time, a low G8 score (\u2264\u200910) was associated with in\u2010hospital mortality.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>G8 may help identify vulnerable older patients undergoing ERCP who are at increased risk of in\u2010hospital mortality.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ggi.70609","type":"journal-article","created":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T09:08:40Z","timestamp":1781687320000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Association of the Geriatric\u20108 Score With In\u2010Hospital Mortality in Older Patients Undergoing Endoscopic Retrograde Cholangiopancreatography"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9056-2768","authenticated-orcid":false,"given":"Masato","family":"Suzuki","sequence":"first","affiliation":[{"name":"Department of Gastroenterology National Hospital Organization Yokohama Medical Center  Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-2382-9286","authenticated-orcid":false,"given":"Takayuki","family":"Oda","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology Yokohama City University Graduate School of Medicine  Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shinichi","family":"Nihei","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology National Hospital Organization Yokohama Medical Center  Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hisakuni","family":"Tomonari","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology National Hospital Organization Yokohama Medical Center  Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yusuke","family":"Sekino","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Yokohama Rosai Hospital  Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-2342-1871","authenticated-orcid":false,"given":"Masato","family":"Yoneda","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology Yokohama City University Graduate School of Medicine  Kanagawa Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,17]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.5582\/bst.2024.01150"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.5582\/bst.2019.01173"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.suc.2018.12.002"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.suc.2020.08.006"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1200\/OP.23.00263"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/annonc\/mdu210"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoncol.2020.6736"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/annonc\/mdr587"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/jhbp.515"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gie.2009.10.027"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/jhbp.12093"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10620-009-0784-6"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLE.0000000000000499"},{"key":"e_1_2_12_15_1","first-page":"227","article-title":"Safety of Endoscopic Retrograde Cholangiopancreatography in Patients 80\u2009Years of Age and Older","volume":"9","author":"Behl\u00fcl B.","year":"2014","journal-title":"Przeglad Gastroenterologiczny"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)62167-9"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2666-7568(23)00081-8"},{"key":"e_1_2_12_18_1","article-title":"Comprehensive Geriatric Assessment for Older Adults Admitted to Hospital","volume":"9","author":"Ellis G.","year":"2017","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afz021"}],"container-title":["Geriatrics &amp; 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