{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:36:25Z","timestamp":1777448185214,"version":"3.51.4"},"reference-count":2,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,1,4]],"date-time":"2025-01-04T00:00:00Z","timestamp":1735948800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:p>\n                    The goal of our study is to evaluate the safest, efficient, and most cost-effective way to manage suspected choledocholithiasis. This retrospective study evaluated adult patients with suspected choledocholithiasis based on labs and imaging at a single institution between 2017 and 2022 and characterized them into 1 of 3 groups based on their management pathway: (1) ERCP-first, (2) MRCP-first, or (3) surgery-first with possible intraoperative cholangiogram pending laboratory trend. Our primary outcome was hospital length of stay. 34 patients (25%) had MRCP-first, 60 patients (45%) had ERCP-first, and 39 patients (30%) received surgery first. There was no statistically significant difference in the length of stay with respect to the management pathway utilized (\n                    <jats:italic>P<\/jats:italic>\n                    &gt; .05); however, those admitted to a surgical service were discharged on average one\u00a0day before those admitted to the medicine service (\n                    <jats:italic>P<\/jats:italic>\n                    = .01).\n                  <\/jats:p>","DOI":"10.1177\/00031348241312120","type":"journal-article","created":{"date-parts":[[2025,1,4]],"date-time":"2025-01-04T04:19:56Z","timestamp":1735964396000},"page":"655-657","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Cost-Benefit Analysis of Various Management Algorithms for Suspected Choledocholithiasis"],"prefix":"10.1177","volume":"91","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3199-9692","authenticated-orcid":false,"given":"Jesse K.","family":"Kelley","sequence":"first","affiliation":[{"name":"Michigan State University\/Corewell Health General Surgery Residency, Grand Rapids, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeremy","family":"Mormol","sequence":"additional","affiliation":[{"name":"Corewell Health West, Grand Rapids, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mary","family":"Reiber","sequence":"additional","affiliation":[{"name":"Michigan State University College of Human Medicine, Grand Rapids, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Avery","family":"Sena","sequence":"additional","affiliation":[{"name":"Michigan State University College of Human Medicine, Grand Rapids, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Camille","family":"Joy Abutin","sequence":"additional","affiliation":[{"name":"Michigan State University College of Human Medicine, Grand Rapids, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jake","family":"Sypniewski","sequence":"additional","affiliation":[{"name":"Michigan State University College of Human Medicine, Grand Rapids, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charles","family":"Reed","sequence":"additional","affiliation":[{"name":"Michigan State University College of Human Medicine, Grand Rapids, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuseppe M.","family":"Zambito","sequence":"additional","affiliation":[{"name":"Michigan State University\/Corewell Health General Surgery Residency, Grand Rapids, MI, USA"},{"name":"Corewell Health Department of General Surgery, Grand Rapids, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amy L.","family":"Banks-Venegoni","sequence":"additional","affiliation":[{"name":"Michigan State University\/Corewell Health General Surgery Residency, Grand Rapids, MI, USA"},{"name":"Corewell Health Department of General Surgery, Grand Rapids, MI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,1,4]]},"reference":[{"key":"e_1_3_3_2_2","volume-title":"StatPearls","author":"McNicoll CF","year":"2024","unstructured":"McNicoll CF, Pastorino A, Farooq U, et al. Choledocholithiasis. In: StatPearls. Treasure Island, FL: StatPearls Publishing; 2024. Available from: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK441961\/ (Updated July 10, 2023)."},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/000313481508100724"}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348241312120","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00031348241312120","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348241312120","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:37:11Z","timestamp":1777379831000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00031348241312120"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,4]]},"references-count":2,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,4]]}},"alternative-id":["10.1177\/00031348241312120"],"URL":"https:\/\/doi.org\/10.1177\/00031348241312120","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,4]]}}}