{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T07:36:53Z","timestamp":1777448213170,"version":"3.51.4"},"reference-count":19,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,8,13]],"date-time":"2025-08-13T00:00:00Z","timestamp":1755043200000},"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":[[2026,2]]},"abstract":"\n Background<\/jats:title>\n There is a known correlation with older age and an increase in both postoperative morbidity and mortality in surgery. However, there is limited postoperative data analysis for older patients undergoing cholecystectomy. Our goal was to compare surgical outcomes of cholecystectomy performed in older adults in comparison to younger adults.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n This retrospective cohort study examined patients ages 18 years and older undergoing cholecystectomy from January 2016 to December 2020 from the American College of Surgeons (ACS) National Surgical Quality Improvement Program database. Patients were categorized into 3 age groups: 18-64y, 65-74y, and \u226575y. Thirty-day perioperative outcomes were analyzed using bivariate\n \u03c7<\/jats:italic>\n 2<\/jats:sup>\n test and multivariate logistic regression to estimate the risk of outcomes.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Our study identified 175\u00a0512 patients who underwent cholecystectomy: 136\u00a0793 (77.9%) patients between 18 and 64y, 25\u00a0108 (14.3%) patients between 65 and 74y, and 13\u00a0608 (7.8%) \u226575y. Compared with younger adults, patient aged \u226575y were 4.03 times more likely to develop a complication (95% confidence interval [CI]: 3.71-4.39,\n P<\/jats:italic>\n < 0.001), 2.84 times more likely to be admitted for any reason (95% CI: 2.64-3.05,\n P<\/jats:italic>\n < 0.001), 2.66 times more likely to be readmitted for reasons related to cholecystectomy (95% CI: 2.45-2.9,\n P<\/jats:italic>\n < 0.001), and 3.81 times more likely to have an extended hospital stay (95% CI: 3.63-3.99,\n P<\/jats:italic>\n < 0.001).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n The \u226575y cohort has significantly higher rates of overall complications, higher rates of total and cholecystectomy-related readmissions, and extended length of hospital stay.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/00031348251313531","type":"journal-article","created":{"date-parts":[[2025,8,13]],"date-time":"2025-08-13T10:50:52Z","timestamp":1755082252000},"page":"393-399","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Advancing Geriatric Surgical Outcomes in Laparoscopic and Open Cholecystectomy: An American College of Surgeons National Surgical Quality Improvement Program Study of Outcomes"],"prefix":"10.1177","volume":"92","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1512-903X","authenticated-orcid":false,"given":"Alyssa K.","family":"Greenwood Francis","sequence":"first","affiliation":[{"name":"New York Presbyterian-Queens"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natalie N.","family":"Merchant","sequence":"additional","affiliation":[{"name":"Texas Tech University Health Science Center El Paso"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katherine","family":"Aguirre","sequence":"additional","affiliation":[{"name":"Texas Tech University Health Science Center El Paso"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alonso","family":"Andrade","sequence":"additional","affiliation":[{"name":"Texas Tech University Health Science Center El Paso"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,8,13]]},"reference":[{"key":"e_1_3_3_2_2","volume-title":"The Population 65 Years and Older in the United States: 2016","author":"Roberts AW","year":"2018","unstructured":"Roberts AW, Ogunwole SU, Blakeslee L, Rabe MA. The Population 65 Years and Older in the United States: 2016. US Department of Commerce: American Community Survey Reports. 2018."},{"key":"e_1_3_3_3_2","volume-title":"Overview of Operating Room Procedures During Inpatient Stays in U.S. Hospitals, 2018","author":"McDermott K","year":"2018","unstructured":"McDermott K, Liang L. Overview of Operating Room Procedures During Inpatient Stays in U.S. Hospitals, 2018. Agency for Healthcare Research and Quality. 2018."},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2015.12.026"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2020.5152"},{"issue":"4","key":"e_1_3_3_6_2","first-page":"172","article-title":"Operative mortality with elective surgery in older adults","volume":"4","author":"Finlayson E","year":"2001","unstructured":"Finlayson E, Bikmeyeer J. Operative mortality with elective surgery in older adults. Eff Clin Pract. 2001;4(4):172-177.","journal-title":"Eff Clin Pract"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2020.2853"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2016.1689"},{"key":"e_1_3_3_9_2","volume-title":"Laparoscopic Cholecystectomy","author":"Hassler K","year":"2022","unstructured":"Hassler K, Collins J, Philip K. Laparoscopic Cholecystectomy. StatPearls Publishing; 2022. Available at: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK448145\/"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-020-07805-z"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1080\/00015458.2019.1658356"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.3390\/medicina57030230"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejim.2018.06.012"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40520-022-02226-5"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.dld.2022.10.012"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2020.5397"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-012-2565-0"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.hpb.2021.06.002"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13017-016-0094-1"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2017.05.071"}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348251313531","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00031348251313531","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348251313531","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:37:19Z","timestamp":1777379839000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00031348251313531"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,13]]},"references-count":19,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["10.1177\/00031348251313531"],"URL":"https:\/\/doi.org\/10.1177\/00031348251313531","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,13]]}}}