Systematic Review: Impact of Social Determinants of Health on the Management and Prognosis of Gallstone Disease

Abstract

Background: Due to its prevalence, gallstone disease is a major public health issue. It affects diverse patient populations across various socioeconomic levels. Socioeconomic and geographic deprivation may impact both morbidity and mortality associated with digestive diseases, such as biliary tract disease. Aim: The aim of this systematic review was to review the available data on the impact of socioeconomic determinants and geographic factors on gallstone disease and its complications. Methods: This systematic review was conducted following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The MEDLINE and Web of Science databases were searched by two investigators to retrieve studies about the impact of income, insurance status, hospital status, education level, living areas, and deprivation indices on gallstone disease. Thirty-seven studies were selected for this review. Results: Socially disadvantaged populations appear to be more frequently affected by complicated or severe forms of gallstone disease. The prognosis of biliary tract disease is poor in these populations regardless of patient status, and increased morbidity and mortality were observed for acute cholangitis or subsequent cholecystectomy. Limited or delayed access and low-quality therapeutic interventions could be among the potential causes for this poor prognosis. Conclusions: This systematic review suggests that socioeconomic determinants impact the management of gallstone disease. Enhanced knowledge of these parameters could contribute to improved public health policies to manage these diseases.

Exploring the Relationship Between Helicobacter pylori Infection and Biliary Diseases: A Comprehensive Analysis Using the United States National Inpatient Sample (2016-2020)

“…Research has indicated the presence of racial and ethnic discrepancies, revealing that African American and Hispanic communities exhibit a greater frequency of H. pylori infection compared to their White counterparts [ 13 ]. Likewise, areas characterized by impoverished living conditions and individuals facing economic hardship demonstrate a heightened occurrence of gallstone disease and other biliary disorders, highlighting the significant impact of socioeconomic elements on disease prevalence [ 14 , 15 ]. These revelations emphasize the imperative of confronting systemic racism, poverty, and inadequate healthcare accessibility to mitigate the disproportionate burden of H. pylori infection and biliary disease across diverse demographic and socioeconomic strata.…”

Right Hepatic Artery Pseudoaneurysm Post-laparoscopic Cholecystectomy: A Case Report of Endovascular Stent-Graft Management

“…In the United States and around the world, gallstone-related diseases like cholelithiasis and cholecystitis significantly contribute to morbidity and mortality rates, placing a substantial burden on healthcare resources [1]. Over 20 million people in the United States have been diagnosed with gallbladder disease through ultrasonographic evaluations [2].…”