What is the ‘Holiday Effect’ on ERCPs?

Gastrointestinal Endoscopy Procedure

What is the ‘Holiday Effect’ on ERCPs?

“During this time, hospitals may be inadequately staffed and employees may have irregular hours or additional stressors, leading to a higher overall post-ERCP mortality rate.”

Patients undergoing endoscopic retrograde cholangiopancreatography (ERCP) procedures during December face higher mortality rates compared with other months.

That’s according to research evaluating the “holiday effect” on post-ERCP complications presented in a poster at ACG 2022 in October.

ERCP is an endoscopic procedure to diagnose and treat conditions in the liver, gall bladder, bile ducts and pancreas.

Patients who had the procedure done in December also had higher rates of post-ERCP cholecystitis, according to the poster. There was not a significant difference in data for post-ERCP pancreatitis, cholangitis, infection, hemorrhage, and perforation.

“During this time, hospitals may be inadequately staffed and employees may have irregular hours or additional stressors, leading to a higher overall post-ERCP mortality rate,” the poster concludes. “Patients may also choose not to have procedures done during this time, coming in only for emergent and urgent issues requiring ERCP.”

Researchers from Rutgers New Jersey Medical School analyzed national data from 2007-2017 to reach their conclusions. Over this span, there was a decrease in post-ERCP mortality, which can be attributed to improvement in endoscopic techniques and staff holiday schedules, they write. Patients had an increase in post-ERCP cholecystitis, which researchers say may be influenced by poor dietary choices.

Endoscopists should be aware of this “holiday effect” when performing ERCPs in December, they conclude.

More Gastroenterology Articles
AAMI Responds to GI Societies’ ST91 Rebuttal
Gastrointestinal Endoscopy Applications
A group of GI societies voiced concerns over the updated reprocessing guidelines, particularly their length, redundancies, disparate definitions, and conflicting recommendations.
Reviewing the Efficacy of Duodenoscope Reprocessing Techniques
Prevention Challenges
A literature review finds current duodenoscope reprocessing measures to be inadequate and explores several promising novel developments.
More From Single-Use Endoscopy
SARS-CoV-2 has played viral muse when it comes to publication of otolaryngology articles.

Public Health

The global pandemic has boosted the volume, citations and attention for both COVID-19 and non-COVID-19-related otolaryngology journal articles.

Experts: ‘How Do We Prove Clean is Clean?’

Prevention Strategies

The only agreed-upon endoscope reprocessing standard, experts note, is to follow the manufacturers’ instructions for use — but those IFUs can contain hundreds of steps and can be impossible for staffers to follow down to the letter.

High stress and poor work-life balance top the concerns of critical care doctors responding to a recent survey.

Public Health

Although critical care doctors largely are satisfied with their jobs, they also report high job stress and low satisfaction when it comes to work-life balance, according to a new survey.