Asmar S, Bible L, Obaid O, et al. - Researchers aimed at determining the long-term outcomes of frail geriatric patients with acute calculous cholecystitis (ACC) treated with cholecystectomy vs initial nonoperative management. A 2017 analysis of the Nationwide Readmissions Database was performed including frail geriatric (≥ 65 years) patients with ACC. The five-factor modified frailty index was used to assess frailty. They identified a total of 53,412 geriatric patients with ACC; 51.0% of whom were frail: 16,791 (61.6%) in operative management [OP] group and 10,472 (38.4%) in nonoperative management [NOP] group (3,256 had percutaneous drainage, 7,216 received antibiotics only). NOP failed in one in five patients and subsequently these patients had complicated hospital stays. Overall findings suggest a possible correlation of nonoperative management of frail elderly ACC patients with significant morbidity and mortality.