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Study finds high rate of elective surgery for uncomplicated diverticulitis after few episodes

Date:
February 10, 2016
Source:
The JAMA Network Journals
Summary:
Patterns of episodes of diverticulitis before surgery, and factors associated with earlier interventions using inpatient, outpatient, and antibiotic prescription claims, have all been examined by a group of researchers.
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Vlad V. Simianu, M.D., M.P.H., of the University of Washington, Seattle, and colleagues examined patterns of episodes of diverticulitis before surgery and factors associated with earlier interventions using inpatient, outpatient, and antibiotic prescription claims. The study was published online by JAMA Surgery.

Despite professional recommendations to delay elective colon resection for patients with uncomplicated diverticulitis, early surgery (after less than 3 preceding episodes) appears to be common. This study included 87,461 immunocompetent patients having at least 1 claim for diverticulitis, of whom 6.4 percent (n = 5,604) underwent a resection, from January 2009 to December 2012. The final study cohort comprised 3,054 non-immunocompromised patients who underwent elective resection for uncomplicated diverticulitis.

After considering all types of diverticulitis claims, the researchers found that 56 percent (1,720 of 3,054) of elective resections for uncomplicated diverticulitis occurred after fewer than 3 episodes. Earlier surgery was not explained by younger age, laparoscopy, time between the last 2 episodes preceding surgery, or financial risk-bearing for patients. "In our nation's quest to deliver higher-value health care, understanding what constitutes appropriate care for a growing population of patients with diverticulitis and encouraging adherence to appropriateness criteria are critical. These data suggest that there is a strong need for fundamental research in this setting."


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Materials provided by The JAMA Network Journals. Note: Content may be edited for style and length.


Journal Reference:

  1. Vlad V. Simianu, Alessandro Fichera, Amir L. Bastawrous, Giana H. Davidson, Michael G. Florence, Richard C. Thirlby, David R. Flum. Number of Diverticulitis Episodes Before Resection and Factors Associated With Earlier Interventions. JAMA Surgery, 2016; DOI: 10.1001/jamasurg.2015.5478

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The JAMA Network Journals. "Study finds high rate of elective surgery for uncomplicated diverticulitis after few episodes." ScienceDaily. ScienceDaily, 10 February 2016. <www.sciencedaily.com/releases/2016/02/160210134707.htm>.
The JAMA Network Journals. (2016, February 10). Study finds high rate of elective surgery for uncomplicated diverticulitis after few episodes. ScienceDaily. Retrieved May 26, 2017 from www.sciencedaily.com/releases/2016/02/160210134707.htm
The JAMA Network Journals. "Study finds high rate of elective surgery for uncomplicated diverticulitis after few episodes." ScienceDaily. www.sciencedaily.com/releases/2016/02/160210134707.htm (accessed May 26, 2017).

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