Results of a national survey about the management of patients with acute uncomplicated diverticulitis

Alba Correa Bonito*, Carlos Cerdán Santacruz, Gianluca Pellino, Tamara Fernández Miguel, Elena Bermejo Marcos, Ana Rodríguez Sánchez, Javier García Septiem, Elena Martín-Pérez

*Autor corresponent d’aquest treball

Producció científica: Contribució a una revistaArticleRecercaAvaluat per experts

Resum

Introduction: Management of patients diagnosed of acute uncomplicated diverticulitis has evolved lately and according to the latest guidelines, outpatient treatment and management without antibiotherapy may be used in selected patients. The aim of this study is to evaluate the adhesion among national centres to these and others recommendations related to this pathology. Methods: An online national survey, that has been broadcast by several applications, was performed. The results obtained were statistically analysed. Results: A total of 104 surgeons participated, representing 69 national hospitals. Of those, in 82.6% of the centers, outpatient management is performed for acute uncomplicated diverticulitis. 23.2% of the hospitals have a protocol stablished for treatment without antibiotherapy in selected patients. Centers that do not follow these protocols allege that the mean reasons are the logistic difficulties to set them up (49.3%) and the lack of current evidence for it (44.8%). Significative statistical differences have been found when comparing the establishment of such protocols between centers with advanced accredited units and those who are not, with higher rates of outpatient management and treatment without antibiotics in accredited units (P≤.05). Conclusions: In spite that this a very common disease, there is a huge national heterogeneity in its treatment. This is why it would adviseable to unify diagnostic and treatment criteria by the collaboration of scientific societies and the simplification of the development of hospitalary protocols.
Títol traduït de la contribucióResultados de una encuesta nacional sobre el manejo de los pacientes diagnosticados de diverticulitis aguda no complicada
Idioma originalEnglish
Pàgines (de-a)202-208
Nombre de pàgines7
RevistaCirugia Espanola
Volum102
Número4
DOIs
Estat de la publicacióPublicada - d’abr. 2024

Keywords

  • Acute uncomplicated diverticulitis
  • National survey
  • Outpatient management
  • Treatment without antibiotherapy

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