The Trends of Complicated Acute Colonic Diverticulitis—A Systematic Review of the National Administrative Databases
<i>Background and Objectives</i>: The diverticular disease includes a broad spectrum of different “clinical situations” from diverticulosis to acute diverticulitis (AD), with a full spectrum of severity ranging from self-limiting infection to abscess or fistula format...
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| Format: | Article |
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MDPI AG
2019-11-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1010-660X/55/11/744 |
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| author | Roberto Cirocchi Georgi Popivanov Alessia Corsi Antonio Amato Riccardo Nascimbeni Rosario Cuomo Bruno Annibale Marina Konaktchieva Gian Andrea Binda |
| author_facet | Roberto Cirocchi Georgi Popivanov Alessia Corsi Antonio Amato Riccardo Nascimbeni Rosario Cuomo Bruno Annibale Marina Konaktchieva Gian Andrea Binda |
| author_sort | Roberto Cirocchi |
| collection | DOAJ |
| description | <i>Background and Objectives</i>: The diverticular disease includes a broad spectrum of different “clinical situations” from diverticulosis to acute diverticulitis (AD), with a full spectrum of severity ranging from self-limiting infection to abscess or fistula formation to free perforation. The present work aimed to assess the burden of complicated diverticulitis through a comparative analysis of the hospitalizations based on the national administrative databases. <i>Materials and Methods</i>: A review of the international and national administrative databases concerning admissions for complicated AD was performed. <i>Results</i>: Ten studies met the inclusion criteria and were included in the analysis. No definition of acute complicated diverticulitis was reported in any study. Complicated AD accounted for approximately 42% and 79% of the hospitalizations. The reported rates of abscess varied between 1% and 10% from all admissions for AD and 5−29% of the cases with complicated AD. An increasing temporal trend was found in one study−from 6% to 10%. The rates of diffuse peritonitis ranged from 1.6% to 10.2% of all hospitalizations and 11% and 47% of the complicated cases and were stable in the time. <i>Conclusions</i>: The available data precluded definitive conclusions because of the significant discrepancy between the included studies. The leading cause was the presence of heterogeneity due to coding inaccuracies in all databases, absence of ICD codes to distinguish the different type of complications, and the lack of coding data about some general conditions such as sepsis, shock, malnutrition, steroid therapy, diabetes, pulmonary, and heart failure. |
| first_indexed | 2024-03-12T09:31:34Z |
| format | Article |
| id | doaj.art-d84e01affcd9451f85e98d8dc7e8ee36 |
| institution | Directory Open Access Journal |
| issn | 1010-660X |
| language | English |
| last_indexed | 2024-03-12T09:31:34Z |
| publishDate | 2019-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-d84e01affcd9451f85e98d8dc7e8ee362023-09-02T13:54:20ZengMDPI AGMedicina1010-660X2019-11-01551174410.3390/medicina55110744medicina55110744The Trends of Complicated Acute Colonic Diverticulitis—A Systematic Review of the National Administrative DatabasesRoberto Cirocchi0Georgi Popivanov1Alessia Corsi2Antonio Amato3Riccardo Nascimbeni4Rosario Cuomo5Bruno Annibale6Marina Konaktchieva7Gian Andrea Binda8Department of General Surgery and Surgical Oncology, Hospital of Terni, University of Perugia, 05100 Terni, ItalyDepartment of Surgery, Military Medical Academy, ul. “Sv. Georgi Sofiyski” 3, 1606 Sofia, BulgariaChirurgia Generale, Ospedale della Media Valle del Tevere, via del Buda, 06059 Todi, ItalyUnit of Coloproctology, Department of Surgery, Borea Hospital, 18038 Sanremo, ItalyDepartment of Molecular and Translational Medicine, University of Brescia, 25121 Brescia, ItalyGastroenterology and Digestive Endoscopy Unit, Sant’Anna e San Sebastiano Hospital, 81100 Caserta, ItalyDepartment of Medical Surgery, Sciences and Translational Medicine University Sapienza, 00189 Rome, ItalyDepartment of Gastroenterology and Hepatology, Military Medical Academy, ul. “Sv. Georgi Sofiiski“ 3, 1606 Sofia, BulgariaColorectal Surgery, BioMedical Institute, 16157 Genova, Italy<i>Background and Objectives</i>: The diverticular disease includes a broad spectrum of different “clinical situations” from diverticulosis to acute diverticulitis (AD), with a full spectrum of severity ranging from self-limiting infection to abscess or fistula formation to free perforation. The present work aimed to assess the burden of complicated diverticulitis through a comparative analysis of the hospitalizations based on the national administrative databases. <i>Materials and Methods</i>: A review of the international and national administrative databases concerning admissions for complicated AD was performed. <i>Results</i>: Ten studies met the inclusion criteria and were included in the analysis. No definition of acute complicated diverticulitis was reported in any study. Complicated AD accounted for approximately 42% and 79% of the hospitalizations. The reported rates of abscess varied between 1% and 10% from all admissions for AD and 5−29% of the cases with complicated AD. An increasing temporal trend was found in one study−from 6% to 10%. The rates of diffuse peritonitis ranged from 1.6% to 10.2% of all hospitalizations and 11% and 47% of the complicated cases and were stable in the time. <i>Conclusions</i>: The available data precluded definitive conclusions because of the significant discrepancy between the included studies. The leading cause was the presence of heterogeneity due to coding inaccuracies in all databases, absence of ICD codes to distinguish the different type of complications, and the lack of coding data about some general conditions such as sepsis, shock, malnutrition, steroid therapy, diabetes, pulmonary, and heart failure.https://www.mdpi.com/1010-660X/55/11/744complicated acute colonic diverticulitistemporal trendshospitalizationnational databases |
| spellingShingle | Roberto Cirocchi Georgi Popivanov Alessia Corsi Antonio Amato Riccardo Nascimbeni Rosario Cuomo Bruno Annibale Marina Konaktchieva Gian Andrea Binda The Trends of Complicated Acute Colonic Diverticulitis—A Systematic Review of the National Administrative Databases Medicina complicated acute colonic diverticulitis temporal trends hospitalization national databases |
| title | The Trends of Complicated Acute Colonic Diverticulitis—A Systematic Review of the National Administrative Databases |
| title_full | The Trends of Complicated Acute Colonic Diverticulitis—A Systematic Review of the National Administrative Databases |
| title_fullStr | The Trends of Complicated Acute Colonic Diverticulitis—A Systematic Review of the National Administrative Databases |
| title_full_unstemmed | The Trends of Complicated Acute Colonic Diverticulitis—A Systematic Review of the National Administrative Databases |
| title_short | The Trends of Complicated Acute Colonic Diverticulitis—A Systematic Review of the National Administrative Databases |
| title_sort | trends of complicated acute colonic diverticulitis a systematic review of the national administrative databases |
| topic | complicated acute colonic diverticulitis temporal trends hospitalization national databases |
| url | https://www.mdpi.com/1010-660X/55/11/744 |
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