Evidence map›Paper›PMID 29038965›Full record

ArticleInternational journal of colorectal disease2017

Low risk of complications in patients with first-time acute uncomplicated diverticulitis.

Abbas Chabok, Kalle Andreasson, Maziar Nikberg

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in International journal of colorectal disease, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07322926 (Is It So Hard To Predict Complicated Diverticulitis?), which is not on this map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07322926 completednot on this mapstarted 2023, after this paper: background citation

Is It So Hard To Predict Complicated Diverticulitis?

TypeobservationalSponsorHaydarpasa Numune Training and Research HospitalRan2023 to 2024Enrolled101ConditionsDiverticulitis
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Article
  4. Article
  5. Changing Paradigms in the Management of Acute Uncomplicated Diverticulitis.Scandinavian journal of surgery : SJS : official organ for the Finnish Surgical Society and the Scandinavian Surgical Society · 2021
    Review
  6. Review
  7. Review
  8. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Abbas ChabokDepartments of Surgery and Centre for Clinical Research, Uppsala University, Västmanland's Hospital, Västerås, Sweden. abbas.chabok@regionvastmanland.se.
Kalle AndreassonDepartments of Surgery and Centre for Clinical Research, Uppsala University, Västmanland's Hospital, Västerås, Sweden.
Maziar NikbergDepartments of Surgery and Centre for Clinical Research, Uppsala University, Västmanland's Hospital, Västerås, Sweden.
Uppsala University · SEMälardalen University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeFirst-time acute uncomplicated diverticulitis (AUD) has been considered to have an increased risk of complication, but the level of evidence is low. The aim of the present study was to evaluate the risk of complications in patients with first-time AUD and in patients with a history of diverticulitis.

methodsThis paper is a population-based retrospective study at Västmanland's Hospital, Västerås, Sweden, where all patients were identified with a diagnosis of colonic diverticular disease ICD-10 K57.0-9 from January 2010 to December 2014. The records of all patients were surveyed and patients with a computed tomography (CT)-verified AUD were included. Complications defined as CT-verified abscess, perforation, colonic obstruction, fistula, or sepsis within 1 month from the diagnosis of AUD were registered.

resultsOf 809 patients with AUD, 642 (79%) had first-time AUD and 167 (21%) had a previous history of AUD with no differences in demographic or clinical characteristics. In total, 16 (2%) patients developed a complication within 1 month irrespective of whether they had a previous history of diverticulitis (P = 0.345). In the binary logistic regression analysis, first-time diverticulitis was not associated with increased risk of complications (OR 1.58; CI 0.52-4.81). The rate of antibiotic therapy was about 7-10% during the time period and outpatient management increased from 7% in 2010 to 61% in 2014.

conclusionsThe risk for development of complications is low in AUD with no difference between patients with first-time or recurrent diverticulitis. This result strengthens existing evidence on the benign disease course of AUD.

Indexed as

Acute DiseaseAgedAnti-Bacterial AgentsChi-Square DistributionDisease ProgressionDiverticulitis, ColonicFemaleHumansLogistic ModelsMaleMiddle AgedMultivariate AnalysisOdds RatioPredictive Value of TestsRetrospective StudiesRisk FactorsAnti-Bacterial AgentsAcute uncomplicated diverticulitisAntibioticsDiverticulitisOutpatient managementRecurrence

Identifiers

PMID29038965
PMCPMC5691119
OpenAlexW2765133649

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.