Evidence map›Paper›PMID 29532202›Full record

SynthesisInternational journal of colorectal disease2018

A systematic review and meta-analysis of outpatient treatment for acute diverticulitis.

S T van Dijk, K Bos, M G J de Boer, W A Draaisma, W A van Enst, R J F Felt, B R Klarenbeek, J A Otte, J B C M Puylaert, A A W van Geloven and 1 more

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in International journal of colorectal disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 4 pooled it
8.3field-weighted citation impact, top 2% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 4 syntheses or guidelines pooled it, 82 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Guideline
  4. Pooled it
  5. Article
  6. Article
  7. Article
  8. Article
  9. Observational
  10. Article
  11. Article
  12. Article
  13. The value of CA125 in predicting acute complicated colonic diverticulitis.International journal of colorectal disease · 2023
    Observational
  14. Review
  15. Review
  16. Article
  17. Article
  18. Minimally invasive surgery in emergency surgery: a WSES survey.World journal of emergency surgery : WJES · 2022
    Article
  19. Article
  20. 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
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

11 authors at 6 institutions in 1 country.

S T van DijkDepartment of Surgery, Academic Medical Center, Amsterdam, the Netherlands.
K BosDepartment of Surgery, Academic Medical Center, Amsterdam, the Netherlands.
M G J de BoerDepartment of Infectious Diseases, Leiden University Medical Center, Leiden, the Netherlands.
W A DraaismaDepartment of Surgery, Academic Medical Center, Amsterdam, the Netherlands.
W A van EnstKnowledge Institute of Medical Specialists, Utrecht, the Netherlands.
R J F FeltDepartment of Gastroenterology, VU University Medical Center, Amsterdam, the Netherlands.
B R KlarenbeekDepartment of Surgery, Radboudumc, Nijmegen, the Netherlands.
J A OtteDepartment of Internal Medicine, ZorgSaam Hospital, Terneuzen, the Netherlands.
J B C M PuylaertDepartment of Radiology, Haaglanden Medical Center, The Hague, the Netherlands.
A A W van GelovenDepartment of Surgery, Tergooi Hospital, Hilversum, the Netherlands.
M A BoermeesterDepartment of Surgery, Academic Medical Center, Amsterdam, the Netherlands. m.a.boermeester@amc.nl.
Academic Medical Center · NLAmsterdam UMC Location VUmc · NLLeiden University Medical Center · NLMedisch Centrum Haaglanden · NLRadboud University Nijmegen · NLTergooi · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe shift from routine antibiotics towards omitting antibiotics for uncomplicated acute diverticulitis opens up the possibility for outpatient instead of inpatient treatment, potentially reducing the burden of one of the most common gastrointestinal diseases in the Western world. PURPOSE: Assessing the safety and cost savings of outpatient treatment in acute colonic diverticulitis.

methodsPubMed and EMBASE were searched for studies on outpatient treatment of colonic diverticulitis, confirmed with computed tomography or ultrasound. Outcomes were readmission rate, need for emergency surgery or percutaneous abscess drainage, and healthcare costs.

resultsA total of 19 studies with 2303 outpatient treated patients were included. These studies predominantly excluded patients with comorbidity or immunosuppression, inability to tolerate oral intake, or lack of an adequate social network. The pooled incidence rate of readmission for outpatient treatment was 7% (95%CI 6-9%, I

conclusionOutpatient treatment of uncomplicated diverticulitis resulted in low readmission rates and very low rates of complications. Furthermore, healthcare cost savings were substantial. Therefore, outpatient treatment of uncomplicated diverticulitis seems to be a safe option for most patients.

Indexed as

OutpatientsAbscessAcute DiseaseDigestive System Surgical ProceduresDiverticulitisDrainageEmergenciesHumansInpatientsPatient ReadmissionAcute diverticulitisCostsHome treatmentOutpatient treatmentUncomplicated diverticulitis

Identifiers

PMID29532202
PMCPMC5899114
OpenAlexW2791105916

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.