Evidence map›Paper›PMID 30159036›Full record

ArticleTherapeutic advances in gastroenterology2018

Increasing trend in admission rates and costs for acute diverticulitis during 2005-2015: real-life data from the Abruzzo Region.

Simona Cammarota, Martina Cargiolli, Paolo Andreozzi, Bernardo Toraldo, Anna Citarella, Maria Elena Flacco, Gian Andrea Binda, Bruno Annibale, Lamberto Manzoli, Rosario Cuomo

Open access · goldAbstract read
In one paragraph

Article in Therapeutic advances in gastroenterology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 13% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. The DIVIPACT cohort profile: Evaluating the impact of colonic diverticulosis on daily life.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. The role of infectious parameters in the early prediction of complicated colonic diverticulitis.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2024
    Article
  9. Article
  10. Article
  11. A comparison of diverticulitis in Crohn's diseaseJGH open : an open access journal of gastroenterology and hepatology · 2019
    Article
  12. Article
  13. Article
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

10 authors at 6 institutions in 1 country.

Simona CammarotaLinkHealth Health Economics, Outcomes & Epidemiology s.r.l., Naples, Italy.
Martina CargiolliGastroenterology Unit, Department of Clinical Medicine and Surgery University Federico II, Naples, Italy.
Paolo AndreozziGastroenterology Unit, Department of Clinical Medicine and Surgery University Federico II, Naples, Italy.ORCID https://orcid.org/0000-0002-4604-0126
Bernardo ToraldoAlfasigma Italia, Bologna, Italy.
Anna CitarellaLinkHealth Health Economics, Outcomes & Epidemiology s.r.l., Naples, Italy.
Maria Elena FlaccoLocal Health Unit of Pescara, Italy.
Gian Andrea BindaDepartment of Surgery, Galliera Hospital, Genoa, Italy.
Bruno AnnibaleMedical-Surgical Science and Translational Medicine Department, Sapienza University, Rome, Italy.
Lamberto ManzoliDepartment of Medicine Sciences, University of Ferrara, Ferrara, Italy; Regional Healthcare Agency of Abruzzo, Pescara, Italy.
Rosario CuomoGastroenterology Unit, Department of Clinical Medicine and Surgery University Federico II, Via Sergio Pansini 5, Naples 80131, Italy.
Federico II University Hospital · ITAlfasigma (Italy) · ITAzienda USL di Pescara · ITEnte Ospedaliero Ospedali Galliera · ITSapienza University of Rome · ITUniversity of Ferrara · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundScarce data are available on the epidemiological trend of diverticulitis and its financial burden in Italy. The aim of this work was to explore a potential variation in the rate and costs of hospital admissions for uncomplicated and complicated diverticulitis over the last decade.

methodsWe selected all hospitalizations for diverticulitis of residents in the Abruzzo Region, Italy between 2005 and 2015. Age-standardized hospitalization rates (HRs) per 100,000 inhabitants for overall, uncomplicated and complicated diverticulitis were calculated. A linear model on the log of the age-standardized rates was used to calculate annual percentage changes (APC). Costs were derived from the official DRG tariff.

resultsFrom 2005 to 2015, the HR for acute diverticulitis increased from 38.9 to 45.2 per 100,000 inhabitants (APC + 1.9%). The HR for complicated diverticulitis increased from 5.9 to 13.3 (APC + 7.6%), whereas it remained stable for uncomplicated diverticulitis. The mean hospital cost was 1.8-times higher for complicated diverticulitis compared with that for uncomplicated disease and 3.5-times higher for patients with a surgery stay compared with that for patients with a medical stay.

conclusionDuring the last decade, in the Abruzzo Region, the HRs for diverticulitis and their costs increased significantly, mainly due to disease complications. Further studies are needed to explore strategies to prevent complications and to realise cost-saving policies.

Indexed as

complicated diverticulitisdiverticulitishospitalization ratereal-world datauncomplicated diverticulitis

Identifiers

PMID30159036
PMCPMC6109850
OpenAlexW2888673472

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.