Evidence map›Paper›PMID 34455491›Full record

ArticleLangenbeck's archives of surgery2022

The results of rapid source control laparotomy or open abdomen for acute diverticulitis.

Arthur Berg, Matthew Rosenzweig, Yen-Hong Kuo, Ayolola Onayemi, Shawla Mohidul, Micaela Moen, Jason Sciarretta, John Mihran Davis, Nasim Ahmed

Registry-linked trialOpen access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Langenbeck's archives of surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06428370 (An International Study Investigating the Adoption and Outcome of Damage Control Surgery in Hinchey III-IV Acute Diverticulitis), which is not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 18% 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.

NCT06428370 unknown statusnot on this map

An International Study Investigating the Adoption and Outcome of Damage Control Surgery in Hinchey III-IV Acute Diverticulitis (DACOSAD)

TypeobservationalSponsorLink Campus UniversityRan2020 to 2025Enrolled300ConditionsDiverticular Perforation, Open AbdomenArmsDamage Control Surgery
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Increased use of damage control laparotomy for emergency small bowel or colon surgery: does it affect patient outcomes?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Article
  6. Revisiting abdominal closure in mesenteric ischemia: is there an association with outcome?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023
    Article
  7. 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

9 authors at 4 institutions in 1 country.

Arthur BergHackensack Meridian Health, Jersey Shore University Medical Center, Neptune, NJ, USA.
Matthew RosenzweigHackensack Meridian Health, Jersey Shore University Medical Center, Neptune, NJ, USA.
Yen-Hong KuoHackensack Meridian Health, Jersey Shore University Medical Center, Neptune, NJ, USA.
Ayolola OnayemiHackensack Meridian Health, Jersey Shore University Medical Center, Neptune, NJ, USA.
Shawla MohidulGrand Strand Medical Center, Myrtle Beach, SC, USA.
Micaela MoenGrand Strand Medical Center, Myrtle Beach, SC, USA.
Jason SciarrettaEmory School of Medicine, Grady Memorial Hospital, Atlanta, GA, USA.
John Mihran DavisSouth Shore University Hospital - Northwell Health, Bay Shore, NY, USA. jmihrandavis@gmail.com.ORCID http://orcid.org/0000-0003-1418-427X
Nasim AhmedHackensack Meridian Health, Jersey Shore University Medical Center, Neptune, NJ, USA.
Hackensack Meridian Health · USHamilton Medical Center · USGrady Memorial Hospital · USNorthwell Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRapid source control laparotomy (RSCL) for the management of non-traumatic intra-abdominal emergencies has increased over the past 25 years when it was advocated for trauma patients. Little data, however, support its widespread use. We hypothesize that the patients with RSCL will have poorer outcomes than those treated with primary fascial closure (PFC).

methodsPatients operated for acute diverticulitis from 2014 to 2016 using The American College of Surgeons sponsored National Surgical Quality Improvement Program (NSQIP) data were reviewed. Two groups were identified: PFC, patients with their closed fascia but skin left open (PFC) and RSCL, patients with their left open fascia after the initial operation. The primary outcome of the study was 30-day mortality, with secondary analyses evaluating complications, discharge location and length of stay. Univariate analysis was initially performed followed by propensity score matching.

resultsA total of 460 patients were surgically treated for Hinchey IV diverticulitis of whom 101 (21.9%) had RSCL. The length of stay of the RSCL patients was significantly longer (15 versus 12 days, p, 0.02) than patients in the PFC group. Similarly, the discharge destination for the PFC group was twice as likely to be discharged home as the RSCL group.

conclusionRSCL for acute diverticulitis is a widely used but is associated with prolonged hospitalizations resulting in high rates of discharge to skilled nursing or rehabilitation facilities. Its routine use for diverticulitis should be limited.

Indexed as

DiverticulitisDiverticulitis, ColonicIntestinal PerforationPeritonitisAbdomenHumansLaparotomyLength of StayTreatment OutcomeDamage control laparotomyPerforated diverticulitisPeritonitis

Identifiers

PMID34455491
PMCPMC8402969
OpenAlexW3198450852

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.