Evidence map›Paper›PMID 35063008›Full record

ReviewWorld journal of emergency surgery : WJES2022

The WSES/SICG/ACOI/SICUT/AcEMC/SIFIPAC guidelines for diagnosis and treatment of acute left colonic diverticulitis in the elderly.

Paola Fugazzola, Marco Ceresoli, Federico Coccolini, Francesco Gabrielli, Alessandro Puzziello, Fabio Monzani, Bruno Amato, Gabriele Sganga, Massimo Sartelli, Francesco Menichetti and 40 more

Open access · goldAbstract readReview
In one paragraph

Review in World journal of emergency surgery : WJES, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
9.8field-weighted citation impact, top 1% 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

22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. CT of acute abdomen in the elderly.Insights into imaging · 2025
    Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Diverticulitis, surgery, evidence-based medicine, and the Steve Jobs' dots: a narrative review.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
    Review
  18. Review
  19. Article
  20. Observational
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

50 authors at 20 institutions in 17 countries.

Paola FugazzolaIRCCS Policlinico San Matteo Foundation, General Surgery, Pavia, Italy. paola.fugazzola@gmail.com.ORCID 0000-0002-6227-9276
Marco CeresoliGeneral Surgery Department, School of Medicine and Surgery, Milano-Bicocca University, Monza, Italy.
Federico CoccoliniEmergency Surgery Unit, State University of Pisa, Cisanello Hospital, Pisa, Italy.
Francesco GabrielliGeneral Surgery Department, School of Medicine and Surgery, Milano-Bicocca University, Monza, Italy.
Alessandro PuzzielloDepartment of Surgery and Transplants, AOU San Giovanni di Dio and Ruggi d'Aragona, University of Salerno, Fisciano, Italy.
Fabio MonzaniGeriatrics Unit, Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
Bruno AmatoDepartment of Clinical Medicine and Surgery, University of Naples "Federico II", Naples, Italy.
Gabriele SgangaEmergency Surgery and Trauma, Fondazione Policlinico Universitario "A. Gemelli" IRCCS, Rome, Italy.
Massimo SartelliDepartment of Surgery, Macerata Hospital, Macerata, Italy.
Francesco MenichettiDivision of Infectious Diseases, Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.
Gabriele Adolfo PuglisiEmergency Surgery Unit, State University of Pisa, Cisanello Hospital, Pisa, Italy.
Dario TartagliaEmergency Surgery Unit, State University of Pisa, Cisanello Hospital, Pisa, Italy.
Paolo CarcoforoDepartment of Surgery, S. Anna University Hospital and University of Ferrara, Ferrara, Italy.
Nicola AveniaMedical School, General Surgery and Surgical Specialties Unit, S. Maria University Hospital University of Perugia, Terni, Italy.
Yoram KlugerDivision of General Surgery, Rambam Health Care Campus, Haifa, Israel.
Ciro PaolilloEmergency Room Brescia Spedali Civili General Hospital, Brescia, Italy.
Mauro ZagoDepartment of Robotic and Emergency Surgery, Manzoni Hospital, ASST Lecco, Lecco, Italy.
Ari LeppäniemiAbdominal Center, Helsinki University Hospital and University of Helsinki, Helsinki, Finland.
Matteo TomasoniIRCCS Policlinico San Matteo Foundation, General Surgery, Pavia, Italy.
Lorenzo CobianchiIRCCS Policlinico San Matteo Foundation, General Surgery, Pavia, Italy.
Francesca Dal MasDepartment of Management, Lincoln International Business School, University of Lincoln, Lincoln, UK.
Mario ImprotaAlma Mater Studiorum University, Bologna, Italy.
Ernest E MooreDepartment of Surgery, University of Colorado, Denver Health Medical Center, Denver, CO, USA.
Andrew B PeitzmanDepartment of Surgery, University of Pittsburgh School of Medicine, UPMC-Presbyterian, Pittsburgh, PA, USA.
Michael SugrueDonegal Clinical Research Academy, Emergency Surgery Outcome Project, Letterkenny University Hospital, Donegal, Ireland.
Vanni AgnolettiIntensive Care Unit, Bufalini Hospital, Cesena, Italy.
Gustavo P FragaSurgery Department, Faculdade de Ciências Médicas (FCM), Unicamp Campinas, Campinas, SP, Brazil.
Dieter G WeberDepartment of General Surgery, Royal Perth Hospital, Perth, Australia.
Dimitrios DamaskosDepartment of Surgery, Royal Infirmary of Edinburgh, Edinburgh, UK.
Fikri M Abu-ZidanDepartment of Surgery, College of Medicine and Health Sciences, UAE University, Al-Ain, United Arab Emirates.
Imtiaz WaniDepartment of Minimal Access and General Surgery, Government Gousia Hospital, Sringar, Kashmir, India.
Andrew W KirkpatrickGeneral, Acute Care, Abdominal Wall Reconstruction, and Trauma Surgery, Foothills Medical Centre, Calgary, AB, Canada.
Manos Pikoulis3Rd Department of Surgery, Attiko Hospital, MSc "Global Health-Disaster Medicine", National and Kapodistrian University of Athens (NKUA), Athens, Greece.
Nikolaos PararasGeneral Surgery, Dr Sulaiman Al Habib/Alfaisal University, Riyadh, Saudi Arabia.
Edward TanDepartment of Surgery, Radboud University Medical Centre, Nijmegen, The Netherlands.
Richard Ten BroekDepartment of Surgery, Radboud University Medical Centre, Nijmegen, The Netherlands.
Ronald V MaierDepartment of Surgery, University of Washington, Seattle, WA, USA.
R Justin DaviesCambridge Colorectal Unit, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Jeffry KashukDepartment of Surgery, Assia Medical Group, Tel Aviv University Sackler School of Medicine, Tel Aviv, Israel.
Vishal G ShelatDepartment of General Surgery, Tan Tock Seng Hospital, Singapore, Singapore.
Alain Chicom MefireFaculty of Health Sciences, University of Buea, Buea, Cameroon.
Goran AugustinDepartment of Surgery, University Hospital Centre, Zagreb, Croatia.
Stefano MagnoneGeneral Surgery I, ASST Papa Giovanni XXIII Hospital, Bergamo, Italy.
Elia PoiasinaGeneral Surgery I, ASST Papa Giovanni XXIII Hospital, Bergamo, Italy.
Belinda De SimoneDepartment of General and Metabolic Surgery, Poissy and Saint Germain en Laye Hospitals, Poissy, France.
Massimo ChiarugiEmergency Surgery Unit, State University of Pisa, Cisanello Hospital, Pisa, Italy.
Walt BifflTrauma Surgery Department, Scripps Memorial Hospital, La Jolla, CA, USA.
Gian Luca BaiocchiDepartment of General Surgery, ASST Cremona, University of Brescia, Cremona, Italy.
Fausto CatenaGeneral and Emergency Surgery Department, Bufalini Hospital, AUSL Romagna, Cesena, Italy.
Luca AnsaloniIRCCS Policlinico San Matteo Foundation, General Surgery, Pavia, Italy.
University of Pisa · ITPoliclinico San Matteo Fondazione · ITOspedale “M. Bufalini” di Cesena · ITOspedale Papa Giovanni XXIII · ITRadboud University Nijmegen · NLUniversity of Milano-Bicocca · ITAgostino Gemelli University Polyclinic · ITAlessandro Manzoni Hospital · ITAlfaisal University · SAAzienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia · ITCambridge University Hospitals NHS Foundation Trust · GBCentre Hospitalier Intercommunal de Poissy · FRDenver Health Medical Center · USEdinburgh Royal Infirmary · GBFoothills Medical Centre · CAGovernment Rajaji Hospital · INLetterkenny University Hospital · IENational and Kapodistrian University of Athens · GROspedale di MacerataRambam Health Care Campus · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute left colonic diverticulitis (ALCD) in the elderly presents with unique epidemiological features when compared with younger patients. The clinical presentation is more nuanced in the elderly population, having higher in-hospital and postoperative mortality. Furthermore, geriatric comorbidities are a risk factor for complicated diverticulitis. Finally, elderly patients have a lower risk of recurrent episodes and, in case of recurrence, a lower probability of requiring urgent surgery than younger patients. The aim of the present work is to study age-related factors that may support a unique approach to the diagnosis and treatment of this problem in the elderly when compared with the WSES guidelines for the management of acute left-sided colonic diverticulitis. During the 1° Pisa Workshop of Acute Care & Trauma Surgery held in Pisa (Italy) in September 2019, with the collaboration of the World Society of Emergency Surgery (WSES), the Italian Society of Geriatric Surgery (SICG), the Italian Hospital Surgeons Association (ACOI), the Italian Emergency Surgery and Trauma Association (SICUT), the Academy of Emergency Medicine and Care (AcEMC) and the Italian Society of Surgical Pathophysiology (SIFIPAC), three panel members presented a number of statements developed for each of the four themes regarding the diagnosis and management of ALCD in older patients, formulated according to the GRADE approach, at a Consensus Conference where a panel of experts participated. The statements were subsequently debated, revised, and finally approved by the Consensus Conference attendees. The current paper is a summary report of the definitive guidelines statements on each of the following topics: diagnosis, management, surgical technique and antibiotic therapy.

Indexed as

Diverticulitis, ColonicSurgeonsAgedHumansItalyAcute diverticulitisElderlySurgery in elderly

Identifiers

PMID35063008
PMCPMC8781436
OpenAlexW4206903190

What OpenQuestion holds

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LicenceCC BY
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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.