Evidence map›Paper›PMID 37747500›Full record

ReviewEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2024

Diverticulitis, surgery, evidence-based medicine, and the Steve Jobs' dots: a narrative review.

Ferdinando Agresta, Giulia Montori, Mauro Podda, Monica Ortenzi, Alessio Giordano, Carlo Bergamini, Giorgio Mazzarolo, Edelweiss Licitra, Tobia Gobbi, Giuseppa Procida and 16 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

26 authors.

Ferdinando AgrestaUnit of General and Emergency Surgery, Vittorio Veneto Hospital, Via C. Forlanini 71, 31029, Vittorio Veneto, TV, Italy.
Giulia MontoriUnit of General and Emergency Surgery, Vittorio Veneto Hospital, Via C. Forlanini 71, 31029, Vittorio Veneto, TV, Italy. giulia.montori@gmail.com.ORCID http://orcid.org/0000-0002-7649-2174
Mauro PoddaDepartment of Surgical Science, University of Cagliari, Cagliari, Italy.
Monica OrtenziClinica di Chirurgia Generale e d'Urgenza, Università Politecnica delle Marche, Ancona, Italy.
Alessio GiordanoSurgery Department, Emergency Surgery Unit, Careggi University Hospital, Florence, Italy.
Carlo BergaminiSurgery Department, Emergency Surgery Unit, Careggi University Hospital, Florence, Italy.
Giorgio MazzaroloUnit of General and Emergency Surgery, Vittorio Veneto Hospital, Via C. Forlanini 71, 31029, Vittorio Veneto, TV, Italy.
Edelweiss LicitraUnit of General and Emergency Surgery, Vittorio Veneto Hospital, Via C. Forlanini 71, 31029, Vittorio Veneto, TV, Italy.
Tobia GobbiUnit of General and Emergency Surgery, Vittorio Veneto Hospital, Via C. Forlanini 71, 31029, Vittorio Veneto, TV, Italy.
Giuseppa ProcidaUnit of General and Emergency Surgery, Vittorio Veneto Hospital, Via C. Forlanini 71, 31029, Vittorio Veneto, TV, Italy.
Andrea Dal BorgoUnit of General and Emergency Surgery, Vittorio Veneto Hospital, Via C. Forlanini 71, 31029, Vittorio Veneto, TV, Italy.
Emanuele BotteriASST Spedali Civili Brescia, P.O. Montichiari, Brescia, Italy.
Luca AnsaloniUnit of General Surgery I, Fondazione IRCCS Policlinico San Matteo, University of Pavia, Pavia, Italy.
Paola FugazzolaUnit of General Surgery I, Fondazione IRCCS Policlinico San Matteo, University of Pavia, Pavia, Italy.
Grazia SavinoUnit of General and Emergency Surgery, Vittorio Veneto Hospital, Via C. Forlanini 71, 31029, Vittorio Veneto, TV, Italy.
Mario GuerrieriClinica di Chirurgia Generale e d'Urgenza, Università Politecnica delle Marche, Ancona, Italy.
Fabio Cesare CampanileDirector of Surgery, Ospedale San Giovanni Decollato Andosilla, ASL, VT, Italy.
Alberto SartoriDepartment of General Surgery, Ospedale di Montebelluna, Montebelluna, Italy.
Wanda PetzDivision of Digestive Surgery, IEO European Institute of Oncology IRCCS, 20141, Milan, Italy.
Gianfranco SilecchiaDepartment of Medico-Surgical Sciences and Biotechnologies, University La Sapienza of Rome, Latina, Italy.
Salomone di SaverioDepartment of General Surgery, ASUR Marche, AV5, Hospital of San Benedetto del Tronto, San Benedetto del Tronto, Italy.
Fausto CatenaDepartment of Surgery, "Bufalini" Hospital, Cesena, Italy.
Antonino AgrusaDepartment of Surgical, Oncological and Stomatological Disciplines, University of Palermo, Palermo, Italy.
Michelangelo SalemiMedical Director of ULSS 2Trevigiana, Vittorio Veneto Hospital, Vittorio Veneto, TV, Italy.
Salvador Morales-CondeUniversity Hospital Virgen del Rocío, Seville, Spain.
Alberto ArezzoDepartment of Surgical Sciences, University of Torino, Torino, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeEmergency treatment of acute diverticulitis remains a hazy field. Despite a number of clinical studies, randomized controlled trials (RCTs), guidelines and surgical societies recommendations, the most critical hot topics have yet to be addressed.

methodsLiterature research from 1963 until today was performed. Data regarding the principal RCTs and observational studies were summarized in descriptive tables. In particular we aimed to focus on the following topics: the role of laparoscopy, the acute care setting, the RCTs, guidelines, observational studies and classifications proposed by literature, the problem in case of a pandemic, and the importance of adapting treatment /place/surgeon conditions.

resultsIn the evaluation of these points we did not try to find any prospective evolution of the concepts achievements. On the contrary we simply report the individuals strands of research from a retrospective point of view, similarly to what Steve Jobes said: "you can't connect the dots looking forward; you can only connect them looking backwards. So you have to trust that the dots will somehow connect in your future". We have finally obtained what can be defined "a narrative review of the literature on diverticulitis".

conclusionsNot only evidence-based medicine but also the contextualization, as also the role of 'competent' surgeons, should guide to novel approach in acute diverticulitis management.

Indexed as

DiverticulitisLaparoscopyPeritonitisAnastomosis, SurgicalCritical CareEvidence-Based MedicineHumansAcute diverticulitisHartmann procedureLaparoscopyPeritoneal lavageResection with or without a stoma

Identifiers

What OpenQuestion holds

Textmetadata
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.