Evidence map›Paper›PMID 38318711›Full record

ArticleAnnals of surgery2024

The Patient Perspective on Colectomy for Recurrent Diverticulitis: A Qualitative Study.

Alexander T Hawkins, David F Penson, Timothy M Geiger, Kemberlee R Bonnet, Matthew G Mutch, Lilias H Maguire, David G Schlundt, Russell L Rothman

Open access · greenAbstract read
In one paragraph

Article in Annals of surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
5.7field-weighted citation impact, top 4% 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

5 citing papers in PubMed, 10 citations in OpenAlex.

  1. Trial
  2. Genetic Risk, Healthy Lifestyle, and Risk Stratification for Diverticulitis.Journal of the American College of Surgeons · 2026
    Article
  3. Observational
  4. Unmet social needs and diverticulitis: a phenotyping algorithm and cross-sectional analysis.Journal of the American Medical Informatics Association : JAMIA · 2025
    Article
  5. 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

8 authors at 5 institutions in 1 country.

Alexander T HawkinsDivision of General Surgery, Section of Colon & Rectal Surgery, Vanderbilt University Medical Center, Nashville, TN.
David F PensonDepartment of Urology, Vanderbilt University Medical Center, Nashville, TN.
Timothy M GeigerDivision of General Surgery, Section of Colon & Rectal Surgery, Vanderbilt University Medical Center, Nashville, TN.
Kemberlee R BonnetDepartment of Psychology, Vanderbilt University, Nashville, TN.
Matthew G MutchDepartment of Surgery, Section of Colon and Rectal Surgery, Washington University School of Medicine, Saint Louis, MO.
Lilias H MaguireColon and Rectal Surgery, University of Pennsylvania, Philadelphia, PA.
David G SchlundtDepartment of Psychology, Vanderbilt University, Nashville, TN.
Russell L RothmanCenter for Health Services Research, Vanderbilt University Medical Center, Nashville, TN.
Vanderbilt University Medical Center · USVanderbilt University · USUniversity of Pennsylvania · USVA Tennessee Valley Healthcare System · USWashington University in St. Louis · US

Funding

Novel Assessment of the Role of Surgery in Recurrent DiverticulitisK23DK118192 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI HAWKINS, ALEXANDER THARRINGTON · 2018 to 2022
$788k
NIDDK NIH HHS K23 DK118192
6 · The paper itself

Abstract

objectiveUnderstand the patient's decision-making process regarding colectomy for recurrent diverticulitis.

backgroundThe decision to pursue elective colectomy for recurrent diverticulitis is highly preference-sensitive. Little is known about the patient's perspective in this decision-making process.

methodsWe performed a qualitative study utilizing focus groups of patients with recurrent diverticulitis at 3 centers across the United States. Using an iterative inductive/deductive approach, we developed a conceptual framework to capture the major themes identified in the coded data.

resultsFrom March 2019 to July 2020, 39 patients were enrolled across 3 sites and participated in 6 focus groups. After coding the transcripts using a hierarchical coding system, a conceptual framework was developed. Major themes identified included participants' beliefs about surgery, such as normative beliefs (eg, subjective, value placed on surgery), control beliefs (eg, self-efficacy, stage of change), and anticipated outcomes (eg, expectations, anticipated regret); the role of behavioral management strategies (eg, fiber, eliminate bad habits); emotional experiences (eg, depression, embarrassment); current symptoms (eg, severity, timing); and quality of life (eg, cognitive load, psychosocial factors). Three sets of moderating factors influencing patient choice were identified: clinical history (eg, source of diagnosis, multiple surgeries), clinical protocols (eg, pre-op and post-op education), and provider-specific factors (eg, specialty, choice of surgeon).

conclusionsPatients view the decision to undergo colectomy through 3 major themes: their beliefs about surgery, their psychosocial context, and moderating factors that influence participant choice to undergo surgery. This knowledge is essential both for clinicians counseling patients who are considering colectomy and for researchers studying the process to optimize care for recurrent diverticulitis.

Indexed as

DiverticulitisDiverticulitis, ColonicColectomyElective Surgical ProceduresHumansQuality of LifeRetrospective Studies

Identifiers

PMID38318711
PMCPMC10997445
OpenAlexW4391575297

What OpenQuestion holds

Textmetadata
LicenceTDM
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.