20-Year Trends in the Management of Diverticulitis Across New York State: an Analysis of 265,724 Patients
Introduction Management of acute diverticulitis (AD) has considerably changed over time. This study evaluates practice patterns for diverticulitis across demographic populations in New York State. Methods Two hundred sixty-five thousand seven hundred twenty-four patients with acute diverticulitis we...
Gespeichert in:
| Veröffentlicht in: | Journal of gastrointestinal surgery 2017, Vol.21 (1), p.78-84 |
|---|---|
| Hauptverfasser: | , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 84 |
|---|---|
| container_issue | 1 |
| container_start_page | 78 |
| container_title | Journal of gastrointestinal surgery |
| container_volume | 21 |
| creator | Lamm, Ryan Mathews, Steven N. Yang, Jie Kang, Lijuan Telem, Dana Pryor, Aurora D. Talamini, Mark Genua, Jill |
| description | Introduction
Management of acute diverticulitis (AD) has considerably changed over time. This study evaluates practice patterns for diverticulitis across demographic populations in New York State.
Methods
Two hundred sixty-five thousand seven hundred twenty-four patients with acute diverticulitis were analyzed from 1995 to 2014 from the New York-Statewide Planning and Research Cooperative System database. The likelihood of having surgery over time was compared across patient demographic subgroups using logistic regression models to calculate estimated odds ratio with their 95 % confidence intervals. Using Chi-square test and Welch’s
t
test, categorical and continuous variables were compared.
Results
From 1995 to 2014, there was an increase in newly diagnosed diverticulitis patients while the proportion of those patients undergoing operative management steadily decreased (31 to 10 %,
p
|
| doi_str_mv | 10.1007/s11605-016-3205-0 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1826727166</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1826727166</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-48687d131bcc16a0c1189289e0612cdbecd63c2d0b5e7b75925d1acf2ea14ba13</originalsourceid><addsrcrecordid>eNp1kVFPFTEQhRuDEUR_gC-mCS88uNiZ3ba7vN2gKAmoiZjIU9PtzsXi3l1ouxj-PV0uGELC00wy3zmTmcPYOxB7IIT-GAGUkIUAVZQ4Ny_YFtS6LCqFaiP3ooECpfy9yV7HeCEEaAH1K7aJupJKAG4xj6I4Ixv4aaChi9wPPP0hfmIHe04rGhIfl_yTv6aQvJt6n3zkCxfGGPk3-sfPxvCX_0w20T63A18Mtr-JGckiVPKDxor_sMlnn_iGvVzaPtLb-7rNfh1-Pj34Whx__3J0sDguXKkxFVWtat1BCa1zoKxwAHWDdUNCAbquJdep0mEnWkm61bJB2YF1SyQLVWuh3Ga7a9_LMF5NFJNZ-eio7-1A4xQN1Kg0alAqoztP0ItxCvmGmZLYVKqRMwVr6u7sQEtzGfzKhhsDwsw5mHUOJudg5hyMyJr3985Tu6Luv-Lh8RnANRDzaDin8Gj1s663Gt2QKw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1852946956</pqid></control><display><type>article</type><title>20-Year Trends in the Management of Diverticulitis Across New York State: an Analysis of 265,724 Patients</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Lamm, Ryan ; Mathews, Steven N. ; Yang, Jie ; Kang, Lijuan ; Telem, Dana ; Pryor, Aurora D. ; Talamini, Mark ; Genua, Jill</creator><creatorcontrib>Lamm, Ryan ; Mathews, Steven N. ; Yang, Jie ; Kang, Lijuan ; Telem, Dana ; Pryor, Aurora D. ; Talamini, Mark ; Genua, Jill</creatorcontrib><description>Introduction
Management of acute diverticulitis (AD) has considerably changed over time. This study evaluates practice patterns for diverticulitis across demographic populations in New York State.
Methods
Two hundred sixty-five thousand seven hundred twenty-four patients with acute diverticulitis were analyzed from 1995 to 2014 from the New York-Statewide Planning and Research Cooperative System database. The likelihood of having surgery over time was compared across patient demographic subgroups using logistic regression models to calculate estimated odds ratio with their 95 % confidence intervals. Using Chi-square test and Welch’s
t
test, categorical and continuous variables were compared.
Results
From 1995 to 2014, there was an increase in newly diagnosed diverticulitis patients while the proportion of those patients undergoing operative management steadily decreased (31 to 10 %,
p
< 0.0001). Of those receiving surgery, emergent surgeries decreased (58 to 47 %,
p
< 0.0001) while elective surgeries increased (42 to 53 %,
p
< 0.0001) with the odds of having emergency surgery decreasing by 4 % annually (OR 0.96 (0.95–0.97),
p
< 0.0001). With the exception of patients greater than 80 years old, these linear trends were substantiated across patient subgroups.
Conclusions
Over the past 20 years in New York State, there has been an increase in diverticulitis diagnoses and hospital admissions, with a decrease in surgeries performed reflecting a shift towards conservative management and more effective antibiotic treatment.</description><identifier>ISSN: 1091-255X</identifier><identifier>EISSN: 1873-4626</identifier><identifier>DOI: 10.1007/s11605-016-3205-0</identifier><identifier>PMID: 27456012</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>2016 SSAT Plenary Presentation ; Adolescent ; Adult ; Aged ; Aged, 80 and over ; Antibiotics ; Chi-square test ; Confidence intervals ; Databases, Factual ; Diverticulitis ; Diverticulitis, Colonic - epidemiology ; Diverticulitis, Colonic - surgery ; Diverticulitis, Colonic - therapy ; Elective Surgical Procedures - methods ; Elective Surgical Procedures - statistics & numerical data ; Emergency medical care ; Female ; Gastroenterology ; Hospitals ; Humans ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; New York - epidemiology ; Patients ; Regression analysis ; Retrospective Studies ; Surgery ; Treatment Outcome ; Trends ; Young Adult</subject><ispartof>Journal of gastrointestinal surgery, 2017, Vol.21 (1), p.78-84</ispartof><rights>The Society for Surgery of the Alimentary Tract 2016</rights><rights>Journal of Gastrointestinal Surgery is a copyright of Springer, 2017.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-48687d131bcc16a0c1189289e0612cdbecd63c2d0b5e7b75925d1acf2ea14ba13</citedby><cites>FETCH-LOGICAL-c372t-48687d131bcc16a0c1189289e0612cdbecd63c2d0b5e7b75925d1acf2ea14ba13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11605-016-3205-0$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11605-016-3205-0$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27922,27923,41486,42555,51317</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27456012$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lamm, Ryan</creatorcontrib><creatorcontrib>Mathews, Steven N.</creatorcontrib><creatorcontrib>Yang, Jie</creatorcontrib><creatorcontrib>Kang, Lijuan</creatorcontrib><creatorcontrib>Telem, Dana</creatorcontrib><creatorcontrib>Pryor, Aurora D.</creatorcontrib><creatorcontrib>Talamini, Mark</creatorcontrib><creatorcontrib>Genua, Jill</creatorcontrib><title>20-Year Trends in the Management of Diverticulitis Across New York State: an Analysis of 265,724 Patients</title><title>Journal of gastrointestinal surgery</title><addtitle>J Gastrointest Surg</addtitle><addtitle>J Gastrointest Surg</addtitle><description>Introduction
Management of acute diverticulitis (AD) has considerably changed over time. This study evaluates practice patterns for diverticulitis across demographic populations in New York State.
Methods
Two hundred sixty-five thousand seven hundred twenty-four patients with acute diverticulitis were analyzed from 1995 to 2014 from the New York-Statewide Planning and Research Cooperative System database. The likelihood of having surgery over time was compared across patient demographic subgroups using logistic regression models to calculate estimated odds ratio with their 95 % confidence intervals. Using Chi-square test and Welch’s
t
test, categorical and continuous variables were compared.
Results
From 1995 to 2014, there was an increase in newly diagnosed diverticulitis patients while the proportion of those patients undergoing operative management steadily decreased (31 to 10 %,
p
< 0.0001). Of those receiving surgery, emergent surgeries decreased (58 to 47 %,
p
< 0.0001) while elective surgeries increased (42 to 53 %,
p
< 0.0001) with the odds of having emergency surgery decreasing by 4 % annually (OR 0.96 (0.95–0.97),
p
< 0.0001). With the exception of patients greater than 80 years old, these linear trends were substantiated across patient subgroups.
Conclusions
Over the past 20 years in New York State, there has been an increase in diverticulitis diagnoses and hospital admissions, with a decrease in surgeries performed reflecting a shift towards conservative management and more effective antibiotic treatment.</description><subject>2016 SSAT Plenary Presentation</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Antibiotics</subject><subject>Chi-square test</subject><subject>Confidence intervals</subject><subject>Databases, Factual</subject><subject>Diverticulitis</subject><subject>Diverticulitis, Colonic - epidemiology</subject><subject>Diverticulitis, Colonic - surgery</subject><subject>Diverticulitis, Colonic - therapy</subject><subject>Elective Surgical Procedures - methods</subject><subject>Elective Surgical Procedures - statistics & numerical data</subject><subject>Emergency medical care</subject><subject>Female</subject><subject>Gastroenterology</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>New York - epidemiology</subject><subject>Patients</subject><subject>Regression analysis</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Treatment Outcome</subject><subject>Trends</subject><subject>Young Adult</subject><issn>1091-255X</issn><issn>1873-4626</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kVFPFTEQhRuDEUR_gC-mCS88uNiZ3ba7vN2gKAmoiZjIU9PtzsXi3l1ouxj-PV0uGELC00wy3zmTmcPYOxB7IIT-GAGUkIUAVZQ4Ny_YFtS6LCqFaiP3ooECpfy9yV7HeCEEaAH1K7aJupJKAG4xj6I4Ixv4aaChi9wPPP0hfmIHe04rGhIfl_yTv6aQvJt6n3zkCxfGGPk3-sfPxvCX_0w20T63A18Mtr-JGckiVPKDxor_sMlnn_iGvVzaPtLb-7rNfh1-Pj34Whx__3J0sDguXKkxFVWtat1BCa1zoKxwAHWDdUNCAbquJdep0mEnWkm61bJB2YF1SyQLVWuh3Ga7a9_LMF5NFJNZ-eio7-1A4xQN1Kg0alAqoztP0ItxCvmGmZLYVKqRMwVr6u7sQEtzGfzKhhsDwsw5mHUOJudg5hyMyJr3985Tu6Luv-Lh8RnANRDzaDin8Gj1s663Gt2QKw</recordid><startdate>2017</startdate><enddate>2017</enddate><creator>Lamm, Ryan</creator><creator>Mathews, Steven N.</creator><creator>Yang, Jie</creator><creator>Kang, Lijuan</creator><creator>Telem, Dana</creator><creator>Pryor, Aurora D.</creator><creator>Talamini, Mark</creator><creator>Genua, Jill</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>2017</creationdate><title>20-Year Trends in the Management of Diverticulitis Across New York State: an Analysis of 265,724 Patients</title><author>Lamm, Ryan ; Mathews, Steven N. ; Yang, Jie ; Kang, Lijuan ; Telem, Dana ; Pryor, Aurora D. ; Talamini, Mark ; Genua, Jill</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-48687d131bcc16a0c1189289e0612cdbecd63c2d0b5e7b75925d1acf2ea14ba13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>2016 SSAT Plenary Presentation</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Antibiotics</topic><topic>Chi-square test</topic><topic>Confidence intervals</topic><topic>Databases, Factual</topic><topic>Diverticulitis</topic><topic>Diverticulitis, Colonic - epidemiology</topic><topic>Diverticulitis, Colonic - surgery</topic><topic>Diverticulitis, Colonic - therapy</topic><topic>Elective Surgical Procedures - methods</topic><topic>Elective Surgical Procedures - statistics & numerical data</topic><topic>Emergency medical care</topic><topic>Female</topic><topic>Gastroenterology</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>New York - epidemiology</topic><topic>Patients</topic><topic>Regression analysis</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Treatment Outcome</topic><topic>Trends</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lamm, Ryan</creatorcontrib><creatorcontrib>Mathews, Steven N.</creatorcontrib><creatorcontrib>Yang, Jie</creatorcontrib><creatorcontrib>Kang, Lijuan</creatorcontrib><creatorcontrib>Telem, Dana</creatorcontrib><creatorcontrib>Pryor, Aurora D.</creatorcontrib><creatorcontrib>Talamini, Mark</creatorcontrib><creatorcontrib>Genua, Jill</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of gastrointestinal surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lamm, Ryan</au><au>Mathews, Steven N.</au><au>Yang, Jie</au><au>Kang, Lijuan</au><au>Telem, Dana</au><au>Pryor, Aurora D.</au><au>Talamini, Mark</au><au>Genua, Jill</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>20-Year Trends in the Management of Diverticulitis Across New York State: an Analysis of 265,724 Patients</atitle><jtitle>Journal of gastrointestinal surgery</jtitle><stitle>J Gastrointest Surg</stitle><addtitle>J Gastrointest Surg</addtitle><date>2017</date><risdate>2017</risdate><volume>21</volume><issue>1</issue><spage>78</spage><epage>84</epage><pages>78-84</pages><issn>1091-255X</issn><eissn>1873-4626</eissn><abstract>Introduction
Management of acute diverticulitis (AD) has considerably changed over time. This study evaluates practice patterns for diverticulitis across demographic populations in New York State.
Methods
Two hundred sixty-five thousand seven hundred twenty-four patients with acute diverticulitis were analyzed from 1995 to 2014 from the New York-Statewide Planning and Research Cooperative System database. The likelihood of having surgery over time was compared across patient demographic subgroups using logistic regression models to calculate estimated odds ratio with their 95 % confidence intervals. Using Chi-square test and Welch’s
t
test, categorical and continuous variables were compared.
Results
From 1995 to 2014, there was an increase in newly diagnosed diverticulitis patients while the proportion of those patients undergoing operative management steadily decreased (31 to 10 %,
p
< 0.0001). Of those receiving surgery, emergent surgeries decreased (58 to 47 %,
p
< 0.0001) while elective surgeries increased (42 to 53 %,
p
< 0.0001) with the odds of having emergency surgery decreasing by 4 % annually (OR 0.96 (0.95–0.97),
p
< 0.0001). With the exception of patients greater than 80 years old, these linear trends were substantiated across patient subgroups.
Conclusions
Over the past 20 years in New York State, there has been an increase in diverticulitis diagnoses and hospital admissions, with a decrease in surgeries performed reflecting a shift towards conservative management and more effective antibiotic treatment.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>27456012</pmid><doi>10.1007/s11605-016-3205-0</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1091-255X |
| ispartof | Journal of gastrointestinal surgery, 2017, Vol.21 (1), p.78-84 |
| issn | 1091-255X 1873-4626 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1826727166 |
| source | MEDLINE; SpringerLink Journals - AutoHoldings |
| subjects | 2016 SSAT Plenary Presentation Adolescent Adult Aged Aged, 80 and over Antibiotics Chi-square test Confidence intervals Databases, Factual Diverticulitis Diverticulitis, Colonic - epidemiology Diverticulitis, Colonic - surgery Diverticulitis, Colonic - therapy Elective Surgical Procedures - methods Elective Surgical Procedures - statistics & numerical data Emergency medical care Female Gastroenterology Hospitals Humans Male Medicine Medicine & Public Health Middle Aged New York - epidemiology Patients Regression analysis Retrospective Studies Surgery Treatment Outcome Trends Young Adult |
| title | 20-Year Trends in the Management of Diverticulitis Across New York State: an Analysis of 265,724 Patients |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-09T11%3A35%3A56IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=20-Year%20Trends%20in%20the%20Management%20of%20Diverticulitis%20Across%20New%20York%20State:%20an%20Analysis%20of%20265,724%20Patients&rft.jtitle=Journal%20of%20gastrointestinal%20surgery&rft.au=Lamm,%20Ryan&rft.date=2017&rft.volume=21&rft.issue=1&rft.spage=78&rft.epage=84&rft.pages=78-84&rft.issn=1091-255X&rft.eissn=1873-4626&rft_id=info:doi/10.1007/s11605-016-3205-0&rft_dat=%3Cproquest_cross%3E1826727166%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1852946956&rft_id=info:pmid/27456012&rfr_iscdi=true |