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Risk of emergency surgery or death after nonoperative management of diverticulitis in Scotland and Switzerland

JAMA Surgery May 16, 2020

von Strauss und Torney M, Moffa G, Kaech M, et al. - This study was conducted to evaluate patient management and outcomes after an index inpatient episode of nonoperatively managed complicated diverticulitis in Switzerland and Scotland and ascertain if interval resection was correlated with the rate of disease-specific emergency surgery or death in either country. Between January 1, 2005, and December 31, 2015, this secondary analysis of anonymized complete national inpatient data sets enrolled all individuals with an inpatient episode of successfully nonoperatively managed complicated diverticulitis in Switzerland and Scotland. The study population consisted 13,861 inpatients in Switzerland (6,967 women) and 5,129 inpatients in Scotland (2,804 women) with an index episode of complicated acute diverticulitis managed nonoperatively. No difference was noted in the rate of adverse outcome (emergency surgery and/or inpatient death) despite a 5-fold difference in interval resection rates.

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