Comparison of long-term quality of life in patients with diverticular disease. Are there any benefits to surgery?

Adamová, Zuzana

doi:10.2478/s11536-012-0040-x

Cited by 4 publications

(8 citation statements)

References 31 publications

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“…Twenty-one studies were included for systematic review, with a total of 1858 patients. [4][5][6][7][8][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29] Five studies were excluded from meta-analysis either for using invalidated symptom scores 16,26 or for incomplete outcome data 15,29,30 (Figure 1). Supplementary Table 1 shows descriptive data for the 21 studies.…”

Section: Search Resultsmentioning

confidence: 99%

Patient-reported Outcomes After Conservative or Surgical Management of Recurrent and Chronic Complaints of Diverticulitis: Systematic Review and Meta-analysis

Andeweg¹,

Berg

Staal

et al. 2016

Clinical Gastroenterology and Hepatology

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Section: Search Resultsmentioning

confidence: 99%

Patient-reported Outcomes After Conservative or Surgical Management of Recurrent and Chronic Complaints of Diverticulitis: Systematic Review and Meta-analysis

Andeweg¹,

Berg

Staal

et al. 2016

Clinical Gastroenterology and Hepatology

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“…Altogether 1306 articles were further excluded, 19 full‐text articles and conference abstracts were assessed for eligibility. There were 11 studies (12 articles) including 7415 patients; of whom 1991 patients who underwent elective surgery and 5424 who underwent conservative treatment were included in the qualitative synthesis 7,14–24 and eight studies in the quantitative synthesis 7,14,16,18,19,21–23 (Figure 1). A total of six studies were found to be of moderate quality and five studies to be of high quality.…”

Section: Resultsmentioning

confidence: 99%

“…Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) flow diagram 20 [Color figure can be viewed at wileyonlinelibrary.com]…”

Section: Resultsmentioning

confidence: 99%

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Elective surgical versus conservative management of complicated diverticulitis: A systematic review and meta‐analysis

Yeow

Syn

Chong

2022

J of Digest Diseases

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Objectives There is no consensus on the optimal treatment for patients with complicated diverticulitis. In this systematic review and meta‐analysis we aimed to determine the indications for elective surgery in complicated diverticulitis by comparing conservative treatment with elective surgery. Methods A meta‐analysis of recurrence, morbidity and stoma rates was performed using a random effects model. Patient‐reported quality of life (QoL) and cost‐effectiveness outcomes were synthesized qualitatively. Results Eleven randomized controlled trials and non‐randomized studies with a total of 7415 patients were included. In statistical terms, the recurrence of diverticulitis was significantly higher in the conservatively treated group than in the elective surgery group (odds ratio [OR] 0.24, 95% confidence interval [CI] 0.12‐0.51). The stoma rate (OR 2.34, 95% CI 1.88‐2.92) and the morbidity rate (OR 4.29, 95% CI 2.24‐8.23) were significantly higher in the elective surgery group than in the conservatively treated group. There was some evidence for a significant increase in QoL and long‐term cost‐effectiveness in the elective surgery group than in the conservatively treated group. Conclusions Indications for elective surgery should not include the prevention of emergency colostomy or complications. Elective surgical resection may be considered in patients with complicated diverticulitis with the goal of improving their QoL and long‐term cost‐effectiveness.

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“…В Польше в 2014 г. было проведено мультицентровое комплексное обследование больных, оперированных по поводу дивертикулеза толстой кишки, которых наблюдали в течение 5,5 года. При этом частота развития послеоперационных грыж была значительно выше после открытых операций (30%), в то время как после лапароскопических вмешательств этот показатель составил 9% [21].…”

Section: материал и методыunclassified

Postoperative abdominal hernia: a modern view on incidence and etiopathogenesis

Ermolov¹,

Koroshvili²,

Blagovestnov³

et al. 2017

Khir. Z. im. N.I. Pirogova

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Несмотря на появление новых миниинвазивных хирургических технологий, шовных материалов, сетчатых эндопротезов (биологические, 3D-сетки), по данным российских хирургов В.И. Белоконева, А.С. Ермолова, В.Н. Егиева, в структуре всех хирургических вмешательств доля лапаротомий, выполняющихся в экстренной и плановой хирургии, остается высокой и составляет от 2 до 52% [13-15]. Развитие трансплантации органов и тканей оказывает влияние на увеличение частоты послеоперационных грыж. Так, в недавно опубликованном проспективном исследовании, включающем 140 пациентов, B. de Goede и соавт. [16] отметили, что у 43% из них, которым была выполнена трансплантация печени, в отдаленном послеоперационном периоде (36 мес) была диагностирована грыжа. Нерешенной проблемой остается высокий риск развития этого осложнения в онкологической колопроктологии. Y. Maestre и соавт. [17] ретроспективно и проспектив-ОБЗОРЫ

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Comparison of long-term quality of life in patients with diverticular disease. Are there any benefits to surgery?

Abstract: Abstract

Cited by 4 publications

References 31 publications

Patient-reported Outcomes After Conservative or Surgical Management of Recurrent and Chronic Complaints of Diverticulitis: Systematic Review and Meta-analysis

Patient-reported Outcomes After Conservative or Surgical Management of Recurrent and Chronic Complaints of Diverticulitis: Systematic Review and Meta-analysis

Elective surgical versus conservative management of complicated diverticulitis: A systematic review and meta‐analysis

Postoperative abdominal hernia: a modern view on incidence and etiopathogenesis

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