Diverticular disease in Scotland: 2000–2010

Paterson, Hugh; Arnott, I.; Nicholls, R. J.; Clark, David; Bauer, J; Bridger, P; Crowe, A. M.; Knight, A.; Hodgkins, Paul; Solomon, Dory; Dunlop, Malcolm G.

doi:10.1111/codi.12811

Cited by 32 publications

(28 citation statements)

References 16 publications

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“…A Scottish study found a similar operative intervention rate to our study with a similar ratio of complicated disease . They attempted to improve the yield of their cohort using additional complication codes including fistula, but their method of combining these codes is partial.…”

Section: Discussionsupporting

confidence: 57%

“…A Scottish study found a similar operative intervention rate to our study with a similar ratio of complicated disease. 4 They attempted to improve the yield of their cohort using additional complication codes including fistula, but their method of combining these codes is partial. An English study found an emergency operative intervention rate of 12.4%, but they did not distinguish complicated from uncomplicated diverticulitis.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Operative intervention rates for acute diverticulitis: a multicentre state‐wide study

Hong

Tomlin

Hayes

et al. 2015

ANZ Journal of Surgery

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Section: Discussionsupporting

confidence: 57%

Section: Discussionmentioning

confidence: 99%

Operative intervention rates for acute diverticulitis: a multicentre state‐wide study

Hong

Tomlin

Hayes

et al. 2015

ANZ Journal of Surgery

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“…Similar results come from outside European Union. Data obtained from the Scottish Morbidity Records confirmed that DD was an increasing burden on health service resources, particularly in younger age groups (17). More recently, inpatient gastrointestinal, liver and pancreatic discharge diagnoses from the 2012 Nationwide Inpatients Sample in United Stated reported that diverticulitis without hemorrhage admissions were >216,000 (5).…”

Section: Discussionmentioning

confidence: 97%

“…(1). In this way, several treatments tested in controlled trials seem to be effective (10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22). Thus, these treatments may be not cost-effective in preventing acute diverticulitis occurrence/recurrence and in term of surgery prevention, but maybe effective in controlling symptoms (23).…”

Section: Discussionmentioning

confidence: 99%

Impact of diverticular inflammation and complication assessment classification on the burden of medical therapies in preventing diverticular disease complications in Italy

Tursi

Elisei

Picchio³

et al. 2017

Ann. Transl. Med.

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Background: Several treatments are currently advised to manage diverticular disease (DD) patients, but their impact on the burden of the disease is unknown. Our aim was to assess the economic analysis of using the recent Diverticular Inflammation and Complication Assessment (DICA) endoscopic classification on the burden of medical therapies prescribed in preventing DD complications occurrence in Italy. Methods:We assessed retrospectively the cost/year of treatments in estimated DICA 1, DICA 2 and DICA 3 population. Analysis of diverticulosis prevalence was estimated according to data population provided by Italian Institute of Statistics (ISTAT). Cost of treatments calculated according to data on drugs' consumption collected during the DICA study.Results: We estimated that >8 million of Italian people >60 years may have diverticulosis, and that about 75% of diverticular population are on DICA 1, about 30% on DICA 2, and about 13% on DICA 3. We estimated that >387 million of euros could be spent in DICA 1 population, >203 million of euros in DICA 2 population, and >88 million of euros in DICA 3 population. Since medical treatments did not show any significant advantage when treating DICA 1 and DICA 3 people in terms of prevention of acute diverticulitis occurrence/recurrence and surgery occurrence, we can estimated that >475 million of euros could be spent in Italy without any significant benefit in preventing DD complications occurrence.Conclusions: DICA endoscopic classification may have a significant impact on the burden of DD in Italy, because it helps to select DD people who effectively need treatments in terms of prevention of acute diverticulitis occurrence/recurrence and surgery occurrence.

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“…Most admissions with diverticular disease are due to diverticulitis. The incidence of diverticular disease may be increasing, but the total number of admissions has often been used as the numerator, not accounting for possible readmission of the same individuals, or admission counts rather than rates have been reported, such that the true incidence may be elusive ( Table S1 , supporting information).…”

Section: Introductionmentioning

confidence: 99%

Incidence and lifetime risk of hospitalization and surgery for diverticular disease

Sköldberg

Granlund

Discacciati

et al. 2019

British Journal of Surgery

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Background: Studies on incidence rates of first-time colonic diverticular disease are few, and population-based estimates of lifetime risk are lacking. In this observational study, the incidence, admission rates and lifetime risks of hospitalization and surgery for diverticular disease were investigated. Methods: Considering the entire Swedish population as an open cohort, incidence and admission rates, and lifetime risk estimates (considering death as a competing risk) of hospitalization and surgery for diverticular disease were calculated using data from cross-linked national registers and population statistics from 1987 to 2010.Results: In total, there were 144 107 hospital admissions for diverticular disease in 95 049 individual patients. Of these, 17 599 were admissions with bowel resection or stoma formation in 16 824 patients. The total number of person-years in the population during the study period was 213 949 897. Age-standardized incidence rates were 47⋅4 (95 per cent c.i. 47⋅1 to 47⋅7) for first-time hospitalization with diverticular disease and 8⋅4 (8⋅2 to 8⋅5) per 100 000 person-years for diverticular disease surgery. The corresponding admission rates (including readmissions) were 70⋅8 (70⋅4 to 71⋅2) and 8⋅7 (8⋅6 to 8⋅9) per 100 000 person-years. Following an increase in 1990-1994, rates stabilized. Based on incidence and mortality rates from 2000 to 2010, the estimated remaining lifetime risk of hospitalization from 30 years of age was 3⋅1 per cent in men and 5⋅0 per cent in women. The corresponding risk of surgery was 0⋅5 per cent in men and 0⋅8 per cent in women.Conclusion: Diverticular disease is a common reason for hospital admission, particularly in women, but rates are stable and the lifetime risk of surgery is low.

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Diverticular disease in Scotland: 2000–2010

Abstract: This report supports findings of other population-based studies of western countries indicating that DD is an increasing burden on health service resources, particularly in younger age groups.

Cited by 32 publications

References 16 publications

Operative intervention rates for acute diverticulitis: a multicentre state‐wide study

Operative intervention rates for acute diverticulitis: a multicentre state‐wide study

Impact of diverticular inflammation and complication assessment classification on the burden of medical therapies in preventing diverticular disease complications in Italy

Incidence and lifetime risk of hospitalization and surgery for diverticular disease

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