Outpatient Treatment of Uncomplicated Acute Diverticulitis: Impact on Healthcare Costs

Lorente, Leyre; Cots, Francesc; Alonso, Sandra; Pascual, Marta; Salvans, Sílvia; Courtier, Ricard; Gil, María José; Grande, Luís; Pera, Miguél

doi:10.1016/j.cireng.2013.01.007

Cited by 14 publications

(22 citation statements)

References 18 publications

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“…This study and those previously published (6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17) show that the majority of patients diagnosed with uncomplicated acute diverticulitis can be treated safely and effectively by oral outpatient treatment (Table 5). The economic benefits of this type of treatment have also been clearly demonstrated (6,8,17).…”

Section: Effectivenesssupporting

confidence: 68%

“…The economic benefits of this type of treatment have also been clearly demonstrated (6,8,17). Although in most cases, the results were based on a single institution series, with a small number of selected patients, they show results comparable to intravenous treatment with a low admission rate.…”

Section: Effectivenessmentioning

confidence: 98%

“…In the last year, outpatient treatment of these patients with uncomplicated acute diverticulitis has proven effective and safe (6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Outpatient treatment in uncomplicated acute diverticulitis: 5-year experience

Moya

Bellón²,

Arroyo³

et al. 2016

Turk J Gastroenterol

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Section: Effectivenesssupporting

confidence: 68%

Section: Effectivenessmentioning

confidence: 98%

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Outpatient treatment in uncomplicated acute diverticulitis: 5-year experience

Moya

Bellón²,

Arroyo³

et al. 2016

Turk J Gastroenterol

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“…Four studies compared outpatient versus inpatient treatment [101][102][103][104]. One RCT (the DIVER Trial) conducted on 132 AD patients has shown that, in selected patients, outpatient treatment is safe and effective [103].…”

Section: Does Acute Uncomplicated Diverticulitis (Ct Confirmed) Need mentioning

confidence: 99%

Practice parameters for the treatment of colonic diverticular disease: Italian Society of Colon and Rectal Surgery (SICCR) guidelines

et al. 2015

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The mission of the Italian Society of Colorectal Surgery (SICCR) is to optimize patient care. Providing evidence-based practice guidelines is therefore of key importance. About the present report it concernes the SICCR practice guidelines for the diagnosis and treatment of diverticular disease of the colon. The guidelines are not intended to define the sole standard of care but to provide evidence-based recommendations regarding the available therapeutic options.

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“…Nine studies were carried out as singlecentre studies [12][13][14][15][16][17][18][19][20] , while only the RCT was a multicentre study [1] . Seven studies including the RCT reported on outcomes of ambulatory antibiotic treatment in UD in comparison to an in-patient cohort [1,12,13,[17][18][19][20] . The remaining 3 studies reported on ambulatory treatment alone in case series of patients with no in-patient group for comparison [14][15][16] .…”

Section: Study Characteristicsmentioning

confidence: 99%

Out-Patient Management of Mild or Uncomplicated Diverticulitis: A Systematic Review

Balasubramanian

Fleming²,

Mohan³

et al. 2016

Dig Surg

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Background: Management of diverticular disease has undergone a paradigm shift, with movement towards a less invasive management strategy. In keeping with this, outpatient management of uncomplicated diverticulitis (UD) has been advocated in several studies, but concerns still remain regarding the safety of this practice. Aim: To assess outcomes of out-patient management of acute UD. Methods: A comprehensive search for published studies using the search terms ‘uncomplicated diverticulitis', ‘mild diverticulitis' and ‘out-patient' was performed. The primary outcomes were failure of medical treatment. Secondary outcomes were recurrence rate at follow up and medical cost savings. Results: The search yielded 192 publications. Of these, 10 studies met the inclusion criteria including 1 randomized controlled trial, 6 clinical controlled trials and 3 case series. There was no difference in failure rates of medical treatment (6.5 vs. 4.6%, p = 0.32) or in recurrence rates (13.0 vs. 12.1%, p = 0.81) between those receiving ambulatory care and in-patient care for UD. Ambulatory treatment is associated with an estimated daily cost savings of between 600 and 1,900 euros per patient treated. Meta-analysis of data was not possible due to heterogeneity in study designs and inclusion criteria. Conclusion: Ambulatory management of acute UD is reasonable in selected patients.

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Outpatient Treatment of Uncomplicated Acute Diverticulitis: Impact on Healthcare Costs

Cited by 14 publications

References 18 publications

Outpatient treatment in uncomplicated acute diverticulitis: 5-year experience

Outpatient treatment in uncomplicated acute diverticulitis: 5-year experience

Practice parameters for the treatment of colonic diverticular disease: Italian Society of Colon and Rectal Surgery (SICCR) guidelines

Out-Patient Management of Mild or Uncomplicated Diverticulitis: A Systematic Review

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