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• W2912708823 abstract "In Western countries, the incidence of acute diverticulitis (AD) is increasing. Patients with uncomplicated diverticulitis can undergo a standard antibiotic treatment in an outpatient setting. The aim of this systematic review was to assess the safety and efficacy of the management of acute diverticulitis in an outpatient setting. A literature search was performed on PubMed, Scopus, Embase, Central and Web of Science up to September 2018. Studies including patients who had outpatient management of uncomplicated acute diverticulitis were considered. We manually checked the reference lists of all included studies to identify any additional studies. Primary outcome was the overall failure rates in the outpatient setting. The failure of outpatient setting was defined as any emergency hospital admission in patients who had outpatient treatment for AD in the previous 60 days. A subgroup analysis of failure was performed in patients with AD of the left colon, with or without comorbidities, with previous episodes of AD, in patients with diabetes, with different severity of AD (pericolic air and abdominal abscess), with or without antibiotic treatment, with ambulatory versus home care unit follow-up, with or without protocol and where outpatient management is a common practice. The secondary outcome was the rate of emergency surgical treatment or percutaneous drainage in patients who failed outpatient treatment. This systematic review included 21 studies including 1781 patients who had outpatient management of AD including 11 prospective, 9 retrospective and only 1 randomized trial. The meta-analysis showed that outpatient management is safe, and the overall failure rate in an outpatient setting was 4.3% (95% CI 2.6%-6.3%). Localization of diverticulitis is not a selection criterion for an outpatient strategy (p 0.512). The other subgroup analyses did not report any factors that influence the rate of failure: previous episodes of acute diverticulitis (p = 0.163), comorbidities (p = 0.187), pericolic air (p = 0.653), intra-abdominal abscess (p = 0.326), treatment according to a registered protocol (p = 0.078), type of follow-up (p = 0.700), type of antibiotic treatment (p = 0.647) or diabetes (p = 0.610). In patients who failed outpatient treatment, the majority had prolonged antibiotic therapy and only few had percutaneous drainage for an abscess (0.13%) or surgical intervention for perforation (0.06%). These results should be interpreted with some caution because of the low quality of available data. The outpatient management of AD can reduce the rate of emergency hospitalizations. This setting is already part of the common clinical practice of many emergency departments, in which a standardized protocol is followed. The data reported suggest that this management is safe if associated with an accurate selection of patients (40%); but no subgroup analysis demonstrated significant differences between groups (such as comorbidities, previous episode, diabetes). The main limitations of the findings of the present review concern their applicability in common clinical practice as it was impossible to identify strict criteria of failure." @default.
• W2912708823 created "2019-02-21" @default.
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• W2912708823 date "2019-01-25" @default.
• W2912708823 modified "2023-10-17" @default.
• W2912708823 title "Is the outpatient management of acute diverticulitis safe and effective? A systematic review and meta-analysis" @default.
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• W2912708823 cites W1970887553 @default.
• W2912708823 cites W1972593182 @default.
• W2912708823 cites W1981680557 @default.
• W2912708823 cites W1992657909 @default.
• W2912708823 cites W2010348917 @default.
• W2912708823 cites W2017044005 @default.
• W2912708823 cites W2022149164 @default.
• W2912708823 cites W2023326451 @default.
• W2912708823 cites W2050637943 @default.
• W2912708823 cites W2050714239 @default.
• W2912708823 cites W2052597667 @default.
• W2912708823 cites W2052802546 @default.
• W2912708823 cites W2055823059 @default.
• W2912708823 cites W2063711376 @default.
• W2912708823 cites W2064531658 @default.
• W2912708823 cites W2071565416 @default.
• W2912708823 cites W2082693656 @default.
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• W2912708823 cites W2083750526 @default.
• W2912708823 cites W2086516028 @default.
• W2912708823 cites W2090793634 @default.
• W2912708823 cites W2094369697 @default.
• W2912708823 cites W2117151310 @default.
• W2912708823 cites W2128639879 @default.
• W2912708823 cites W2132907880 @default.
• W2912708823 cites W2136145129 @default.
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• W2912708823 cites W2144806290 @default.
• W2912708823 cites W2146379177 @default.
• W2912708823 cites W2149107437 @default.
• W2912708823 cites W2150849842 @default.
• W2912708823 cites W2156098321 @default.
• W2912708823 cites W2164093802 @default.
• W2912708823 cites W2192931988 @default.
• W2912708823 cites W2314452498 @default.
• W2912708823 cites W2329889150 @default.
• W2912708823 cites W2346375366 @default.
• W2912708823 cites W2409485119 @default.
• W2912708823 cites W2468996569 @default.
• W2912708823 cites W2488640039 @default.
• W2912708823 cites W2497173103 @default.
• W2912708823 cites W2525803483 @default.
• W2912708823 cites W2528018820 @default.
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• W2912708823 cites W2731541396 @default.
• W2912708823 cites W2766816250 @default.
• W2912708823 cites W2790040116 @default.
• W2912708823 cites W2791105916 @default.
• W2912708823 cites W2793651322 @default.
• W2912708823 cites W4233361321 @default.
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• W2912708823 doi "https://doi.org/10.1007/s10151-018-1919-6" @default.
• W2912708823 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/30684110" @default.
• W2912708823 hasPublicationYear "2019" @default.
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