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- W2972635984 abstract "Background Patients with diverticulitis have a 20% risk of requiring urgent/emergent treatment. Since morbidity and mortality rates differ between elective and urgent/emergent care, understanding associated disparities is critical. We compared factors associated with treatment setting for diverticulitis and evaluated disparities regarding access to Minimally Invasive Surgery (MIS) and development of complications. Methods The Florida Inpatient Discharge Dataset was queried for patients diagnosed with diverticulitis. Three multivariate models were utilized: 1) elective vs urgent/emergent surgery, 2) MIS vs open and 3) presence of complications. Results The analysis included 12,654 patients. Factors associated with increased odds of urgent/emergent care included being uninsured or covered by Medicaid, African American, obese, or more comorbid. MIS was associated with reduced odds of complications. Patients treated by high-volume or colorectal surgeons had increased odds of receiving MIS. Conclusions Patients were more likely to receive MIS if they were treated by a colorectal surgeon, or a high-volume surgeon (colorectal, or general surgeon). Additionally, patients that were older, had increased comorbidities, or did not have health insurance were less likely to receive MIS." @default.
- W2972635984 created "2019-09-19" @default.
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- W2972635984 date "2020-06-01" @default.
- W2972635984 modified "2023-09-27" @default.
- W2972635984 title "Disparities influencing rates of urgent/emergent surgery for diverticulitis in the state of Florida" @default.
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- W2972635984 doi "https://doi.org/10.1016/j.amjsurg.2019.09.005" @default.
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