Sökning: WFRF:(Haglind M.) > (2015-2019) > Out-Patient Managem...
Fältnamn | Indikatorer | Metadata |
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000 | 03117naa a2200397 4500 | |
001 | oai:gup.ub.gu.se/273248 | |
003 | SwePub | |
008 | 240910s2017 | |||||||||||000 ||eng| | |
024 | 7 | a https://gup.ub.gu.se/publication/2732482 URI |
024 | 7 | a https://doi.org/10.1159/0004508652 DOI |
040 | a (SwePub)gu | |
041 | a eng | |
042 | 9 SwePub | |
072 | 7 | a ref2 swepub-contenttype |
072 | 7 | a for2 swepub-publicationtype |
100 | 1 | a Balasubramanian, Ishwarya4 aut |
245 | 1 0 | a Out-Patient Management of Mild or Uncomplicated Diverticulitis: A Systematic Review |
264 | c 2016-10-05 | |
264 | 1 | b S. Karger AG,c 2017 |
520 | a © 2016 S. Karger AG, Basel. 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. | |
650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Kirurgi0 (SwePub)302122 hsv//swe |
650 | 7 | a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Surgery0 (SwePub)302122 hsv//eng |
653 | a Ambulatory | |
653 | a Mild diverticulitis | |
653 | a Out-patient | |
653 | a Uncomplicated diverticulitis | |
700 | 1 | a Fleming, Christina4 aut |
700 | 1 | a Mohan, Helen M.4 aut |
700 | 1 | a Schmidt, Karl4 aut |
700 | 1 | a Haglind, Eva,d 1947u Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för kirurgi,Institute of Clinical Sciences, Department of Surgery4 aut0 (Swepub:gu)xhagev |
700 | 1 | a Winter, Des C.4 aut |
710 | 2 | a Göteborgs universitetb Institutionen för kliniska vetenskaper, Avdelningen för kirurgi4 org |
773 | 0 | t Digestive Surgeryd : S. Karger AGg 34, s. 151-160q 34<151-160x 0253-4886x 1421-9883 |
856 | 4 | u https://www.karger.com/Article/Pdf/450865 |
856 | 4 8 | u https://gup.ub.gu.se/publication/273248 |
856 | 4 8 | u https://doi.org/10.1159/000450865 |
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