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WFRF:(Haglind M.)
 

Sökning: WFRF:(Haglind M.) > (2015-2019) > Out-Patient Managem...

LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00003117naa a2200397 4500
001oai:gup.ub.gu.se/273248
003SwePub
008240910s2017 | |||||||||||000 ||eng|
024a https://gup.ub.gu.se/publication/2732482 URI
024a https://doi.org/10.1159/0004508652 DOI
040 a (SwePub)gu
041 a eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a for2 swepub-publicationtype
100a Balasubramanian, Ishwarya4 aut
2451 0a Out-Patient Management of Mild or Uncomplicated Diverticulitis: A Systematic Review
264 c 2016-10-05
264 1b 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 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Kirurgi0 (SwePub)302122 hsv//swe
650 7a 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
700a Fleming, Christina4 aut
700a Mohan, Helen M.4 aut
700a Schmidt, Karl4 aut
700a 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
700a Winter, Des C.4 aut
710a Göteborgs universitetb Institutionen för kliniska vetenskaper, Avdelningen för kirurgi4 org
773t Digestive Surgeryd : S. Karger AGg 34, s. 151-160q 34<151-160x 0253-4886x 1421-9883
856u https://www.karger.com/Article/Pdf/450865
8564 8u https://gup.ub.gu.se/publication/273248
8564 8u https://doi.org/10.1159/000450865

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