Outcomes and Costs of Elective Surgery for Diverticular Disease: A Comparison With Other Diseases Requiring Colectomy

摘要: Objective To compare outcomes and costs of elective surgery for diverticular disease (DD) with those other diseases commonly requiring colectomy. Design Multivariable analyses using the Nationwide Inpatient Sample to across primary diagnosis while adjusting age, sex, race, year admission, comorbid disease. Setting A sample US hospital admissions from 2003-2009. Patients All adult patients (≥18 years) undergoing resection descending colon or subtotal colectomy who had a DD, cancer (CC), inflammatory bowel (IBD). Main Outcome Measures In-hospital mortality, postoperative complications, ostomy placement, length stay, charges. Results Of 74 879 patients, 50.52% 43.48% CC, 6.00% IBD. After variables, DD were significantly more likely than CC experience in-hospital mortality (adjusted odds ratio, 1.90; 95% CI, 1.37-2.63; P  Conclusions Despite same procedure, have worse costly after compared but better These relatively poor should be recognized when considering routine successful nonoperative management acute diverticulitis.