dc.contributor.author |
Jaung, Rebekah |
en |
dc.contributor.author |
Robertson, J |
en |
dc.contributor.author |
Rowbotham, D |
en |
dc.contributor.author |
Bissett, Ian |
en |
dc.date.accessioned |
2017-06-30T01:28:05Z |
en |
dc.date.issued |
2016-03-11 |
en |
dc.identifier.citation |
New Zealand Medical Journal 129(1431):23-29 11 Mar 2016 |
en |
dc.identifier.issn |
0028-8446 |
en |
dc.identifier.uri |
http://hdl.handle.net/2292/33895 |
en |
dc.description.abstract |
To evaluate the current practice and degree of consensus amongst Australasian surgeons regarding non-surgical management of acute diverticulitis (AD) and to determine whether newer approaches to management are being translated into practice.An online survey was distributed to all Australasian colorectal surgeons and all general surgeons in the Auckland region. Responses were collected over two months and analysed to identify points of consensus and areas of significant difference in opinion between these groups.Responses were received from a total of 99 of 200 (49.5%) colorectal surgeons, and 19 of 36 (52.7%) general surgeons. The Hinchey Classification was the most commonly used measure of disease severity, used by 67 (95.7%) colorectal surgeons and 12 (92.3%) general surgeons. There was lack of consensus around important aspects of AD management, including antibiotic therapy, and use and modality of follow-up imaging. Selective antibiotic therapy and use of anti-inflammatory medication as adjuncts to treatment were practised by a minority of those surveyed.Newer approaches to management were being utilised by some respondents. The lack of consensus regarding management of AD may be a consequence of a paucity of high-level evidence to support specific management approaches, particularly in patients with uncomplicated AD. |
en |
dc.format.medium |
Electronic |
en |
dc.language |
eng |
en |
dc.publisher |
New Zealand Medical Association |
en |
dc.relation.ispartofseries |
New Zealand Medical Journal |
en |
dc.rights |
Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher.Details obtained from http://www.sherpa.ac.uk/romeo/issn/0028-8446/ |
en |
dc.rights.uri |
https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm |
en |
dc.subject |
Humans |
en |
dc.subject |
Diverticulitis, Colonic |
en |
dc.subject |
Acute Disease |
en |
dc.subject |
Diverticulitis |
en |
dc.subject |
Anti-Inflammatory Agents, Non-Steroidal |
en |
dc.subject |
Anti-Bacterial Agents |
en |
dc.subject |
Colonography, Computed Tomographic |
en |
dc.subject |
Colonoscopy |
en |
dc.subject |
Fluid Therapy |
en |
dc.subject |
Hospitalization |
en |
dc.subject |
Severity of Illness Index |
en |
dc.subject |
Colorectal Surgery |
en |
dc.subject |
Disease Management |
en |
dc.subject |
Australasia |
en |
dc.subject |
General Surgery |
en |
dc.subject |
Surveys and Questionnaires |
en |
dc.subject |
Practice Patterns, Physicians' |
en |
dc.title |
Current management of acute diverticulitis: a survey of Australasian surgeons |
en |
dc.type |
Journal Article |
en |
pubs.issue |
1431 |
en |
pubs.begin-page |
23 |
en |
pubs.volume |
129 |
en |
dc.rights.holder |
Copyright: New Zealand Medical Association |
en |
dc.identifier.pmid |
27005870 |
en |
pubs.author-url |
http://www.nzma.org.nz/journal/read-the-journal/all-issues/2010-2019/2016/vol-129-no-1431-11-march-2016/6828 |
en |
pubs.end-page |
29 |
en |
dc.rights.accessrights |
http://purl.org/eprint/accessRights/OpenAccess |
en |
pubs.subtype |
Article |
en |
pubs.elements-id |
525690 |
en |
pubs.org-id |
Medical and Health Sciences |
en |
pubs.org-id |
School of Medicine |
en |
pubs.org-id |
Surgery Department |
en |
dc.identifier.eissn |
1175-8716 |
en |
pubs.record-created-at-source-date |
2017-06-30 |
en |
pubs.dimensions-id |
27005870 |
en |