{"id":"https://openalex.org/W3023536016","doi":"https://doi.org/10.1177/000313482008600426","title":"Operative Surgery is Rarely Required in the Acute Management of Diverticulitis in the Modern Era","display_name":"Operative Surgery is Rarely Required in the Acute Management of Diverticulitis in the Modern Era","publication_year":2020,"publication_date":"2020-04-01","ids":{"openalex":"https://openalex.org/W3023536016","doi":"https://doi.org/10.1177/000313482008600426","mag":"3023536016","pmid":"https://pubmed.ncbi.nlm.nih.gov/32391754"},"language":"en","primary_location":{"id":"doi:10.1177/000313482008600426","doi":"https://doi.org/10.1177/000313482008600426","is_oa":false,"landing_page_url":"https://doi.org/10.1177/000313482008600426","pdf_url":null,"source":{"id":"https://openalex.org/S113474406","display_name":"The American Surgeon","issn_l":"0003-1348","issn":["0003-1348","1555-9823"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","jufo-1","ki-jl-1","medline","norway-1","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The American Surgeon\u2122","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"http://hdl.handle.net/10072/396864","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5077702646","display_name":"Bhanuka Dissanayake","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I11701301","display_name":"Griffith University","ror":"https://ror.org/02sc3r913","country_code":"AU","type":"education","lineage":["https://openalex.org/I11701301"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Bhanuka Dissanayake","raw_affiliation_strings":["School of Medicine, Griffith University, Gold Coast, Australia and"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Medicine, Griffith University, Gold Coast, Australia and","institution_ids":["https://openalex.org/I11701301"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5005881743","display_name":"Matthew J. Burstow","orcid":"https://orcid.org/0000-0002-5454-9205","observed_orcids":["https://orcid.org/0000-0002-5454-9205"]},"institutions":[{"id":"https://openalex.org/I11701301","display_name":"Griffith University","ror":"https://ror.org/02sc3r913","country_code":"AU","type":"education","lineage":["https://openalex.org/I11701301"]},{"id":"https://openalex.org/I2801046730","display_name":"Logan Hospital","ror":"https://ror.org/0082dha77","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I1302211766","https://openalex.org/I2801046730","https://openalex.org/I2801244131","https://openalex.org/I4210089726","https://openalex.org/I4405259867"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Matthew J. Burstow","raw_affiliation_strings":["Department of Surgery, Logan Hospital, Meadowbrook, Australia","School of Medicine, Griffith University, Gold Coast, Australia and"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Logan Hospital, Meadowbrook, Australia","institution_ids":["https://openalex.org/I2801046730"]},{"raw_affiliation_string":"School of Medicine, Griffith University, Gold Coast, Australia and","institution_ids":["https://openalex.org/I11701301"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5014849012","display_name":"Arunan Jeyakumar","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I11701301","display_name":"Griffith University","ror":"https://ror.org/02sc3r913","country_code":"AU","type":"education","lineage":["https://openalex.org/I11701301"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Arunan Jeyakumar","raw_affiliation_strings":["School of Medicine, Griffith University, Gold Coast, Australia and"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"School of Medicine, Griffith University, Gold Coast, Australia and","institution_ids":["https://openalex.org/I11701301"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5066899621","display_name":"Peter J. Yuide","orcid":"https://orcid.org/0000-0003-4089-083X","observed_orcids":["https://orcid.org/0000-0003-4089-083X"]},"institutions":[{"id":"https://openalex.org/I2801046730","display_name":"Logan Hospital","ror":"https://ror.org/0082dha77","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I1302211766","https://openalex.org/I2801046730","https://openalex.org/I2801244131","https://openalex.org/I4210089726","https://openalex.org/I4405259867"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Peter J. Yuide","raw_affiliation_strings":["Department of Surgery, Logan Hospital, Meadowbrook, Australia"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Logan Hospital, Meadowbrook, Australia","institution_ids":["https://openalex.org/I2801046730"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5011965920","display_name":"Justin S. Gundara","orcid":"https://orcid.org/0000-0003-1699-1665","observed_orcids":["https://orcid.org/0000-0003-1699-1665"]},"institutions":[{"id":"https://openalex.org/I11701301","display_name":"Griffith University","ror":"https://ror.org/02sc3r913","country_code":"AU","type":"education","lineage":["https://openalex.org/I11701301"]},{"id":"https://openalex.org/I2801046730","display_name":"Logan Hospital","ror":"https://ror.org/0082dha77","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I1302211766","https://openalex.org/I2801046730","https://openalex.org/I2801244131","https://openalex.org/I4210089726","https://openalex.org/I4405259867"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Justin Gundara","raw_affiliation_strings":["Department of Surgery, Logan Hospital, Meadowbrook, Australia","School of Medicine, Griffith University, Gold Coast, Australia and"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Logan Hospital, Meadowbrook, Australia","institution_ids":["https://openalex.org/I2801046730"]},{"raw_affiliation_string":"School of Medicine, Griffith University, Gold Coast, Australia and","institution_ids":["https://openalex.org/I11701301"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5061945795","display_name":"Terence C. Chua","orcid":"https://orcid.org/0000-0002-4263-1017","observed_orcids":["https://orcid.org/0000-0002-4263-1017"]},"institutions":[{"id":"https://openalex.org/I11701301","display_name":"Griffith University","ror":"https://ror.org/02sc3r913","country_code":"AU","type":"education","lineage":["https://openalex.org/I11701301"]},{"id":"https://openalex.org/I2801046730","display_name":"Logan Hospital","ror":"https://ror.org/0082dha77","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I1302211766","https://openalex.org/I2801046730","https://openalex.org/I2801244131","https://openalex.org/I4210089726","https://openalex.org/I4405259867"]}],"countries":["AU"],"is_corresponding":true,"raw_author_name":"Terence C. Chua","raw_affiliation_strings":["Department of Surgery, Logan Hospital, Meadowbrook, Australia","School of Medicine, Griffith University, Gold Coast, Australia and"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Logan Hospital, Meadowbrook, Australia","institution_ids":["https://openalex.org/I2801046730"]},{"raw_affiliation_string":"School of Medicine, Griffith University, Gold Coast, Australia and","institution_ids":["https://openalex.org/I11701301"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5061945795"],"corresponding_institution_ids":["https://openalex.org/I11701301","https://openalex.org/I2801046730"],"apc_list":{"value":4150,"currency":"USD","value_usd":4150},"apc_paid":null,"fwci":0.2232,"has_fulltext":false,"cited_by_count":3,"citation_normalized_percentile":{"value":0.46536652,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":96},"biblio":{"volume":"86","issue":"4","first_page":"308","last_page":"312"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12518","display_name":"Diverticular Disease and Complications","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12518","display_name":"Diverticular Disease and Complications","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11473","display_name":"Appendicitis Diagnosis and Management","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11855","display_name":"Gastrointestinal disorders and treatments","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/acute-diverticulitis","display_name":"acute diverticulitis","score":0.9990000128746033},{"id":"https://openalex.org/keywords/complicated-diverticulitis","display_name":"complicated diverticulitis","score":0.9580000042915344},{"id":"https://openalex.org/keywords/conservative-treatment","display_name":"conservative treatment","score":0.8080000281333923},{"id":"https://openalex.org/keywords/percutaneous-abscess-drainage","display_name":"percutaneous abscess drainage","score":0.8320000171661377},{"id":"https://openalex.org/keywords/hartmann-s-procedure","display_name":"Hartmann procedure","score":0.9020000100135803},{"id":"https://openalex.org/keywords/c-reactive-protein","display_name":"C-reactive protein","score":0.7549999952316284},{"id":"https://openalex.org/keywords/length-of-hospital-stay","display_name":"length of hospital stay","score":0.8019999861717224},{"id":"https://openalex.org/keywords/sepsis","display_name":"sepsis","score":0.7039999961853027},{"id":"https://openalex.org/keywords/peritonitis","display_name":"peritonitis","score":0.8980000019073486}],"concepts":[{"id":"https://openalex.org/C2777929615","wikidata":"https://www.wikidata.org/wiki/Q1066061","display_name":"Diverticulitis","level":2,"score":0.9414886832237244},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9284462928771973},{"id":"https://openalex.org/C2780813298","wikidata":"https://www.wikidata.org/wiki/Q2071287","display_name":"Percutaneous","level":2,"score":0.5467102527618408},{"id":"https://openalex.org/C61434518","wikidata":"https://www.wikidata.org/wiki/Q932510","display_name":"General surgery","level":1,"score":0.5095853805541992},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.49984216690063477},{"id":"https://openalex.org/C2780199535","wikidata":"https://www.wikidata.org/wiki/Q223102","display_name":"Peritonitis","level":2,"score":0.46265822649002075},{"id":"https://openalex.org/C2780120127","wikidata":"https://www.wikidata.org/wiki/Q743664","display_name":"Abdominal surgery","level":2,"score":0.41950953006744385},{"id":"https://openalex.org/C2778384902","wikidata":"https://www.wikidata.org/wiki/Q183134","display_name":"Sepsis","level":2,"score":0.41933536529541016}],"mesh":[{"descriptor_ui":"D000208","descriptor_name":"Acute Disease","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000328","descriptor_name":"Adult","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000900","descriptor_name":"Anti-Bacterial Agents","qualifier_ui":"Q000627","qualifier_name":"therapeutic use","is_major_topic":true},{"descriptor_ui":"D001315","descriptor_name":"Australia","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003125","descriptor_name":"Colostomy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D004239","descriptor_name":"Diverticulitis, Colonic","qualifier_ui":"Q000150","qualifier_name":"complications","is_major_topic":false},{"descriptor_ui":"D004239","descriptor_name":"Diverticulitis, Colonic","qualifier_ui":"Q000188","qualifier_name":"drug therapy","is_major_topic":false},{"descriptor_ui":"D004239","descriptor_name":"Diverticulitis, Colonic","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D004239","descriptor_name":"Diverticulitis, Colonic","qualifier_ui":"Q000628","qualifier_name":"therapy","is_major_topic":true},{"descriptor_ui":"D004322","descriptor_name":"Drainage","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007902","descriptor_name":"Length of Stay","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010538","descriptor_name":"Peritonitis","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false},{"descriptor_ui":"D010538","descriptor_name":"Peritonitis","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false},{"descriptor_ui":"D012189","descriptor_name":"Retrospective Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D018784","descriptor_name":"Abdominal Abscess","qualifier_ui":"Q000188","qualifier_name":"drug therapy","is_major_topic":false},{"descriptor_ui":"D018784","descriptor_name":"Abdominal Abscess","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false},{"descriptor_ui":"D018784","descriptor_name":"Abdominal Abscess","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.1177/000313482008600426","doi":"https://doi.org/10.1177/000313482008600426","is_oa":false,"landing_page_url":"https://doi.org/10.1177/000313482008600426","pdf_url":null,"source":{"id":"https://openalex.org/S113474406","display_name":"The American Surgeon","issn_l":"0003-1348","issn":["0003-1348","1555-9823"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","jufo-1","ki-jl-1","medline","norway-1","poland-40","russia-white-list-2"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The American Surgeon\u2122","raw_type":"journal-article"},{"id":"pmid:32391754","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/32391754","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The American surgeon","raw_type":"Journal Article"},{"id":"pmh:oai:research-repository.griffith.edu.au:10072/396864","doi":null,"is_oa":true,"landing_page_url":"http://hdl.handle.net/10072/396864","pdf_url":null,"source":{"id":"https://openalex.org/S7407064376","display_name":"Griffith Research Online","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Journal article"}],"best_oa_location":{"id":"pmh:oai:research-repository.griffith.edu.au:10072/396864","doi":null,"is_oa":true,"landing_page_url":"http://hdl.handle.net/10072/396864","pdf_url":null,"source":{"id":"https://openalex.org/S7407064376","display_name":"Griffith Research Online","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"other-oa","license_id":"https://openalex.org/licenses/other-oa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Journal article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":16,"referenced_works":["https://openalex.org/W1976785098","https://openalex.org/W2009429523","https://openalex.org/W2034254549","https://openalex.org/W2082693656","https://openalex.org/W2136727044","https://openalex.org/W2153876075","https://openalex.org/W2179600466","https://openalex.org/W2525803483","https://openalex.org/W2603680520","https://openalex.org/W2758521047","https://openalex.org/W2781661193","https://openalex.org/W2783151080","https://openalex.org/W2799316157","https://openalex.org/W2865413366","https://openalex.org/W2891000842","https://openalex.org/W2898688345"],"related_works":["https://openalex.org/W2130838696","https://openalex.org/W7165202732","https://openalex.org/W1657593185","https://openalex.org/W2981358600","https://openalex.org/W2782525074","https://openalex.org/W2588376936","https://openalex.org/W2058951648","https://openalex.org/W2326739682","https://openalex.org/W87632420","https://openalex.org/W2396756879"],"abstract_inverted_index":{"Acute":[0,212],"diverticulitis":[1,66,120,144,190,213],"is":[2,8,19],"an":[3,12],"emergency":[4],"surgical":[5,14,89],"condition":[6],"that":[7],"commonly":[9],"managed":[10,217],"via":[11],"acute":[13,65,88],"unit":[15,90],"model.":[16],"Operative":[17],"surgery":[18,40,62,228],"indicated":[20],"in":[21,64,134],"selected":[22],"situations":[23],"including":[24],"generalized":[25],"peritonitis":[26],"or":[27,237],"fistulous":[28],"disease;":[29],"however,":[30],"limited":[31],"data":[32,76],"exist":[33],"on":[34,80],"how":[35],"borderline":[36],"patients":[37,71,114,123,186,196,205,231],"potentially":[38],"needing":[39],"may":[41],"be":[42,215],"salvaged":[43],"by":[44,219],"close":[45],"clinical":[46],"management":[47],"with":[48,72,118,125,147,188,227,232,235],"modern":[49],"interventional":[50],"techniques.":[51],"The":[52],"aims":[53],"of":[54,137,156,210,225],"the":[55,60,135],"study":[56],"were":[57,103,116],"to":[58],"identify":[59],"operative":[61],"rates":[63],"and":[67,100,107,121,177,203,222],"predictors":[68],"for":[69,105,140,230],"identifying":[70],"complicated":[73,126,189,233],"diverticulitis.":[74,127,142],"Retrospective":[75],"collection":[77],"was":[78,132,145],"performed":[79],"a":[81,86,199],"prospectively":[82],"held":[83],"database":[84],"at":[85,91],"high-volume":[87],"Logan":[92],"Hospital,":[93],"Queensland.":[94],"Patient":[95],"demographic":[96],"data,":[97],"disease-related":[98],"factors,":[99],"treatment-related":[101],"factors":[102],"collected":[104],"reporting":[106],"analysis.":[108],"Over":[109],"three":[110],"years":[111],"(2016\u20132018),":[112],"201":[113],"(64%)":[115],"admitted":[117],"uncomplicated":[119,141],"113":[122],"(36%)":[124],"An":[128],"observable":[129],"downward":[130],"trend":[131],"noted":[133],"number":[136],"yearly":[138],"admissions":[139],"Complicated":[143],"associated":[146],"male":[148],"gender":[149],"(":[150,159,165,173,181],"P":[151,160,166,174,182],"=":[152,167],"0.039),":[153],"increased":[154,169],"length":[155],"hospital":[157],"stay":[158],"<":[161,175,183],"0.001),":[162,176],"temperature":[163],"\u226537.5":[164],"0.025),":[168],"white":[170],"cell":[171],"count":[172],"elevated":[178],"C-reactive":[179],"protein":[180],"0.001).":[184],"Twelve":[185],"(11%)":[187],"initially":[191],"failed":[192],"conservative":[193],"management.":[194],"Seven":[195],"(6%)":[197],"underwent":[198,207],"definitive":[200],"Hartmann's":[201],"procedure,":[202],"5":[204],"(4%)":[206],"percutaneous":[208,223],"drainage":[209,224],"abscesses.":[211],"can":[214],"safely":[216],"nonoperatively":[218],"medical":[220],"therapy":[221],"abscesses,":[226],"reserved":[229],"diver-ticulitis":[234],"sepsis":[236],"peritonitis.":[238]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2020,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2020-05-13T00:00:00"}
