Introduction
Material and methods
Search strategy
Data extraction
Critical appraisal
Data analysis
Results
Search and critical appraisal
Study | Design | Quality assessment | Number of patients | Men (%) | Age (years) | Study population | Definition complicated diverticulitis | UC | C | |
---|---|---|---|---|---|---|---|---|---|---|
SIGN checklista
| Cross-sectional appraisal toolb
| |||||||||
Cologne 2014 | Retrospective cohort | + | 1019 | 13.1 | 49.8 | Radiologically confirmed diverticulitis, any episode | Hinchey >1A or “severe” diverticulitis according to Ambrosetti criteria | 838 | 181 | |
Faria 2011 | Retrospective cohort | +/− | 157 | 43.3 | 60 | Radiologically or pathologically confirmed diverticulitis, any episode | Hinchey >1A | 107 | 50 | |
Hall 2010 | Retrospective cohort | +/− | 932 | 48 | 61 | Radiologically confirmed diverticulitis, any episode | “Severe” diverticulitis according to Ambrosetti criteria | 806 | 126 | |
Hjern 2008 | Retrospective cohort | +/− | 234 | NR | 59 | Radiologically or pathologically confirmed diverticulitis, any episode | “Severe” diverticulitis according to Ambrosetti criteria | 212 | 22 | |
Kotzampassakis 2010 | Retrospective cohort | +/− | 271 | 52.4 | 60 | Radiologically confirmed diverticulitis, any episode | “Severe” diverticulitis according to Ambrosetti criteria | 166 | 105 | |
Longstreth 2012 | Retrospective cross sectional | + | 741 | 43.7 | 57.2 | Radiologically confirmed diverticulitis, any episode | Hinchey >1A | 649 | 92 | |
Makela 2015 | Retrospective cross sectional | + | 350 | 42 | 60 | Radiologically confirmed diverticulitis, first episode | Hinchey >1A | 169 | 181 | |
Nizri 2013 | Retrospective cross sectional | + | 295 | NR | NR | Radiologically confirmed diverticulitis, any episode | Hinchey >1A | 243 | 52 | |
Pisanu 2013 | Retrospective cohort | +/− | 80 | 56.2 | 60 | Radiologically confirmed diverticulitis, any episode | Hinchey >1A | 30 | 50 | |
Tursi 2008 | Prospective cross sectional | +/− | 50 | 42 | 63.6 | Radiologically confirmed diverticulitis, any episode | Hinchey >1A | 39 | 11 | |
Van de Wall 2012 | Retrospective Cross-sectional | + | 426 | NR | NR | Radiologically confirmed diverticulitis, any episode | Hinchey >1A | 364 | 62 | |
West 2003 | Retrospective cohort | +/− | 64 | NR | 45.5 | Radiologically or pathologically confirmed diverticulitis | “Severe” diverticulitis according to Ambrosetti criteria | 38 | 26 |
Baseline characteristics
Main outcome—risk factors for complicated diverticulitis
Age
Gender
History of previous attacks
Clinical signs and physical examination
Body temperature
C-reactive protein
White blood cell count
Body mass index
Comorbidity
Diabetes mellitus
Steroid use and immunosuppression
Discussion
Summary of results
Limitations of the study
Interpretation of results
Comparison with other studies
Implication for clinical practice
Parameter | Score |
---|---|
Anamnesis | |
Pain | |
− Localized abdominal pain | 0 |
− Generalized abdominal pain | 2 |
Constipation | 2 |
Vomiting | 2 |
Steroid usage | 1 |
Patient history | |
First episode of diverticulitis | 2 |
ASA ≥ II | 1 |
ASA ≥ III | 2 |
Physical examination | |
Rebound tenderness | 2 |
Défense musculaire | 5 |
Laboratory parameters | |
CRP mg/L | |
− 0–50 | 0 |
− 50–150 | 2 |
− > 150 | 4 |