A A Schnitzbauer1, D Pieper2, E A M Neugebauer2, W O Bechstein3. 1. Klinik für Allgemein- und Viszeralchirurgie, Universitätsklinikum Frankfurt, Goethe-Universität Frankfurt am Main, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Deutschland. andreas.schnitzbauer@kgu.de. 2. Institut für Forschung in der Operativen Medizin, Department für Humanmedizin, Universität Witten/Herdecke, Ostmerheimer Str. 200, 51109, Köln, Deutschland. 3. Klinik für Allgemein- und Viszeralchirurgie, Universitätsklinikum Frankfurt, Goethe-Universität Frankfurt am Main, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Deutschland.
Abstract
INTRODUCTION: Diverticulosis is a relevant disease in Germany with a prevalence of over 60 % in patients aged ≥70 years. The S2k guidelines for the treatment of diverticulosis were recently published. Systematic epidemiological data on treatment modalities do not exist. METHODS: Analysis of in-hospital treatment modalities for diverticulosis based on data from the Federal Office of Statistics. RESULTS: Approximately 130,000 inpatient cases of diverticulosis are treated in Germany per year. Approximately 25 % undergo surgery and of these slightly under 50 % (12,000 procedures) are carried out by laparoscopy. The complication rates are 18 % in a best case scenario and up to 85 % in a worst case scenario. A stage-adjusted classification of treatment modalities based on data from the Federal Office of Statistics is currently practically impossible. CONCLUSION: To enable stage-adjusted epidemiological analysis of diverticulosis, a standardized and transparent documentation system enabling systematic analysis is necessary, which does not currently exist (e. g. ICD 10 coding); moreover, information on conservative and interventional treatment options are not included in the operations and procedures key (OPS) coding system.
INTRODUCTION:Diverticulosis is a relevant disease in Germany with a prevalence of over 60 % in patients aged ≥70 years. The S2k guidelines for the treatment of diverticulosis were recently published. Systematic epidemiological data on treatment modalities do not exist. METHODS: Analysis of in-hospital treatment modalities for diverticulosis based on data from the Federal Office of Statistics. RESULTS: Approximately 130,000 inpatient cases of diverticulosis are treated in Germany per year. Approximately 25 % undergo surgery and of these slightly under 50 % (12,000 procedures) are carried out by laparoscopy. The complication rates are 18 % in a best case scenario and up to 85 % in a worst case scenario. A stage-adjusted classification of treatment modalities based on data from the Federal Office of Statistics is currently practically impossible. CONCLUSION: To enable stage-adjusted epidemiological analysis of diverticulosis, a standardized and transparent documentation system enabling systematic analysis is necessary, which does not currently exist (e. g. ICD 10 coding); moreover, information on conservative and interventional treatment options are not included in the operations and procedures key (OPS) coding system.
Authors: Bastiaan R Klarenbeek; Alexander A Veenhof; Roberto Bergamaschi; Donald L van der Peet; Wim T van den Broek; Elly S de Lange; Willem A Bemelman; Piet Heres; Antonio M Lacy; Alexander F Engel; Miguel A Cuesta Journal: Ann Surg Date: 2009-01 Impact factor: 12.969
Authors: Elise H Lawson; Rachel Louie; David S Zingmond; Greg D Sacks; Robert H Brook; Bruce Lee Hall; Clifford Y Ko Journal: Ann Surg Date: 2016-01 Impact factor: 12.969
Authors: L Leifeld; C T Germer; S Böhm; F L Dumoulin; W Häuser; M Kreis; J Labenz; B Lembcke; S Post; M Reinshagen; J-P Ritz; T Sauerbruch; T Wedel; B von Rahden; W Kruis Journal: Z Gastroenterol Date: 2014-07-15 Impact factor: 2.000