Treatment preferences in diverticulitis are common and rarely change after a clinic visit

With the increasing prevalence of diverticulitis, professional guidelines encourage the individualization of treatment. However, the frequency of treatment preferences of both surgeons, and patients, and the resultant impact of that preference on diverticulitis management is underexplored. We review...

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Bibliographic Details
Published in:Surgery open science 2024-06, Vol.19, p.212-216
Main Authors: Melio, Anna A., Johnson, Meredith, Kaplan, Jennifer A., Moonka, Ravi, Simianu, Vlad V.
Format: Article
Language:English
Subjects:
Brief Communication
Colorectal surgery
Diverticulitis
Surgical management
Treatment preferences
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Summary:With the increasing prevalence of diverticulitis, professional guidelines encourage the individualization of treatment. However, the frequency of treatment preferences of both surgeons, and patients, and the resultant impact of that preference on diverticulitis management is underexplored. We reviewed 27 consecutive patient visits of 3 colorectal surgeons at our institution to evaluate factors that drove their treatment, as well as their equipoise for patient randomization into medical or surgical treatments. Using standardized pre- and post-visit questionnaires, we investigated the impact of the clinic visit on treatment recommendations. Our results demonstrate that our surgeons have a practice bias towards complicated disease, and have a preference towards operative management of diverticulitis, in both complicated and uncomplicated disease. This preference was frequently unchanged after clinic visit, which has implications for guiding truly shared decision making, as it continues to be the recommendation.
ISSN:2589-8450
2589-8450
DOI:10.1016/j.sopen.2024.04.010