Outpatient management of acute uncomplicated diverticulitis results in health-care cost savings

Outpatient management without antibiotics has been shown to be safe for selected patients diagnosed with acute uncomplicated diverticulitis (AUD). The aim of this study was to evaluate the impact on admissions, complication rates and health-care costs of the policy of outpatient treatment without us...

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Bibliographic Details
Published in:Scandinavian journal of gastroenterology 2018-04, Vol.53 (4), p.449-452
Main Authors: Isacson, Daniel, Andreasson, Karl, Nikberg, Maziar, Smedh, Kenneth, Chabok, Abbas
Format: Article
Language:English
Subjects:
antibiotics
Diverticulitis
health-care costs
outpatient management
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Summary:Outpatient management without antibiotics has been shown to be safe for selected patients diagnosed with acute uncomplicated diverticulitis (AUD). The aim of this study was to evaluate the impact on admissions, complication rates and health-care costs of the policy of outpatient treatment without using antibiotics. The medical records of all patients diagnosed with AUD in the year before (2011) and after (2014) the implementation of outpatient management without antibiotics in Västmanland County were reviewed. Health-care cost analysis was performed using the Swedish cost-per-patient model. In total, 494 episodes of AUD were identified, 254 in 2011 and 240 in 2014. The proportion of patients managed as outpatients was 20% in 2011 compared with 60% in 2014 (p 
ISSN:0036-5521
1502-7708
1502-7708
DOI:10.1080/00365521.2018.1448887