title: Israeli Arabs develop diverticulitis at a younger age and are more likely to require surgery than Jews.
abstract: BACKGROUND
  Only few studies have examined the impact of racial differences on the age of onset, course and outcomes of diverticulitis.
  
  
  OBJECTIVE
  To provide data about the epidemiology of diverticulitis in northern Israel, and to determine whether ethnicity is a predictor of age of onset, complications, and need for surgery.
  
  
  METHODS
  Was conducted a retrospective review of the charts of all patients diagnosed with a first episode of diverticulitis in our hospital between 2005 and 2012.
  
  
  RESULTS
  Were found 638 patients with a first episode of acute diverticulitis in the eight year interval. Israeli Arabs developed a first episode of diverticulitis at a younger age compared to Jews (51.2 vs 63.8 years, p<0.01). Arabs living in rural areas developed diverticulitis at a younger age than Arabs living in urban centers (49.4 vs 54.5 years, P=0.03). Jewish and Arabic men developed diverticulitis at younger age compared to their female counterparts (59.9 vs 66.09, p<0.01, and 47.31 vs 56.93, p<0.01, respectively). Arabs were more likely [odds ratio (OR)=1.81 ,95% confidence interval (CI)1.12-2.90, p=0.017] than Jews to require surgical treatment (urgent or elective) for diverticulitis.
  
  
  CONCLUSIONS
  Israeli Arabs tend to develop diverticulitis at a younger age and are more likely to require surgical treatment for diverticulitis compared to Jews. Arabs living in rural areas develop diverticulitis at a younger age than Arabs living in urban centers. These findings highlight a need to address the root cause for ethnic differences in onset, course and outcome of acute diverticulitis.
authors.affiliation: Rappaport Faculty of Medicine, Israel Institute of Technology, Haifa, Israel.
authors.forename: Ghersin
authors.initials: G
authors.lastname: Itai
authors.affiliation: Department of Surgery, Bnai Zion Medical Center, Haifa, Israel.
authors.forename: Nadav
authors.initials: N
authors.lastname: Slijper
authors.affiliation: Department of Surgery, Bnai Zion Medical Center, Haifa, Israel.
authors.forename: Gideon
authors.initials: G
authors.lastname: Sroka
authors.affiliation: Department of Surgery, Bnai Zion Medical Center, Haifa, Israel.
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Matter
mesh_terms: D000208:Acute Disease; D000367:Age Factors; D000368:Aged; D018912:Arabs; D003108:Colonic Diseases / Q000453:epidemiology* / Q000601:surgery*; D004238:Diverticulitis / Q000453:epidemiology* / Q000601:surgery*; D005260:Female; D006801:Humans; D007557:Israel; D007585:Jews; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies