title: Surgeon specialization impacts the management but not outcomes of acute complicated diverticulitis.
abstract: BACKGROUND
  The management and outcomes of patients receiving nonelective surgical treatment of acute complicated diverticulitis by surgeon specialization have received little attention.
  
  
  METHODS
  A retrospective review was performed of consecutive patients with acute complicated diverticulitis who underwent surgery from 2006 to 2013. Patients were analyzed based on surgeon specialty: general surgery (GS) or colorectal surgery (CRS).
  
  
  RESULTS
  One hundred fifteen patients met criteria for study; 62 patients in the CRS and 53 in the GS group. GS were more likely to perform Hartmann's procedures or primary anastomosis and less likely to perform primary anastomosis with diverting ileostomy than CRS. There were no differences between groups for any outcome measures on univariate analysis. CRS patients had shorter operative time (P = .001) and length of stay (P ≤ .001) for stoma reversal procedures. Surgeon specialization was not associated with morbidity, readmission, or length of stay on multivariate analysis.
  
  
  CONCLUSIONS
  Although surgical management differed significantly between CRS and GS, comparable outcomes were observed at the index hospital admission.
authors.affiliation: Grand Rapids Medical Education Partners/Michigan State University, General Surgery Residency Program, 221 Michigan St, Suite 200A, Grand Rapids, MI 49503, USA; Michigan State University College of Human Medicine, Department of Surgery, 221 Michigan St, Suite 200A, Grand Rapids, MI 49503, USA. Electronic address: wrightgp@upmc.edu.
authors.forename: G Paul
authors.initials: GP
authors.lastname: Wright
authors.affiliation: Michigan State University College of Human Medicine, Department of Surgery, 221 Michigan St, Suite 200A, Grand Rapids, MI 49503, USA.
authors.forename: Stephanie L
authors.initials: SL
authors.lastname: Flermoen
authors.affiliation: Michigan State University College of Human Medicine, Department of Surgery, 221 Michigan St, Suite 200A, Grand Rapids, MI 49503, USA.
authors.forename: Danielle M
authors.initials: DM
authors.lastname: Robinett
authors.affiliation: Michigan State University College of Human Medicine, Department of Surgery, 221 Michigan St, Suite 200A, Grand Rapids, MI 49503, USA.
authors.forename: Kira N
authors.initials: KN
authors.lastname: Charney
authors.affiliation: Grand Rapids Medical Education Partners/Michigan State University, General Surgery Residency Program, 221 Michigan St, Suite 200A, Grand Rapids, MI 49503, USA; Michigan State University College of Human Medicine, Department of Surgery, 221 Michigan St, Suite 200A, Grand Rapids, MI 49503, USA; Spectrum Health Medical Group, Division of Surgical Specialties, 145 Michigan St NE, Suite 5500, Grand Rapids, MI 49503, USA.
authors.forename: Mathew H
authors.initials: MH
authors.lastname: Chung
mesh_terms: D000208:Acute Disease; D000328:Adult; D000368:Aged; D015331:Cohort Studies; D003107:Colorectal Surgery / Q000592:standards* / Q000639:trends; D004239:Diverticulitis, Colonic / Q000175:diagnosis / Q000401:mortality* / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D013502:General Surgery / Q000592:standards* / Q000639:trends; D017052:Hospital Mortality; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D061646:Operative Time; D011183:Postoperative Complications / Q000401:mortality / Q000503:physiopathology; D012189:Retrospective Studies; D018570:Risk Assessment; D012720:Severity of Illness Index; D013043:Specialties, Surgical; D018709:Statistics, Nonparametric; D016019:Survival Analysis; D016896:Treatment Outcome
keywords: Complicated diverticulitis; Diverticulitis; Diverting ileostomy; Hartmann's procedure; Hinchey