[Sigmoid colon diverticulitis : Treatment modalities 2011-2013].
BACKGROUND
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.


CONCLUSIONS
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.
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.
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Schnitzbauer
Institut für Forschung in der Operativen Medizin, Department für Humanmedizin, Universität Witten/Herdecke, Ostmerheimer Str. 200, 51109, Köln, Deutschland.
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Pieper
Institut für Forschung in der Operativen Medizin, Department für Humanmedizin, Universität Witten/Herdecke, Ostmerheimer Str. 200, 51109, Köln, Deutschland.
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Neugebauer
Klinik für Allgemein- und Viszeralchirurgie, Universitätsklinikum Frankfurt, Goethe-Universität Frankfurt am Main, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Deutschland.
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Bechstein
D018784:Abdominal Abscess / Q000145:classification / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery; D015897:Comorbidity; D003430:Cross-Sectional Studies; D003953:Diagnosis-Related Groups / Q000145:classification / Q000706:statistics & numerical data; D004239:Diverticulitis, Colonic / Q000145:classification / Q000175:diagnosis / Q000453:epidemiology* / Q000601:surgery*; D005858:Germany; D006801:Humans; D038801:International Classification of Diseases / Q000706:statistics & numerical data; D007416:Intestinal Perforation / Q000145:classification / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery; D010535:Laparoscopy; D007902:Length of Stay / Q000706:statistics & numerical data; D011183:Postoperative Complications / Q000145:classification / Q000453:epidemiology; D012086:Reoperation / Q000706:statistics & numerical data; D012810:Sigmoid Diseases / Q000145:classification / Q000175:diagnosis / Q000453:epidemiology* / Q000601:surgery*
Complications; Diverticulitis; Epidemiology; Surgical procedure