Sigmadivertikulitis

• DOI: 10.1007/s00104-016-0188-z
• Publication Date: 2016-06-03T05:52:25Z
• Authors: A. A. Schnitzbauer; D. Pieper; E. A. M. Neugebauer; W. O. Bechstein
• Keywords: Reoperation; Abdominal Abscess; Sigmoid Diseases; Comorbidity; Length of Stay; Diverticulitis, Colonic; 03 medical and health sciences; Cross-Sectional Studies; Postoperative Complications; 0302 clinical medicine; International Classification of Diseases; Intestinal Perforation; Germany; Humans; Laparoscopy; Diagnosis-Related Groups

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.Analysis of in-hospital treatment modalities for diverticulosis based on data from the Federal Office of Statistics.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.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.