system
Medical AI Inquiry: You was designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.  Labels: BACKGROUND, METHODS, RESULTS. Meshes: Acute Disease, Adult, Aged, Cohort Studies, Colorectal Surgery, Diverticulitis, Colonic, Female, Follow-Up Studies, General Surgery, Hospital Mortality, Humans, Logistic Models, Male, Middle Aged, Multivariate Analysis, Operative Time, Postoperative Complications, Retrospective Studies, Risk Assessment, Severity of Illness Index, Specialties, Surgical, Statistics, Nonparametric, Survival Analysis, Treatment Outcome.
user
Does surgeon specialization impact the management but not outcomes of acute complicated diverticulitis? Context: The management and outcomes of patients receiving nonelective surgical treatment of acute complicated diverticulitis by surgeon specialization have received little attention. 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). 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.
assistant
Although surgical management differed significantly between CRS and GS, comparable outcomes were observed at the index hospital admission. Final Decision: yes