{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T22:55:08Z","timestamp":1785884108653,"version":"3.56.0"},"reference-count":55,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clin Colon Rectal Surg"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The management of diverticulitis has evolved significantly, shifting away from a rigid recommendation for colectomy after a specific number of episodes toward a more individualized, patient-centered approach. Evidence demonstrates that observation for recurrent uncomplicated diverticulitis does not substantially increase the risk of complications, emergency surgery, or mortality, challenging prior paradigms and supporting a focus on improving quality of life. As such, current guidelines advocate for shared decision-making that incorporates patient preferences, symptom burden, and surgical risk. The decision to pursue colectomy remains highly preference-sensitive and must balance clinical evidence with individual values and goals. Despite the importance of shared decision-making in this clinical context, decisional conflict and decision regret remain prevalent, reflecting ongoing challenges in aligning care with patient expectations. Future efforts should prioritize the integration of shared decision-making into clinical workflows through decision support tools, individualized risk models, and enhanced clinician training to improve patient-centered outcomes and quality of care in diverticulitis.<\/jats:p>","DOI":"10.1055\/a-2760-7233","type":"journal-article","created":{"date-parts":[[2025,12,24]],"date-time":"2025-12-24T00:04:56Z","timestamp":1766534696000},"page":"343-347","source":"Crossref","is-referenced-by-count":0,"title":["Shared Decision-Making in Diverticulitis"],"prefix":"10.1055","volume":"39","author":[{"given":"Samuel A.","family":"Younan","sequence":"additional","affiliation":[{"name":"Section of Colon and Rectal Surgery, Division of General Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander T.","family":"Hawkins","sequence":"additional","affiliation":[{"name":"Section of Colon and Rectal Surgery, Division of General Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2025,12,23]]},"reference":[{"issue":"05","key":"ref1","doi-asserted-by":"crossref","first-page":"733","DOI":"10.1002\/bjs.1800810538","article-title":"The 5-year natural history of complicated diverticular disease","volume":"81","author":"N Farmakis","year":"1994","journal-title":"Br J Surg"},{"issue":"03","key":"ref2","doi-asserted-by":"crossref","first-page":"290","DOI":"10.1007\/BF02258291","article-title":"Practice parameters for the treatment of sigmoid diverticulitis\u2013supporting documentation. 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