{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T16:06:42Z","timestamp":1781798802352,"version":"3.54.5"},"reference-count":31,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2013,4,25]],"date-time":"2013-04-25T00:00:00Z","timestamp":1366848000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Colorectal Disease"],"published-print":{"date-parts":[[2013,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The study aimed to evaluate the relationship between insurance status and the management and outcome of acute diverticulitis in a nationally representative sample.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A retrospective cohort analysis of a nationally representative sample of 1\u00a0031\u00a0665 hospital discharges of patients admitted for acute diverticulitis in the 2006\u20132009 Nationwide Inpatient Sample (<jats:styled-content style=\"fixed-case\">NIS<\/jats:styled-content>), <jats:styled-content style=\"fixed-case\">H<\/jats:styled-content>ealthcare <jats:styled-content style=\"fixed-case\">C<\/jats:styled-content>ost and <jats:styled-content style=\"fixed-case\">U<\/jats:styled-content>tilization <jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>roject data set. The main outcome measures included state at presentation (complicated\/uncomplicated), management (medical\/surgical), time to surgical intervention, type of operation and inpatient death.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In total, 207\u00a0838 discharges were identified (including 37.0% with private insurance, 49.3% in Medicare, 5.6% in Medicaid and 5.8% uninsured) representing 1\u00a0031\u00a0665 total discharges nationally. Medicare patients were more likely to present with complicated diverticulitis compared with private insurance patients (23.8% <jats:italic>vs<\/jats:italic> 15.1%). Time to surgical intervention differed by insurance status. After adjusting for patient, hospital and treatment factors, Medicare patients were less likely than those with private insurance to undergo a procedure (Medicare <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a00.86, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 0.82\u20130.91), while the uninsured were more likely to undergo drainage (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a01.30, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 1.16\u20131.46) or a colostomy only (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a01.70, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 1.24\u20132.33). All patients without private insurance were more likely to die in hospital (Medicare <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a01.29, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 1.09\u20131.52; Medicaid <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a01.55, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 1.22\u20131.97; uninsured <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>\u00a0=\u00a01.41, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>: 1.07\u20131.87).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In a nationally representative sample of patients with acute diverticulitis, patient management and outcome varied significantly by insurance status, despite adjustment for potential confounders. Providers might need to heighten surveillance for complications when treating patients without private insurance to improve outcome.<\/jats:p><\/jats:sec>","DOI":"10.1111\/codi.12066","type":"journal-article","created":{"date-parts":[[2012,10,19]],"date-time":"2012-10-19T00:47:36Z","timestamp":1350607656000},"page":"613-620","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":23,"title":["Effect of insurance status on patients admitted for acute diverticulitis"],"prefix":"10.1111","volume":"15","author":[{"given":"A. M.","family":"Mills","sequence":"first","affiliation":[{"name":"Department of Emergency Medicine University of Pennsylvania Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D. 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