{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,21]],"date-time":"2026-06-21T22:47:22Z","timestamp":1782082042508,"version":"3.54.5"},"reference-count":23,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T00:00:00Z","timestamp":1781568000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences of the National Institutes of Health","doi-asserted-by":"publisher","award":["UL1-TR001453"],"award-info":[{"award-number":["UL1-TR001453"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The COVID-19 pandemic strained hospital systems and post-pandemic data on colectomy trends for diverticulitis are limited. We aimed to describe trends in colonic resections in patients with diverticulitis before, during, and after the pandemic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This retrospective cohort study queried the American College of Surgeons NSQIP database, analyzing patients who underwent a colectomy for diverticulitis during quarters 2-4 (April 1-December 31) in 2018 (\u201cpre-COVID\u201d), 2020 (\u201cduring COVID\u201d), and 2022 (\u201cpost-COVID\u201d). The primary study outcome was emergency case rates during the 3 time periods. Secondary outcomes included trends in patient comorbidities, severity of presenting illness, 30-day postoperative complications, and disposition status.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 21,642 patients were studied (7163 pre-COVID, 6254 during COVID, and 8225 post-COVID). Emergency cases of diverticulitis increased to 21% during the COVID period but remained at 17% and 18% during the pre-COVID and post-COVID periods, respectively (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). Similarly, end colostomy creation rates rose to 20% during COVID and returned to baseline levels (18%) after the pandemic (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). Hospital length of stay and 30-day mortality increased during the COVID period and remained slightly elevated post-COVID.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The COVID-19 pandemic was associated with a temporary increase in emergency colectomies and end colostomy creations for diverticulitis, with operative urgency returning to pre-pandemic levels in the post-COVID period. Short-term postoperative outcomes also shifted modestly during and after the pandemic. These findings offer a national perspective on trends in the surgical management of diverticulitis during and after the pandemic and may help guide surgical practice during future health care disruptions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00031348261462103","type":"journal-article","created":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T08:08:02Z","timestamp":1781597282000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Where Are We Now? An Update on Colectomies for Diverticulitis in the Wake of the COVID-19 Pandemic"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6351-0425","authenticated-orcid":false,"given":"Benjamin","family":"Gallant","sequence":"first","affiliation":[{"name":"University of Massachusetts Memorial Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-3487-3787","authenticated-orcid":false,"given":"Andrew","family":"Hu","sequence":"additional","affiliation":[{"name":"University of Massachusetts Memorial Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"HyukJoo","family":"Hwang","sequence":"additional","affiliation":[{"name":"University of Massachusetts Memorial Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaitlyn","family":"Oldewurtel","sequence":"additional","affiliation":[{"name":"University of Massachusetts Memorial Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Allison","family":"Crawford","sequence":"additional","affiliation":[{"name":"University of Massachusetts Chan Medical School"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin","family":"Maykel","sequence":"additional","affiliation":[{"name":"University of Massachusetts Memorial Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Peponis","sequence":"additional","affiliation":[{"name":"University of Massachusetts Memorial Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"Sturrock","sequence":"additional","affiliation":[{"name":"University of Massachusetts Memorial Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karim","family":"Alavi","sequence":"additional","affiliation":[{"name":"University of Massachusetts Memorial Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tess","family":"Aulet","sequence":"additional","affiliation":[{"name":"University of Massachusetts Memorial Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,16]]},"reference":[{"key":"e_1_3_5_2_2","unstructured":"World Health Organization. WHO coronavirus (COVID-19) dashboard \u2013 deaths. Available at: https:\/\/data.who.int\/dashboards\/covid19\/deaths Accessed 30 June 2025."},{"key":"e_1_3_5_3_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp2006141"},{"key":"e_1_3_5_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-022-09168-z"},{"key":"e_1_3_5_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.11670"},{"key":"e_1_3_5_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.sipas.2022.100116"},{"key":"e_1_3_5_7_2","doi-asserted-by":"publisher","DOI":"10.5217\/ir.2022.00042"},{"key":"e_1_3_5_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2022.12.041"},{"key":"e_1_3_5_9_2","doi-asserted-by":"publisher","DOI":"10.1111\/codi.16811"},{"key":"e_1_3_5_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/0003134820982560"},{"key":"e_1_3_5_11_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0269871"},{"key":"e_1_3_5_12_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj-2023-075133"},{"key":"e_1_3_5_13_2","doi-asserted-by":"publisher","DOI":"10.12998\/wjcc.v9.i23.6759"},{"key":"e_1_3_5_14_2","doi-asserted-by":"publisher","DOI":"10.14423\/SMJ.0000000000001650"},{"key":"e_1_3_5_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-023-04564-w"},{"key":"e_1_3_5_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10140-020-01854-6"},{"key":"e_1_3_5_17_2","doi-asserted-by":"publisher","DOI":"10.1177\/00031348211029869"},{"key":"e_1_3_5_18_2","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.33252"},{"key":"e_1_3_5_19_2","doi-asserted-by":"publisher","DOI":"10.2478\/jtim-2021-0019"},{"key":"e_1_3_5_20_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2023.8104"},{"key":"e_1_3_5_21_2","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000001679"},{"key":"e_1_3_5_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2021.10.034"},{"key":"e_1_3_5_23_2","doi-asserted-by":"publisher","DOI":"10.1111\/ases.12834"},{"key":"e_1_3_5_24_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2023.04.008"}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348261462103","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00031348261462103","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348261462103","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,21]],"date-time":"2026-06-21T21:54:55Z","timestamp":1782078895000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00031348261462103"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,16]]},"references-count":23,"alternative-id":["10.1177\/00031348261462103"],"URL":"https:\/\/doi.org\/10.1177\/00031348261462103","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,16]]},"article-number":"00031348261462103"}}