{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T01:49:50Z","timestamp":1791510590979,"version":"4.3.4"},"reference-count":47,"publisher":"MDPI AG","issue":"23","license":[{"start":{"date-parts":[[2023,11,27]],"date-time":"2023-11-27T00:00:00Z","timestamp":1701043200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Chang Gung Memorial Hospital, Taiwan","award":["CFRPG8J0171"],"award-info":[{"award-number":["CFRPG8J0171"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Recommendations for elective colectomies after recovery from uncomplicated acute diverticulitis should be individualized. The kinds of associated risk factors that should be considered for this approach remain undetermined. The aim of this study was to identify the risk factors associated with postoperative outcomes in patients with diverticular disease after receiving an elective colectomy. This is a retrospective study using the multi-institutional, nationally validated database of the American College of Surgeons-National Surgical Quality Improvement Program (ACS-NSQIP). The patients who were diagnosed with diverticular disease and received an elective colectomy were included in our risk factor analyses. Postoperative mortality, morbidity, and overall complications were measured. Univariate and multivariate analyses were used to demonstrate the risk factors. We analyzed 30,468 patients with diverticular disease, 67% of whom received an elective colectomy. The rate of 30-day mortality was 0.2%, and superficial surgical site infection was the most common postoperative morbidity (7.2%) in the elective colectomies. The independent risk factors associated with overall complications were age \u2265 75, BMI \u2265 30, smoking status, dyspnea, hypertension, current kidney dialysis, chronic steroid use, ASA III, and open colectomy. In laparoscopic colectomy, 67.5% of the elective colectomies, the associated risk factors associated with overall complications still included age \u2265 75, smoking, hypertension, chronic steroid use, and ASA III. Identification of patient-specific risk factors may inform the decision-making process for elective colectomy and reduce the postoperative complications after mitigation of those risk factors.<\/jats:p>","DOI":"10.3390\/jcm12237338","type":"journal-article","created":{"date-parts":[[2023,11,27]],"date-time":"2023-11-27T03:48:17Z","timestamp":1701056897000},"page":"7338","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Risk Factors Associated with Postoperative Outcomes in Diverticular Disease Undergoing Elective Colectomy\u2014A Retrospective Cohort Study from the ACS-NSQIP Database"],"prefix":"10.3390","volume":"12","author":[{"given":"Wan-Hsiang","family":"Hu","sequence":"first","affiliation":[{"name":"Department of Colorectal Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 833, Taiwan"},{"name":"Graduate Institute of Clinical Medical Science, College of Medicine, Chang Gung University, Kaohsiung 333, Taiwan"},{"name":"Department of Surgery, University of California, San Diego Health System, La Jolla, CA 92103, USA"},{"name":"Rebecca and John Moores Cancer Center, University of California, San Diego Health System, La Jolla, CA 92103, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuel","family":"Eisenstein","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of California, San Diego Health System, La Jolla, CA 92103, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Parry","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of California, San Diego Health System, La Jolla, CA 92103, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonia","family":"Ramamoorthy","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of California, San Diego Health System, La Jolla, CA 92103, USA"},{"name":"Rebecca and John Moores Cancer Center, University of California, San Diego Health System, La Jolla, CA 92103, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,11,27]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1179","DOI":"10.1053\/j.gastro.2012.08.002","article-title":"Burden of gastrointestinal disease in the United States: 2012 update","volume":"143","author":"Peery","year":"2012","journal-title":"Gastroenterology"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1097\/SLA.0b013e3181952888","article-title":"Diverticulitis in the United States: 1998\u20132005: Changing patterns of disease and treatment","volume":"249","author":"Etzioni","year":"2009","journal-title":"Ann. 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