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Understanding the Geographic Distribution of Diverticulitis Hospitalizations in Washington State
Stephanie L Stovall1, Meredith P Johnson1, Ethan T Evans2
1Department of General, Thoracic, and Vascular Surgery, Virginia Mason Franciscan Health, Seattle, WA, USA.
The American Surgeon
|May 5, 2023
Summary
Diverticulitis hospitalizations in Washington State are mostly emergent and widely distributed, with most patients receiving care close to home. This decentralization impacts how we approach diverticulitis research and interventions.
Area of Science:
- Gastroenterology
- Public Health
- Health Services Research
Background:
- Diverticulitis hospitalizations are increasing in the US.
- Hospitalization data is crucial for understanding disease severity and burden.
- State-level analysis is needed for targeted interventions.
Purpose of the Study:
- To characterize diverticulitis hospitalizations in Washington State.
- To analyze patterns of disease distribution and patient travel.
- To inform future diverticulitis management strategies.
Main Methods:
- Retrospective cohort study of 56,508 hospitalizations (2008-2019).
- Data sourced from Washington State's Comprehensive Hospital Abstract Reporting System.
- Analysis included acuity, complications, surgery, and patient travel distance.
Main Results:
- Most hospitalizations (77.2%) were emergent; 17.5% had complications, 6.6% required surgery.
- No single hospital managed over 5% of annual cases.
- The majority of patients traveled <20 miles for care, irrespective of acuity.
Conclusions:
- Diverticulitis hospitalizations are predominantly emergent, nonoperative, and spread across Washington.
- Care is generally localized, with patients treated near their homes.
- Decentralized care patterns must be considered for effective diverticulitis initiatives.
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