Shared Decision-Making in Diverticulitis

Area of Science:

• Gastroenterology
• Surgical Management
• Patient-Centered Care

Background:

• Diverticulitis management has shifted from routine colectomy to individualized approaches.
• Prior paradigms recommended colectomy after a set number of diverticulitis episodes.
• Current evidence supports observation for uncomplicated recurrent diverticulitis.

Purpose of the Study:

• To review the evolving management strategies for diverticulitis.
• To highlight the shift towards patient-centered care and shared decision-making.
• To address challenges in aligning treatment with patient expectations.

Main Methods:

• Review of current evidence and guidelines on diverticulitis management.
• Analysis of the risks and benefits of observation versus colectomy.
• Examination of the role of shared decision-making in clinical practice.

Main Results:

• Observation for recurrent uncomplicated diverticulitis does not significantly increase risks.
• Shared decision-making is advocated, balancing patient preferences with clinical evidence.
• Colectomy decisions are preference-sensitive, requiring alignment with patient goals.

Conclusions:

• Management of diverticulitis should be individualized, prioritizing quality of life.
• Shared decision-making is crucial but faces challenges like decisional conflict.
• Future efforts should focus on integrating shared decision-making tools and training for better outcomes.