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https://www.rpr.lib.ok.us/taxonomy/term/11269/all
enDiverticulitis in Older Adults: A Review of Etiology, Diagnosis, and Management
https://www.rpr.lib.ok.us/resource/diverticulitis-older-adults-review-etiology-diagnosis-and-management
<div class="field field-name-field-artifact-uploaded-date field-type-datetime field-label-inline clearfix">
<div class="field-label">Date Added: </div>
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<div class="field-item even"><span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2025-02-24T00:00:00-06:00">February 24, 2025</span></div>
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<div class="field field-name-field-artifact-journal field-type-text field-label-inline clearfix">
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<div class="field-item even">Journal of the American Geriatrics Society</div>
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<div class="field field-name-field-artifact-published-date field-type-datetime field-label-inline clearfix">
<div class="field-label">Publication Date: </div>
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<div class="field-item even"><span class="date-display-single" property="dc:date" datatype="xsd:dateTime" content="2025-02-08T00:00:00-06:00">February 8, 2025</span></div>
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<div class="field field-name-field-artifact-url field-type-link-field field-label-inline clearfix">
<div class="field-label">URL: </div>
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<div class="field-item even"><a href="https://pubmed.ncbi.nlm.nih.gov/39921851/" target="_blank">Diverticulitis in Older Adults: A Review of Etiology, Diagnosis, and Management</a></div>
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<div class="field field-name-field-artifact-type field-type-taxonomy-term-reference field-label-inline clearfix">
<div class="field-label">Type: </div>
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<div class="field-item even">Meta-analyses, Reviews, and Guidelines</div>
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<div class="field field-name-field-artifact-format field-type-taxonomy-term-reference field-label-inline clearfix">
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<div class="field-item even">Article</div>
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<div class="field field-name-field-artifact-doi-1 field-type-text field-label-inline clearfix">
<div class="field-label">DOI (1): </div>
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<div class="field-item even">10.1111/jgs.19388</div>
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<div class="field field-name-field-artifact-keywords field-type-taxonomy-term-reference field-label-above">
<div class="field-label">Keywords </div>
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<div class="field-item even"><a href="/tags/diverticulitis" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Diverticulitis</a></div>
<div class="field-item odd"><a href="/tags/surgical-decision%E2%80%90making" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">surgical decision‐making</a></div>
<div class="field-item even"><a href="/tags/surgical-outcomes" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">surgical outcomes</a></div>
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<div class="field field-name-field-artifact-pmid-1 field-type-text field-label-inline clearfix">
<div class="field-label">PMID (1): </div>
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<div class="field-item even">39921851</div>
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<div class="field field-name-field-artifact-mesh field-type-taxonomy-term-reference field-label-above">
<div class="field-label">MeSH </div>
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<div class="field-item even"><a href="/mesh/diverticulitis" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Diverticulitis</a></div>
<div class="field-item odd"><a href="/mesh/multimorbidity" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Multimorbidity</a></div>
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<div class="field field-name-field-artifact-editor-note field-type-text-long field-label-hidden">
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<div class="field-item even"><p>An evidence-based review of our current understanding of diverticulitis in older adults. James W. Mold, MD, MPH</p>
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<div class="field-item even">Free full text</div>
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<a href="https://pubmed.ncbi.nlm.nih.gov/39921851/" class="btn btn-primary" target="_blank">View</a> </div>
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<div class="field-item even" property="content:encoded"><p>Background: Diverticulitis accounts for over 300,000 hospitalizations annually in the United States and its incidence increases with age. Among older adults, diverticulitis is the fourth leading cause for emergency surgery. Older adults with multimorbidity and geriatric syndromes are often excluded from clinical studies, leaving a gap in the evidence needed to guide management. Here, we provide a clinically oriented review of the diagnosis and management of older adults with diverticulitis through the lens of age-friendly care.</p>
<p>Methods and results: We reviewed the literature describing the epidemiology, diagnosis, management, and prevention of diverticulitis in older adults. Due to age-related physiologic changes, the presence of geriatric syndromes, and multimorbidity, older adults with diverticulitis often present with atypical symptoms, variable laboratory findings, and are at higher risk for complications than younger patients. Guidelines support a more aggressive approach to diagnosis in this population, with lower threshold for obtaining diagnostic imaging. Antibiotics remain a mainstay of treatment for uncomplicated disease, and surgical management should be focused on severity of disease and the balance between the likelihood of improving quality of life and risks and burden of treatment.</p>
<p>Conclusions: Diverticulitis is a common disease that has a unique presentation among older individuals with limited evidence to guide management. Diagnosis and treatment should focus on what matters most to the patient, providing the most meaningful outcome possible within the context of multimorbidity, patient goals, symptom burden, and anticipated treatment outcomes.</p>
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<div class="field field-name-field-resource-author field-type-taxonomy-term-reference field-label-inline clearfix">
<div class="field-label">Author/s: </div>
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<div class="field-item even">Jessica K Hall, Mark A Supiano, Jessica N Cohan</div>
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Mon, 24 Feb 2025 17:37:19 +0000Alex Haga2549 at https://www.rpr.lib.ok.us