Département de Chirurgie Viscérale (Bariatrique and Métabolique, Oncologique, et d'Urgence), Centre Hospitalier Poissy/Saint Germain en Laye, Poissy, France.
Department of General Surgery, Macerata Hospital, Macerata, Italy.
Updates Surg. 2021 Feb;73(1):139-148. doi: 10.1007/s13304-020-00891-7. Epub 2020 Oct 3.
The acute left diverticulitis is a common problem encountered by surgeons in the acute setting. Some years ago, the Italian Prospective Observational Diverticulitis (IPOD) study showed several disputes in managing acute left colon diverticulitis in Italian surgical department. The aim of this study is to check the compliance of Italian surgeons with clinical evidence-based guidelines in non-university hospitals. A 21 multiple-choice questions survey was sent to the Italian Society of Hospital Surgeons (ACOI) mailing list members, from the 1st April 2019 to 6th June 2019. One hundred and seventy-four Italian general surgeons (the ACOI collaborative diverticulitis group) joined the project and answered to the survey. The response rate was 7% (174/2500 ACOI members). Despite current international guidelines about the management of acute diverticulitis, several controversies have emerged from the analysis of this survey in the clinical practice of Italian surgeons, resulting from their low compliance with evidence-based recommendations.
急性左憩室炎是外科医生在急性环境中经常遇到的问题。几年前，意大利前瞻性观察憩室炎（IPOD）研究在意大利外科部门管理急性左结肠憩室炎方面显示出了一些争议。本研究旨在检查意大利外科医生在非大学医院遵循基于临床证据的指南的情况。从 2019 年 4 月 1 日至 2019 年 6 月 6 日，向意大利医院外科医生协会（ACOI）的邮件列表成员发送了一份包含 21 个多项选择题的调查。174 名意大利普通外科医生（ACOI 协作性憩室炎小组）参与了该项目并回答了调查。回复率为 7%（174/2500 ACOI 成员）。尽管有关于急性憩室炎管理的国际指南，但从对意大利外科医生临床实践的这项调查分析中出现了一些争议，这是由于他们对基于证据的建议的低遵从性所致。
