-
effectivehealthcare.ahrq.gov/system/files/cer-233-diverticulitis-evidence-summary.pdf
October 01, 2020 - evidence regarding important clinical outcomes, including
treatment failure, mortality, or emergency surgery … may not affect pain symptoms, length of hospital stay, recurrence risk,
quality of life, or need for surgery … Complicated diverticulitis may require more invasive interventions,
such as surgery or interventional … However, there is no evidence regarding which patients
would benefit most from elective surgery. … Elective surgery to prevent recurrent diverticulitis: There is high SoE that elective
surgery reduces
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/cer-233-diverticulitis-evidence-summary.pdf
October 01, 2020 - evidence regarding important clinical outcomes, including
treatment failure, mortality, or emergency surgery … may not affect pain symptoms, length of hospital stay, recurrence risk,
quality of life, or need for surgery … Complicated diverticulitis may require more invasive interventions,
such as surgery or interventional … However, there is no evidence regarding which patients
would benefit most from elective surgery. … Elective surgery to prevent recurrent diverticulitis: There is high SoE that elective
surgery reduces
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/colorectal-surgery-preparation_research-protocol.pdf
March 26, 2013 - Some
surgeons have discontinued use of OMBP for right-side colon surgery, but not for left-side colon … , some surgeons also prescribe oral antibiotics
before colon surgery. … For elective right colon surgery?
b. For elective left colon surgery?
c. … or rectal surgery
• Cointerventions: Oral antibiotics given before colon and rectal surgery, such … Eskicioglu C, Forbes SS, Fenech DS, et al; Best Practice in General Surgery Committee.
-
effectivehealthcare.ahrq.gov/products/colorectal-surgery-preparation/research-protocol
March 26, 2013 - Some surgeons have discontinued use of OMBP for right-side colon surgery, but not for left-side colon … , some surgeons also prescribe oral antibiotics before colon surgery. … For elective right colon surgery?
For elective left colon surgery? … or rectal surgery
Cointerventions: Oral antibiotics given before colon and rectal surgery, such as … Eskicioglu C, Forbes SS, Fenech DS, et al; Best Practice in General Surgery Committee.
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/diverticulitis-research-protocol.pdf
January 01, 2019 - colon evaluation in this setting requires more study. … incidence of colon cancer mortality among patients undergoing
screening? … o Laparoscopic, open, robot-assisted, or any other type of colon surgery
conducted as an elective … A proposal for a CT driven classification of left
colon acute diverticulitis. … Diagnosis and management of diverticular disease of the colon in
adults.
-
effectivehealthcare.ahrq.gov/sites/default/files/diverticulitis-comments.pdf
October 12, 2020 - reviewer suggested adding information about numbers needed to treat
(NNT) and harm (NNH) for elective surgery … We have added to a sentence in the
Discussion (under Elective Surgery):
However, none of the studies … addressed
which patients may benefit more (or less)
from elective surgery, in particular based
on … “do not affect
risk of recurrence or quality of life” and a
second for "may reduce the need for
surgery … We have
added that "No eligible studies evaluated
the relative effect of elective surgery for
patients
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/colon-cancer-gene-profiling_research-protocol.pdf
March 13, 2012 - Most patients with stage II colon cancer are cured with surgery alone; however, 25 to
30 percent of … group, adjuvant chemotherapy may produce a small improvement in
overall survival when compared with surgery … obstruction or bowel perforation at initial diagnosis; an inadequately low number
of sampled lymph nodes at surgery … specificity, accuracy, etc.) of the GEP results to the risk of disease
recurrence and/or death after surgery … , accuracy, etc.) of the GEP results to the response to adjuvant
chemotherapy currently used after surgery
-
effectivehealthcare.ahrq.gov/products/diverticulitis/protocol
September 12, 2019 - colon evaluation in this setting requires more study. … incidence of colon cancer mortality among patients undergoing screening? … Laparoscopic, open, robot-assisted, or any other type of colon surgery conducted as an elective (non-emergent … A proposal for a CT driven classification of left colon acute diverticulitis. … Diagnosis and management of diverticular disease of the colon in adults.
-
effectivehealthcare.ahrq.gov/products/colorectal-surgery-preparation/research
April 30, 2014 - studies (NRCSs; ≥100 patients per arm) of OMBP strategies in adults or children undergoing elective colon … or rectal surgery. … (colon vs. rectal surgery) and the type of surgical procedure performed (e.g., open vs. laparoscopic … Oral Mechanical Bowel Preparation for Colorectal Surgery: Systematic Review and Meta-Analysis. … Dis Colon Rectum. 2015 Jul;58(7):698-707. PMID: 26200685.
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/colorectal-surgery-preparation_executive.pdf
April 01, 2014 - OMBP for colon or rectal surgery appears to be a
widespread practice in the United States. … surgery.14,15 Citing some of
these trials, the 2010 guidelines of the Canadian Society
of Colon and … Does the effect
vary by elective (a) right colon, (b) left colon, and
(c) rectal surgery? … (colon vs. rectal surgery) and
type of surgical procedure performed (e.g., open
vs. laparoscopic … Trends in preparation for
colorectal surgery: survey of the members of the American Society
of Colon
-
effectivehealthcare.ahrq.gov/products/colon-cancer-gene-profiling/research-protocol
March 13, 2012 - Most patients with stage II colon cancer are cured with surgery alone; however, 25 to 30 percent of those … group, adjuvant chemotherapy may produce a small improvement in overall survival when compared with surgery … obstruction or bowel perforation at initial diagnosis; an inadequately low number of sampled lymph nodes at surgery … specificity, accuracy, etc.) of the GEP results to the risk of disease recurrence and/or death after surgery … specificity, accuracy, etc.) of the GEP results to the response to adjuvant chemotherapy currently used after surgery
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/colon-cancer-gene-profiling_technical-brief.pdf
December 01, 2012 - cancer
stage at the time of surgery were also not included. … cancer stage at
the time of surgery, were also excluded at this time. … The majority of stage II patients do well with
surgery alone, but some patients do develop recurrent … cancer surgery. … cancer
treated with surgery alone or surgery plus
adjuvant fluorouracil plus leucovorin.
-
effectivehealthcare.ahrq.gov/health-topics/colonic-diseases
April 02, 2014 - Archived
January 19, 2010
Gene Expression Profiling for Predicting Outcomes in Stage II Colon … December 14, 2012
Gene Expression Profiling for Predicting Outcomes in Patients With Stage II Colon
-
effectivehealthcare.ahrq.gov/products/wireless-motility-capsule/research-protocol
March 14, 2012 - medications or nutrition or to affect patient-centered outcomes such as symptom improvement, need for surgery … resection or surgery. … Only after demonstrating colonic inertia in both of these settings should surgery be considered as a … or change in nutrition or to affect patient-centered outcomes such as symptom improvement, need for surgery … Pressure patterns
Treatment decisions
Change in medications
Change in nutrition
Need for surgery
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/wireless-motility-capsule_research-protocol.pdf
March 14, 2012 - resection or
surgery. … left colon and without evidence of anorectal dysfunction. … scintigraphy as a test for evaluating colon transit. … Only after
demonstrating colonic inertia in both of these settings should surgery be considered as a … Need for surgery
http://www.effectivehealthcare.ahrq.gov/
Source: www.effectivehealthcare.ahrq.gov
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/colorectal-surgery-preparation_disposition-comments.pdf
April 30, 2014 - Oral Mechanical
Bowel Preparation for Colorectal Surgery. … surgery. … surgery. … rectal surgery. … (e.g. right colon vs. left colon vs. rectum) or surgical
approach (laparoscopic versus open) are clinically
-
effectivehealthcare.ahrq.gov/get-involved/nominated-topics/for-patients-with-rectal-cancer-what-is-the-comparative-effectiveness-of-different-imaging-modalities-alone-or-in-combination-ie-incremental-benefit-from-using-more-than-one-modality-for-preoperative-staging-and-treatment-sel
June 01, 2011 - For example, more accurate staging may decrease need for more extensive surgery in some patients. … For example, indications for surgery that is more
extensive than warranted by the “true” stage, or … Preoperative radiation therapy, often combined with chemotherapy, followed by surgery has become the … rates.* * It is difficult to separate epidemiological considerations of rectal cancer from those of colon … cancer because epidemiological studies often consider colon and rectal cancer (i.e., colorectal cancer
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/colorectal-cancer-staging_research-protocol.pdf
May 20, 2013 - , the
ascending colon, and the transverse colon) and distal (involving the descending colon). … Surgery is an option for some patients with stage IV colorectal cancer, but for these
patients, primary … proximal colon versus distal colon cancer, and lower rectal versus middle rectal
versus upper rectal … Some evidence also exists that suggests proximal colon cancer and distal colon cancer may also
be distinctly … cancer/ or exp colon tumor/ or exp
rectum cancer/ or exp rectum tumor/ or ((Colon$ or colorectal or
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/colon-cancer-gene-profiling_disposition-comments.pdf
December 14, 2012 - Brief Disposition of Comments Report for Gene Expression Profiling for Predicting Outcomes in Stage II Colon … Gene Expression Profiling for
Predicting Outcomes in Stage II Colon Cancer. Technical Brief. … KRAS was noted as a marker in
advanced colon cancer. … cancer surgery. … Detail added that this can be
due to sampling at surgery or
extent of pathological review
#5 KI Summary
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs4-active-infection-rapid-response.pdf
May 01, 2024 - One
study19 examined patients undergoing cardiovascular surgery at two campuses of an
academic medical … Patients at one campus underwent universal nasal
screening for any S. aureus colonization prior to surgery … .38 This study examined how long it took to collect cultures in an operating
room before and after surgery … The authors found that the mean time needed for
sampling prior to surgery was 3.39 minutes (standard … After surgery,
sampling took a mean of 4.39 minutes (0.25).