Epidemiological trends and geographic variation in hospital admissions for diverticulitis in the United States

Geoffrey C. Nguyen, Justina Sam, Nitasha Anand

Research output: Contribution to journalArticlepeer-review

Abstract

AIM: To characterize the increasing incidence and geographic variation of acute diverticulitis. METHODS: Using the nationwide inpatient sample (NIS) we identified a cohort who had been admitted with diverticulitis between 1998 and 2005. We calculated age-, sex-, and region-specific rates of hospitalizations for diverticulitis over time. RESULTS: The age-adjusted hospitalization rate for diverticulitis increased from 61.8 per 100 000 to 75.5 per 100 000 between 1998 and 2005, and increased similarly in both sexes. Diverticulitis-associated admissions were male-predominant in those younger than age 45 years but were female-predominant thereafter. Admission rates increased the most among those < 45 years, while remaining unchanged for those ≥ 65 years. By 2005, the majority of hospitalized patients were < 65 years. Age-adjusted rates of diverticulitis-associated hospitalizations were lower in the West (50.4/100 000) compared to the Northeast (77.7/100 000), South (73.9/100 000), and Midwest (71.0/100 000). CONCLUSION: Diverticulitis-associated hospitalizations have steeply risen, especially in young adults. These epidemiological trends vary by geographic region and warrant further investigation into potential dietary and environmental etiologies.

Original languageEnglish (US)
Pages (from-to)1600-1605
Number of pages6
JournalWorld Journal of Gastroenterology
Volume17
Issue number12
DOIs
StatePublished - Mar 28 2011

Keywords

  • Diverticulitis
  • Geographic variation
  • Hospitalization
  • Young adults

ASJC Scopus subject areas

  • Gastroenterology

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