Decrease seen in proportion with early-onset diverticulitis needing colectomy; increase seen in proportion needing interventional radiology<\/p>\n<\/h3>\n
By Elana Gotkine HealthDay Reporter<\/b>
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FRIDAY, Oct. 31, 2025 (HealthDay News) — From 2005 to 2020, there was an increase in the proportion of complicated diverticulitis-related hospital admissions among patients with early-onset diverticulitis, according to a study recently published online in Diseases of the Colon & Rectum<\/em>.<\/p>\n Shineui Kim, from the University of California, Los Angeles, and colleagues examined national trends in hospitalizations, interventions, and outcomes for early-onset diverticulitis (age younger than 50 years) compared to standard-onset diverticulitis (age 50 years and older) in a retrospective cohort study involving a sample extracted from the National Inpatient Sample from 2005 to 2020.<\/p>\n From 2005 to 2020, 5,239,735 patients were nonelectively hospitalized for diverticulitis; 16 percent were early-onset. The researchers found that the proportion of the early-onset cohort admitted for complicated diverticulitis increased from 18.5 to 28.2 percent during the study period. A decline was seen in the proportion of early-onset patients needing a colectomy (34.7 to 20.3 percent), with an increase seen in the proportion needing interventional radiology (12.7 to 28.6 percent). Early-onset diverticulitis was associated with reduced odds of mortality (adjusted odds ratio, 0.18) compared with standard-onset and with decreased length of stay (\u03b2, \u22120.28 days) and hospitalization costs (\u03b2, \u2212$1,900). Early-onset diverticulitis was also associated with increased odds of colectomy and percutaneous drainage (adjusted odds ratios, 1.29 and 1.58).<\/p>\n “While younger patients generally have better survival outcomes and shorter hospitalizations, they’re paradoxically more likely to need invasive interventions,” Kim said in a statement. “This suggests their disease may be more aggressive or that treatment approaches differ based on patient age and overall health status.”<\/p>\n Abstract\/Full Text (subscription or payment may be required)<\/a><\/p>\n