National Complicated Acute DiverticulitiS (CADS) Audit 2014
Acute complicated diverticulitis (ACD) is a common surgical emergency with significant implications for patients like major surgical intervention, intensive care support and life-long stoma. However, there is currently no standardization of care or unified national guidelines. The NICE guidelines stop short at when to refer patients to hospital.
Although there are numerous studies published relating to several management aspects of diverticulitis, none present good level 1 evidence. As a result, surgical units often adopt variable policies.
There is a strong need to design good randomized controlled studies addressing various issues in ACD but for these to be of a sufficiently high quality it is essential to define the current scale of the problem and variability in management trends.
This national audit aims explore the impact of variability in management approach on short term patient outcomes. It will also provide landmark data on the national incidence, management strategies, short-term patient outcomes, stoma rates and the role of surgical and radiological intervention.
The data is currently being analysed and a manuscript will be drafted and submitted in due course.