DEBUT: Diverticulitis Evaluation of Patient Burden, Utilization, and Trajectory
DEBUT: Diverticulitis Evaluation of Patient Burden, Utilization, and Trajectory
Half of all Americans over 60 years of age have diverticulitis of the colon. Over the last
 decade, the use of elective colon resection has increased by more than 50%, and
 diverticulitis is now the leading reason for elective colectomy. Surgeons and patients alike
 have a difficult time deciding if surgery is the best choice to treat diverticulitis. The
 goal of the DEBUT study is to improve the understanding about how doctors and patients make
 decisions to have elective surgery for diverticulitis, and the global impact of
 diverticulitis on patients' lives.
This study will examine both clinical and non-clinical reasons for pursuing surgery, taking
 into account previously unexplored areas in surgical decision-making including the
 comprehensive impact of this disease, as well as factors that impact a surgeon's willingness
 to recommend surgery. Ultimately, this patient-centered research approach will help us
 understand the impact of treatment decisions on a patient's quality of life, work, and
 clinical symptoms, and will ultimately help to inform our recommendations for the treatment
 of patients with diverticulitis.

 The DEBUT study was developed from questions raised by our Washington State Surgical
 Collaborative, (SCOAP Colon and Rectal Surgery Work Group) and will be carried out in clinics
 and hospitals across Washington State, Oregon, and California. The investigators invite
 patients to participate in research activities designed to identify the impact of
 diverticulitis and treatment options, in order to better understand the outcomes that matter
 most to patients. Patients who are considering surgery or who have received treatment for
 their diverticulitis will be recruited for study participation. Participants will complete a
 baseline survey via a convenient electronic platform, and follow-up surveys will be sent
 quarterly for up to four years. These surveys will examine quality of life, overall health,
 and clinical symptoms to understand what drives patients and surgeons to an operation, as
 well as how that decision impacts quality of life and recurrent events in patients that
 choose to have surgery compared to those that do not have surgery. Participating surgeons
 will complete surveys that examine their indications for surgery and surgical outcomes.
Inclusion Criteria:

 -  Patients with confirmed diagnosis of diverticulitis

 -  Patients 18 years of age or older

 -  Patients who are able to consent to participate in research

 Exclusion Criteria:

 -  Patients that have had prior colon resection surgery

 -  Patients that do not make their own medical decisions