Diatom filters are a very fine mechanical filtration system. As pointed out by others they are great for mucking out a tank, and the like.
I never found them that hard to recharge with diatom powder once I added a bunch of valves to the intake and return lines to permit the precoating phase to happen quickly.
I figure I use mine about twice a year on my tanks. It's something nice to have, and makes things easier, but it's not critical.
Even the people that make Diatom filters don't recommend them for full time use.