Sistema de Salut de Catalunya
Institut Català de la Salut
[Harji D, Thomas C] Northern Surgical Trainees Research Association (NoSTRA), Northern Deanery, Newcastle Upon Tyne, UK. [Antoniou SA] Department of Surgery, Royal Devon & Exeter NHS Foundation Trust, Exeter, UK. [Chandraratan H] Notre Dame University, General Surgery, Murdoch, Western Australia, Australia. [Griffiths B] Newcastle Surgical Education, Newcastle Upon Tyne, UK. [Henniford BT] Division of Gastrointestinal and Minimally Invasive Surgery Carolinas Medical Center, Charlotte, North Carolina, USA. [López-Cano M] Unitat de Cirurgia de la Paret Abdominal, Vall d’Hebron Hospital Universitari, Barcelona, Spain. Universitat Autònoma de Barcelona, Bellaterra, Spain
Vall d'Hebron Barcelona Hospital Campus
2021-11-25T13:52:42Z
2021-11-25T13:52:42Z
2021-03
Procediments quirúrgics; Resultat del tractament; Reparació de l'hèrnia incisional
Procedimientos quirúrgicos; Resultado del tratamiento; Reparación de hernia incisional
Surgical procedures; Treatment outcome; Repair of incisional hernia
Background The incidence of incisional hernia is up to 20 per cent after abdominal surgery. The management of patients with incisional hernia can be complex with an array of techniques and meshes available. Ensuring consistency in reporting outcomes across studies on incisional hernia is important and will enable appropriate interpretation, comparison and data synthesis across a range of clinical and operative treatment strategies. Methods Literature searches were performed in MEDLINE and EMBASE (from 1 January 2010 to 31 December 2019) and the Cochrane Central Register of Controlled Trials. All studies documenting clinical and patient-reported outcomes for incisional hernia were included. Results In total, 1340 studies were screened, of which 92 were included, reporting outcomes on 12 292 patients undergoing incisional hernia repair. Eight broad-based outcome domains were identified, including patient and clinical demographics, hernia-related symptoms, hernia morphology, recurrent incisional hernia, operative variables, postoperative variables, follow-up and patient-reported outcomes. Clinical outcomes such as hernia recurrence rates were reported in 80 studies (87 per cent). A total of nine different definitions for detecting hernia recurrence were identified. Patient-reported outcomes were reported in 31 studies (34 per cent), with 18 different assessment measures used. Conclusions This review demonstrates the significant heterogeneity in outcome reporting in incisional hernia studies, with significant variation in outcome assessment and definitions. This is coupled with significant under-reporting of patient-reported outcomes.
Funding was provided by the British Hernia Society and European Hernia Society.
Article
Published version
English
Hèrnia - Cirurgia - Complicacions; Avaluació de resultats (Assistència sanitària); DISEASES::Pathological Conditions, Signs and Symptoms::Pathological Conditions, Anatomical::Hernia::Incisional Hernia; Other subheadings::Other subheadings::Other subheadings::/surgery; ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Investigative Techniques::Epidemiologic Methods::Data Collection::Surveys and Questionnaires::Health Care Surveys::Patient Reported Outcome Measures; DISEASES::Pathological Conditions, Signs and Symptoms::Pathologic Processes::Postoperative Complications; ENFERMEDADES::afecciones patológicas, signos y síntomas::afecciones patológicas anatómicas::hernia::eventración; Otros calificadores::Otros calificadores::Otros calificadores::/cirugía; TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::técnicas de investigación::métodos epidemiológicos::recopilación de datos::encuestas y cuestionarios::encuestas sobre atención a la salud::medidas de resultados percibidos por los pacientes; ENFERMEDADES::afecciones patológicas, signos y síntomas::procesos patológicos::complicaciones posoperatorias
Oxford University Press
BJS open;5(2)
https://doi.org/10.1093/bjsopen/zrab006
Attribution 4.0 International
http://creativecommons.org/licenses/by/4.0/
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