Comparison of laparoscopic and open inguinal hernia repair in adults: A retrospective cohort study using a medical claims database

Yoneyama, T; Nakashima, Masayuki; Takeuchi, Masato; Kawakami, Koji

doi:10.1111/ases.13039

Cited by 6 publications

(3 citation statements)

References 37 publications

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“…3 In the field of gastrointestinal (GI) surgery, utilization of claims databases has been increasing. [4][5][6] However, the decision on the existence or nonexistence of postoperative complications is complex in clinical practice; hence, it cannot be mechanically handled. The accuracy of extraction of postoperative complications from real-world data should be considered carefully but has been rarely validated.…”

Section: Introductionmentioning

confidence: 99%

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Identification of complications requiring interventions after gastrointestinal cancer surgery from real‐world data: An external validation study

Kinoshita

Nishigori

Kunisawa

et al. 2023

Annals of Gastroent Surgery

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BackgroundRecently, real‐world data have been recognized to have a significant role for research and quality improvement worldwide. The decision on the existence or nonexistence of postoperative complications is complex in clinical practice. This multicenter validation study aimed to evaluate the accuracy of identification of patients who underwent gastrointestinal (GI) cancer surgery and extraction of postoperative complications from Japanese administrative claims data.MethodsWe compared data extracted from both the Diagnosis Procedure Combination (DPC) and chart review of patients who underwent GI cancer surgery from April 2016 to March 2019. Using data of 658 patients at Kyoto University Hospital, we developed algorithms for the extraction of patients and postoperative complications requiring interventions, which included an invasive procedure, reoperation, mechanical ventilation, hemodialysis, intensive care unit management, and in‐hospital mortality. The accuracy of the algorithms was externally validated using the data of 1708 patients at two other hospitals.ResultsIn the overall validation set, 1694 of 1708 eligible patients were correctly extracted by DPC (sensitivity 0.992 and positive predictive value 0.992). All postoperative complications requiring interventions had a sensitivity of >0.798 and a specificity of almost 1.000. The overall sensitivity and specificity of Clavien–Dindo ≥grade IIIb complications was 1.000 and 0.995, respectively.ConclusionPatients undergoing GI cancer surgery and postoperative complications requiring interventions can be accurately identified using the real‐world data. This multicenter external validation study may contribute to future research on hospital quality improvement or to a large‐scale comparison study among nationwide hospitals using real‐world data.

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Section: Introductionmentioning

confidence: 99%

“…Unlike manual development of a clinical database, utilization of electronic claims data can save data collection time or cost 3 . In the field of gastrointestinal (GI) surgery, utilization of claims databases has been increasing 4–6 …”

Section: Introductionmentioning

confidence: 99%

Identification of complications requiring interventions after gastrointestinal cancer surgery from real‐world data: An external validation study

Kinoshita

Nishigori

Kunisawa

et al. 2023

Annals of Gastroent Surgery

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“…As a micro-innovative surgical approach, LIHR provides more options for the treatment of inguinal hernia ( 9 , 10 ). Compared with traditional open surgery, minimally invasive surgery can relieve patients’ surgical trauma, reduce the risk of postoperative complications, and limit patients’ postoperative pain, making it the preferred surgical method for the clinical treatment of inguinal hernia at present ( 11 ).…”

Section: Introductionmentioning

confidence: 99%

Clinical Data Analysis for Treatment of Adult Inguinal Hernia by TAPP or TEP

et al. 2022

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BackgroundTransabdominal preperitoneal (TAPP) repair and totally extraperitoneal (TEP) repair are the primary surgical methods for the treatment of adult inguinal hernia, but it remains necessary to consider which one to choose in clinical practice. Our study seeks to compare the efficacy of laparoscopic TAPP and laparoscopic TEP in the treatment of adult inguinal hernia and to explore which surgical method is a better choice.MethodsA retrospective analysis of 686 adult patients with inguinal hernia admitted to our hospital from the period January 2016 to December 2020 was conducted. According to different surgical methods, they were divided into two groups: a TAPP group (n = 361) and a TEP group (n = 325). These two groups of patients were statistically analyzed, and the operation time, postoperative pain, postoperative hospital stay length, postoperative complications, and recurrence rate were compared between them.ResultsThere were no significant differences in postoperative hospital stay, complications, and the recurrence rate between the two groups (p > 0.05). The duration of operation in the TEP group was significantly shorter than that in the TAPP group, and the difference was statistically significant (p < 0.001); in terms of postoperative pain, the TEP group fared better than the TAPP group, and the difference was statistically significant (p < 0.001).ConclusionTAPP and TEP are safe and effective surgical methods in the treatment of adult inguinal hernia. However, compared with TAPP, TEP can significantly shorten the operative time, reduce intraoperative trauma, and limit postoperative pain in the treatment of adult inguinal hernia. Furthermore, it does not increase the rate of complications or recurrence, so it is worth popularizing.

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Trends in minimally invasive and open inguinal hernia repair: an analysis of ACGME general surgery case logs

Halpern,

Klein,

McSweeney

et al. 2024

Surg Endosc

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Comparison of laparoscopic and open inguinal hernia repair in adults: A retrospective cohort study using a medical claims database

Cited by 6 publications

References 37 publications

Identification of complications requiring interventions after gastrointestinal cancer surgery from real‐world data: An external validation study

Identification of complications requiring interventions after gastrointestinal cancer surgery from real‐world data: An external validation study

Clinical Data Analysis for Treatment of Adult Inguinal Hernia by TAPP or TEP

Trends in minimally invasive and open inguinal hernia repair: an analysis of ACGME general surgery case logs

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