Measuring quality of life in patients with abdominal wall hernias: a systematic review of available tools

Grove, T; Muirhead, Laura J.; Parker, Samuel G.; Brogden, Danielle R L; Mills, Sarah; Kontovounisios, Christos; Windsor, Alastair; Warren, Oliver

doi:10.1007/s10029-020-02210-w

Cited by 35 publications

(32 citation statements)

References 46 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The surgery can be time- and resource-consuming, and technically difficult with prolonged postoperative stay, often in ICU. Adverse outcomes have a lasting impact on patients’ physical and mental health, which often leads to hernia recurrence, prolonged healing, and impaired QoL and ability to return to work 25 , leading to wider-reaching socioeconomic implications. A US readmission database study 27 reported that around one-fifth of patients undergoing ventral hernia repair are readmitted within 1 year, and 35 per cent of these require reoperation.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Perioperative optimization in complex abdominal wall hernias: Delphi consensus statement

et al. 2021

View full text Add to dashboard Cite

Background The incidence of incisional hernia after major abdominal surgery via a midline laparotomy is 20–41 per cent with short-term follow-up, and over 50 per cent in those surviving an abdominal catastrophe. Abdominal wall reconstruction (AWR) requires complex operations, often involving mesh resection, management of scarred skin, fistula takedown, component separation or flap reconstruction. Patients tend to have more complex conditions, with multiple co-morbidities predisposing them to a vicious cycle of complications and, subsequently, hernia recurrence. Currently there appears to be variance in perioperative practice and minimal guidance globally. The aim of this Delphi consensus was to provide a clear benchmark of care for the preoperative assessment and perioperative optimization of patients undergoing AWR. Methods The Delphi method was used to achieve consensus from invited experts in the field of AWR. Thirty-two hernia surgeons from recognized hernia societies globally took part. The process included two rounds of anonymous web-based voting with response analysis and formal feedback, concluding with a live round of voting followed by discussion at an international conference. Consensus for a strong recommendation was achieved with 80 per cent agreement, and a weak recommendation with 75 per cent agreement. Results Consensus was obtained on 52 statements including surgical assessment, preoperative assessment, perioperative optimization, multidisciplinary team and decision-making, and quality-of-life assessment. Forty-six achieved over 80 per cent agreement; 14 statements achieved over 95 per cent agreement. Conclusion Clear consensus recommendations from a global group of experts in the AWR field are presented in this study. These should be used as a baseline for surgeons and centres managing abdominal wall hernias and performing complex AWR.

show abstract

Section: Discussionmentioning

confidence: 99%

“…QoL is an important factor in AWR but, despite a number of tools in use, it remains understudied 25 . Although AWR is performed primarily for improvement in QoL, measurement and assessment of this aspect is often overlooked and not discussed with the patient.…”

Section: Statement Recommendationsmentioning

confidence: 99%

Perioperative optimization in complex abdominal wall hernias: Delphi consensus statement

et al. 2021

View full text Add to dashboard Cite

show abstract

“…[ 12 ] We believe that adipose tissue deposition varies between genders, and this can lead to gender differences in hernia formation. [ 19 20 ]…”

Section: Discussionmentioning

confidence: 99%

Prevalence and risk factors of abdominal hernia among Saudi population

Mahfouz

Aljuaid

2021

Journal of Family Medicine and Primary Care

View full text Add to dashboard Cite

Objective: Studies assessing prevalence and risk factors of abdominal hernia are scarce in Saudi Arabia, that is why this study aimed to find out the prevalence and risk factors of abdominal hernia among the Saudi Population in 2020. Methods: A cross-sectional study was done on 500 participants. A pre-designed questionnaire included three sections: Section A consisted of sociodemographic, Section B had items for three dimensions: pain at the site of the hernia or the hernia repair, restriction of activities, cosmetic discomfort; Section C included medical history and other associated risk factors of hernia. Results: The prevalence of abdominal hernia in our study was found to be 38.8%. The participants in 18-25 years had less prevalence (21.2%). participants with BMI >25 (Overweight and Obese) had higher prevalence than others. The mean EuraHS-QoL score in participants who had abdominal hernia was significantly higher than patients who didn't have AH. Age >40 years, male gender, BMI >25, congenital anomalies, history of abdominal surgery, history of abdominal trauma, family history, grand multipara, chronic cough, chronic bronchitis, and smoking were potential predictive factors of AH. Conclusion: Abdominal hernia is a common problem in Saudi Arabia. Abdominal hernias are more common in men than women, there is an obvious relationship between obesity, history of abdominal surgery, history of abdominal trauma, family history and hernias. Early diagnosis, easily accessible health facilities and health education are important to prevent complications and improve quality of life.

show abstract

“…It is suggested that both uses of generic and hernia-speci c QoL questionnaires represent the gold standard [22]. However, we already found that speci c hernia-related questionnaires have shown greater sensitivity in detecting differences between patients operated with different techniques.…”

Section: Discussionmentioning

confidence: 89%

“…The CCS is a widely accepted QoL questionnaire that is primarily used to assess QoL after hernia repair and validated in all hernia types undergoing mesh repair [22]. Also, perhaps most importantly, it is well accepted by patients.…”

Section: Discussionmentioning

confidence: 99%

Quality of Life Following Two Different Techniques of an Open Ventral Hernia Repair for Large Hernias: a Prospective Randomized Study

Antic

Kmezić

Nikolić

et al. 2021

Preprint

View full text Add to dashboard Cite

Background: We compare the health-related quality of life (QoL) of patients with incision hernias before and after surgery with two different techniques.Methods: In this prospective randomized study, the study population consisted of all patients who underwent the first surgical incisional hernias repair during the 1-year study period. Patients who met the criteria for inclusion in the study were randomized into two groups: the first group consisted of patients operated by an open Rives sublay technique, and the second group included patients operated by a segregation component technique. The change in the quality of life before and 6 months after surgery was assessed using two general (Short form of SF-36 questionnaires and European Quality of Life Questionnaire - EQ-5D-3L), and three specific hernia questionnaires (Hernia Related Quality of Life Survey-HerQles, Eura HS Quality of Life Scale - EuraHS QoL, and Carolinas Comfort Scale – CCS).Results: A total of 93 patients were included in the study. Patients operated on by the Rives technique had a better role physical score before surgery, according to the SF-36 tool, although this was not found after surgery. The postoperative Qol measured with each scale of all questionnaires was significantly better after surgery. Comparing two groups of patients after surgery, only the pain domain of the EuraHS Qol questionnaire was worse in patients operated by a segregation component technique.Conclusion: Both techniques improve the quality of life after surgery. Generic QoL questionnaires showed no difference in the quality of life compared to repair technique but specific hernia-related questionnaires showed differences.

show abstract

Measuring quality of life in patients with abdominal wall hernias: a systematic review of available tools

Cited by 35 publications

References 46 publications

Perioperative optimization in complex abdominal wall hernias: Delphi consensus statement

Perioperative optimization in complex abdominal wall hernias: Delphi consensus statement

Prevalence and risk factors of abdominal hernia among Saudi population

Quality of Life Following Two Different Techniques of an Open Ventral Hernia Repair for Large Hernias: a Prospective Randomized Study

Contact Info

Product

Resources

About