Patient reported outcomes after incisional hernia repair—establishing the ventral hernia recurrence inventory

Baucom, Rebeccah B.; Ousley, Jenny; Feurer, Irene D.; Beveridge, Gloria B.; Pierce, Richard A.; Holzman, Michael D.; Sharp, Kenneth W.; Poulose, Benjamin K.

doi:10.1016/j.amjsurg.2015.06.007

Cited by 121 publications

(64 citation statements)

References 17 publications

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“…Several previous studies have developed and validated questionnaires for inguinal hernia recurrence and IH recurrence, and their results are summarized in Supplemental Table 3. [19][20][21]30 The present study results are reasonably similar to these previous reports, all reporting a relatively high NPV and low PPV. Baucom et al 30 investigated a questionnaire to diagnose recurrent IH.…”

Section: Discussionsupporting

confidence: 92%

“…[19][20][21]30 The present study results are reasonably similar to these previous reports, all reporting a relatively high NPV and low PPV. Baucom et al 30 investigated a questionnaire to diagnose recurrent IH. The authors reported a considerably higher PPV than present results and additionally found pain to be of significant diagnostic value.…”

Section: Discussionsupporting

confidence: 92%

“…24,31 Neither the applied diagnostic definition nor the number of observers for physical examination and subsequent ultrasound were reported. Moreover, in the report by Baucom et al, 30 the prevalence rate of IH increased by a factor of 2.4 when comparing ultrasound with physical examination. This is a far greater increase compared with other previous reports.…”

Section: Discussionmentioning

confidence: 91%

See 2 more Smart Citations

Incisional Hernia Cannot Be Diagnosed by a Patient-Reported Diagnostic Questionnaire

Sneiders

Jairam

Smet

et al. 2020

Journal of Surgical Research

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 91%

See 1 more Smart Citation

Incisional Hernia Cannot Be Diagnosed by a Patient-Reported Diagnostic Questionnaire

Sneiders

Jairam

Smet

et al. 2020

Journal of Surgical Research

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“…Current PMP literature fails to sufficiently address patient-centered outcomes. 48,49 Measures including QoL, return to work, chronic pain assessments, and overall functionality will need to be further analyzed to help improve delivery to various patient populations that may benefit from prophylactic mesh placement. Bridging these knowledge gaps will help surgeons to develop PMP clinical decision-making tools and guidelines that can be further personalized based on an individual's baseline risk, comorbidities, and expected postoperative functionality.…”

Section: Discussionmentioning

confidence: 99%

Does prophylactic mesh placement in elective, midline laparotomy reduce the incidence of incisional hernia? A systematic review and meta-analysis

Borab

Shakir

Lanni

et al. 2017

Surgery

120

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Prophylactic mesh placement is associated with an 85% postoperative incisional hernia risk reduction when compared to primary suture closure in at-risk patients undergoing elective, midline laparotomy closure. This technique appears to be safe with comparable complication profiles, barring an increased risk of seroma, especially with the onlay technique, and the possibility for an increased risk of chronic pain. Despite this verification, evidence from large domestic trials that sufficiently addresses major knowledge gaps is simply lacking.

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“…10 Finally, ventral hernia recurrence was identified based on physical examination, radiographic assessment, or the Ventral Hernia Recurrence Inventory at 1 year after VHR. 13 Statistical analysis A predictive model for each of the outcomes of interest was generated using logistic regression for the binary outcomes of interest (SSI, SSOPI, and 30-day readmission), Cox proportional hazards regression for 1-year hernia recurrence, and quasi-Poisson generalized linear regression for predicted LOS. The strength of the models was determined by evaluating the bias-corrected calibration, which was calculated using bootstrap internal validation.…”

Section: Outcomes Measures Of Interestmentioning

confidence: 99%

Development and Validation of the Ventral Hernia Repair Outcomes Reporting App for Clinician and Patient Engagement (ORACLE)

Haskins

Olson

Stewart

et al. 2019

Journal of the American College of Surgeons

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BACKGROUND: Patient engagement is an increasingly important component of surgical decision making.Given the many factors associated with successful ventral hernia repair (VHR), we developed and validated the Outcomes Reporting App for Clinical and Patient Engagement (ORACLE) tool to help facilitate preoperative surgeon-patient discussions about VHR. METHODS:All patients undergoing elective, VHR with 30-day follow-up data available within the Americas Hernia Society Quality Collaborative were eligible for study inclusion. Using bootstrapping and bias-corrected calibration, predictive models were generated and validated for 5 quality measures after VHR, including postoperative wound events, estimated length of hospital stay, unplanned 30-day readmission to the hospital, and risk of hernia recurrence at 1 year postoperatively. RESULTS:A total of 10,690 patients met inclusion criteria. Based on comparison of the theoretical best to the observed calibration curves, the models for each of the 5 outcomes of interest have strong predictive strength as reflected in the Brier score for surgical site infection, surgical site occurrence requiring procedural intervention, and 30-day hospital readmission, the c-index for 1year hernia recurrence and the R 2 value for the model for predicted hospital length of stay. CONCLUSIONS: Using a national data set for development, ORACLE can be used to facilitate patient engagement, with the goal of tailoring interventions for VHR given each patient's unique factors.With ongoing data input into the Americas Hernia Society Quality Collaborative and a continuous re-evaluation of these risk models, it is our intention that this tool will serve as an up-todate resource for hernia surgeons and ventral hernia patients. (J Am Coll Surg 2019;229: 259e266. Ó

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Patient reported outcomes after incisional hernia repair—establishing the ventral hernia recurrence inventory

Cited by 121 publications

References 17 publications

Incisional Hernia Cannot Be Diagnosed by a Patient-Reported Diagnostic Questionnaire

Incisional Hernia Cannot Be Diagnosed by a Patient-Reported Diagnostic Questionnaire

Does prophylactic mesh placement in elective, midline laparotomy reduce the incidence of incisional hernia? A systematic review and meta-analysis

Development and Validation of the Ventral Hernia Repair Outcomes Reporting App for Clinician and Patient Engagement (ORACLE)

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