Review of currently used standardized measures of quality of life after ventral incisional hernia repair: systematic review

Majeed, Talal; Chauhan, Mohammad Noor

doi:10.18203/2349-2902.isj20191921

Cited by 4 publications

(2 citation statements)

References 23 publications

(47 reference statements)

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“…Besides, all patients with Rives-Stoppa hernia repair had the same mesh features which avoid the influence of different mesh features on patient pain, sensation, and quality of life. Fourth, although it was shown in the literature reviews that complete assessment of the quality of life after hernia surgery is best achieved using a general scale with a specific scale and a validated pain scale [ 28 ], we did not use a specific pain score. We assessed pain using items in the SF-36 questionnaire, EuraHS QoL questionnaire, and CCS.…”

Section: Discussionmentioning

confidence: 99%

Quality of life following two different techniques of an open ventral hernia repair for large hernias: a prospective randomized study

et al. 2022

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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.

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Section: Discussionmentioning

confidence: 99%

Quality of life following two different techniques of an open ventral hernia repair for large hernias: a prospective randomized study

et al. 2022

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“…Please note that the AAS is only included here under the umbrella of CAWH specific tools since it has been outlined as such in a systematic review Grove et al [ 15 ] and by Majeed et al [ 46 ]. Although it is possible that the authors of these systematic reviews looked at the origins of the tools identified via their search strategies this is not addressed within their papers.…”

Section: Discussionmentioning

confidence: 99%

Health-related quality of life in abdominal wall hernia: let’s ask patients what matters to them?

Smith

Mierzwinski

Chitsabesan

et al. 2022

Hernia

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Introduction Quality of Life (QoL) is an important consideration in patients with abdominal wall hernia (AWH). What matters to patients and their everyday experience living with AWH may depend on a variety of personal, psychological, social and environmental factors. At present, no study has addressed what is important to this particular group of patients by asking the patients themselves. This study aims to determine QoL from the patient’s perspective by examining the lived experience in this patient population. Methods We interviewed 15 patients with AWH until thematic saturation. The patients were purposively sampled from AWH clinic between February 2020 and June 2020 using topic guides and interview schedules. Verbatim interview transcripts were coded and analysed using NVivo12 software and Interpretative Phenomenological Analysis (IPA). We adhered to consolidated criteria for reporting qualitative research (COREQ). Results Fifteen participants (8 men and 7 women) of age range 36–85 years, median 65 years, covering all Ventral Hernia Working Group (VHWG) grades. Five superordinate themes were identified each with several subordinate themes, as follows: (1) body image (subthemes—‘changes to perceptions of self’ and ‘fears concerning perceptions of others’). (2) Mental health (subthemes—‘emotional responses’, ‘disruptions to previously solid aspects of identity’, ‘developing coping strategies’). (3) Symptoms (subthemes—‘managing pain’, ‘freedom of movement’, ‘restriction and adaptation of function’). (4) Interpersonal relationships (subthemes—‘difficulties socially connecting’ and ‘changes in sexual relations’). (5) Employment (subthemes—‘financial pressure’, ‘return to work issues’ and ‘costs to family’). Conclusion This is the first phenomenological qualitative study in the field of AWH and presents a rich account of what is important to these patients in terms of QoL. Developed from the patients’ own words, the themes are interrelated and should shape our understanding of patients with AWH. This study provides qualitative examples of each theme. This study has identified new themes (body image, interpersonal relationships and employment) that are not incorporated in existing AWH-specific QoL instruments. This is important for surgeons because the study suggests that we are currently not capturing all data relevant to QoL in this specific patient group with current tools. The wider impact of this would be to help counsel patients and support them more holistically through the disease process and it's management. Further research is needed to generate a standardised AWH QoL instrument which incorporates bio-psycho-emotional–social themes important to patients, as identified by patients.

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Validation of the minimal clinically important difference for modified activities assessment scale

Neela

Olavarria

Rondon

et al. 2022

The American Journal of Surgery

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Review of currently used standardized measures of quality of life after ventral incisional hernia repair: systematic review

Cited by 4 publications

References 23 publications

Quality of life following two different techniques of an open ventral hernia repair for large hernias: a prospective randomized study

Quality of life following two different techniques of an open ventral hernia repair for large hernias: a prospective randomized study

Health-related quality of life in abdominal wall hernia: let’s ask patients what matters to them?

Validation of the minimal clinically important difference for modified activities assessment scale

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