S-144 lack of association between glycated hemoglobin and adverse outcomes in diabetic patients undergoing ventral hernia repair: an ACHQC study

Al-Mansour, Mazen R.; Vargas, Melanie; Olson, Molly A.; Gupta, Anand; Read, Thomas E.; Algarra, Nelson N.

doi:10.1007/s00464-022-09479-1

Cited by 6 publications

(3 citation statements)

References 27 publications

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“…smoking, obesity, diabetes, etc.) is retrospective, which carries inherent limitations and leaves room for debate [12][13][14][15][21][22][23]. Our data suggests that the VHWG publication may have encouraged surgeons index of -0.44, the Ventral Hernia Working Group publication reinforced concepts existing in the literature of the time regarding the importance of comorbidities and the role of biologic mesh in VHR.…”

Section: Discussionmentioning

confidence: 86%

“…Notably, at the time of publication there were no randomized trials comparing synthetic and biologic mesh use in ventral hernia repair. Subsequent authors have investigated the validity of the VHWG's assertions that certain patient characteristics presented prohibitive risks of wound complications if permanent synthetic mesh was used for reinforcement of ventral hernia repairs with variable results [11][12][13][14][15]. While it is known that the publication was widely cited, to our knowledge there has been no investigation of how the publication changed the frequency of specific topics written about in the field [8].…”

Section: Introductionmentioning

confidence: 99%

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Impact of the ventral hernia working group’s publication: a bibliometric analysis

Maskal,

de Figueiredo,

Weaver

et al. 2024

Hernia

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Purpose The Ventral Hernia Working Group (VHWG) proposed a ventral hernia grading guideline, primarily supported by expert opinion, recommending biologic mesh placement in high-risk patients. We investigated the relationship between this industry-sponsored guideline and discourse around ventral hernia repair (VHR). Methods Medline platform from Web of Science’s database identified publications “pre-VHWG”(1999-01-01 to 2009-12-31), and “post-VHWG”(2010-01-01 to 2020-12-31) describing VHR and complications or recurrence of VHR with the following comorbidities: COPD, smoking, diabetes, immunosuppression, or obesity. Poisson regression analyzed keyword frequency over time using logarithmically transformed data. Results Of 1291 VHR publications identified pre-VHWG and 3041 publications identified post-VHWG, 172 (13.3%) and 642 (21.1%) publications respectively included prespecified keywords. The keyword groups “biologic”(IRR 3.39,95%CI1.34-11.4,p = 0.022) and “comorbid”(IRR 1.95, 95%CI1.09-3.74,p = 0.033) significantly increased with frequency after publication of the VHWG. Conclusion The VHWG publication likely contributed to a focus on comorbidities and biologic mesh in the ensuing literature within the field of VHR.

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Section: Discussionmentioning

confidence: 86%

Section: Introductionmentioning

confidence: 99%

Impact of the ventral hernia working group’s publication: a bibliometric analysis

Maskal,

de Figueiredo,

Weaver

et al. 2024

Hernia

View full text Add to dashboard Cite

show abstract

“…Importantly, the data gathered were not from hernia-specific studies and showed increased odds of 1.69–5.8 for postoperative complications when HBA1C was > 6.0–7.0%. A more recent retrospective review of prospectively collected data on the hernia-specific Abdominal Core Health Quality Collaborative (ACHQC) database looked at the association of HbA1c and outcomes of ventral hernia repairs in diabetic patients [ 15 ]. The patients were divided into two groups (HbA1c < 8% and HbA1c ≥ 8%).…”

Section: Diabetesmentioning

confidence: 99%

Preoperative optimization in hernia surgery: are we really helping or are we just stalling?

Fafaj,

de Figueiredo,

Rosen

et al. 2024

Hernia

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Background Managing patients with abdominal wall hernias and multiple comorbidities can be challenging because these patients are at increased risk for postoperative complications. Preoperative optimization has been used to identify and intervene upon modifiable risk factors to improve hernia repair outcomes, however, waiting to achieve optimization may cause unnecessary delays. Methods We describe our approach to preoperative optimization in hernia and we review the current evidence for preoperative optimization. Conclusion Modifying risk factors before undergoing elective hernia repair can improve the overall health of patients with multiple comorbidities. However, when considering the hernia-specific data, prolonging waiting times for patients to achieve full optimization is not justified. Surgeons should take a nuanced approach to balance achieving patient optimization without unnecessarily delaying surgical care.

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Gender, racial, and socioeconomic disparity of preoperative optimization goals in ventral hernia repair

Al-Mansour,

Gabriel,

Neal

2023

Surg Endosc

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S-144 lack of association between glycated hemoglobin and adverse outcomes in diabetic patients undergoing ventral hernia repair: an ACHQC study

Cited by 6 publications

References 27 publications

Impact of the ventral hernia working group’s publication: a bibliometric analysis

Impact of the ventral hernia working group’s publication: a bibliometric analysis

Preoperative optimization in hernia surgery: are we really helping or are we just stalling?

Gender, racial, and socioeconomic disparity of preoperative optimization goals in ventral hernia repair

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