Self-Reported Adverse Events after Groin Hernia Repair, A Study Based on a National Register

Fränneby, Ulf; Sandblom, Gabriel; Nyrén, Olof; Nordin, Pär; Gunnarsson, Ulf

doi:10.1111/j.1524-4733.2008.00330.x

Cited by 28 publications

(22 citation statements)

References 15 publications

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“…Registration of complications is most often a weak point and results of this study underline previous findings that there may be a discrepancy in adverse event rates between the number of damage claims and complications recorded in a structured follow-up system [9]. It has to be underlined that the malpractice claims is a super selective group of individuals who have suffered from a consequence that was not anticipated after a routine surgical procedure.…”

Section: Discussionsupporting

confidence: 61%

Risk factors for injuries associated with damage claims following groin hernia repair

Nordin

Ahlberg²,

Johansson

et al. 2017

Hernia

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PurposeSurgical repair of groin hernia should be carried out with minimal complication rates, and it is important to have regular quality control and accurate means of assessment. The Swedish healthcare system has a mutual insurance company (LÖF) that receives claims from patients who have suffered healthcare-related damage or malpractice. The Swedish Hernia Register (SHR) currently covers around 98% of all Swedish groin hernia operations. The aim of this study was to analyse damage claims following groin hernia repair surgery and link these with entries in the SHR, in order to identify risk factors and causes of injuries and malpractice associated with hernia repair.MethodsData on all 48,574 groin hernia operations registered in the SHR between 2008 and 2010 were compared and linked with data on claims made to the Swedish National Patient Injury Insurance (LÖF).ResultsOf the 130 damage claims received by LÖF, 26 dealt with bleeding, 20 with testicular injury and 7 with intestinal lesions. Eighty (62%) of the complications were considered malpractice according to the Swedish Patient Injury Act. Acute and recurrent surgery, sutured repair and general anaesthesia were associated with a significantly increased risk for a damage claim independently the patients were compensated or not. Females filed claims in greater proportion than males. There was no significant difference in background factors between claims accepted by LÖF and compensated and those who were rejected compensation.ConclusionRisk factors for filing a damage claim included acute surgery, operation for recurrence, sutured repair and general anaesthesia, whereas local anaesthesia reduced the risk.

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Section: Discussionsupporting

confidence: 61%

Risk factors for injuries associated with damage claims following groin hernia repair

Nordin

Ahlberg²,

Johansson

et al. 2017

Hernia

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show abstract

“…However, as there is no organized active follow‐up in the SHR, important underascertainment has been noted28. In a previous study, patients undergoing any kind of inguinal hernia repair and registered in the SHR were asked to self‐report complications via a postal questionnaire28. Notably, the reported overall complication rate was more than four times higher than the rate recorded in the SHR (23·8 versus 5·2 per cent).…”

Section: Discussionmentioning

confidence: 99%

“…According to the SHR, the frequency of postoperative infection among men having outpatient inguinal hernia repair using prosthetic material (surgical procedure code JAB30), and not also operated on in 2005, was 1·4 per cent in 2006 (B. Häggqvist, personal communication of data from the SHR). However, as there is no organized active follow‐up in the SHR, important underascertainment has been noted28. In a previous study, patients undergoing any kind of inguinal hernia repair and registered in the SHR were asked to self‐report complications via a postal questionnaire28.…”

Section: Discussionmentioning

confidence: 99%

New 8‐Amino‐BODIPY Derivatives: Surpassing Laser Dyes at Blue‐Edge Wavelengths

Bañuelos

Martín

Gómez‐Durán

et al. 2011

Chemistry A European J

153

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The development of highly efficient and stable blue-emitting dyes to overcome some of the most important shortcomings of available chromophores is of great technological importance for modern optical, analytical, electronic, and biological applications. Here, we report the design, synthesis and characterization of new tailor-made BODIPY dyes with efficient absorption and emission in the blue spectral region. The major challenge is the effective management of the electron-donor strength of the substitution pattern, in order to modulate the emission of these novel dyes over a wide spectral range (430-500 nm). A direct relationship between the electron-donor character of the substituent and the extension of the spectral hypsochromic shift is seen through the energy increase of the LUMO state. However, when the electron-donor character of the substituent is high enough, an intramolecular charge-transfer process appears to decrease the fluorescence ability of these dyes, especially in polar media. Some of the reported novel BODIPY dyes provide very high fluorescence quantum yields, close to unity, and large Stokes shifts, leading to highly efficient tunable dye lasers in the blue part of the spectrum; this so far remains an unexploited region with BODIPYs. In fact, under demanding transversal pumping conditions, the new dyes lase with unexpectedly high lasing efficiencies of up to 63 %, and also show high photostabilities, outperforming the laser action of other dyes considered as benchmarks in the same spectral region. Considering the easy synthetic protocol and the wide variety of possible substituents, we are confident that this strategy could be successfully extended for the development of efficient blue-edge emitting materials and devices, impelling biophotonic and optoelectronic applications.

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“…The repeated experiences over time, allow the acquirement of a set of adaptive strategies for patients to take control of their therapeutic journey [21,22]. If properly informed and motivated, patients have the capability to play an important role in the prevention or at least diminution of adverse events.…”

Section: Patient Involvement and Error Preventionmentioning

confidence: 99%

The role of patient involvement in the diagnostic process in internal medicine: A cognitive approach

Lucchiari

Pravettoni

2013

European Journal of Internal Medicine

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Self-Reported Adverse Events after Groin Hernia Repair, A Study Based on a National Register

Abstract: Questionnaires provide valuable additional information concerning postoperative complications. We recommend that they become an integrated part of routine postoperative assessment.

Cited by 28 publications

References 15 publications

Risk factors for injuries associated with damage claims following groin hernia repair

Risk factors for injuries associated with damage claims following groin hernia repair

New 8‐Amino‐BODIPY Derivatives: Surpassing Laser Dyes at Blue‐Edge Wavelengths

The role of patient involvement in the diagnostic process in internal medicine: A cognitive approach

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