Evidence map›Paper›PMID 19034602›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2009

Day-case inguinal hernia repair in the elderly: a surgical priority.

M Kurzer, A Kark, S T Hussain

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Hernia : the journal of hernias and abdominal wall surgery, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.8field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 48 citations in OpenAlex.

  1. Trial
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  4. Observational
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  9. Review
  10. Strangulated groin hernia in octogenarians.Hernia : the journal of hernias and abdominal wall surgery · 2015
    Article
  11. Laparoscopic versus open inguinal hernia repair on patients over 75 years of age.International journal of clinical and experimental medicine · 2015
    Article
  12. Article
  13. Laparoscopic versus open inguinal hernia repair in octogenarians.Hernia : the journal of hernias and abdominal wall surgery · 2011
    Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 2 countries.

M KurzerBritish Hernia Centre, 87 Watford Way, London NW4 4RS, UK. surgeons@hernia.org
A Kark
S T Hussain
Hernia Center · USNorthwick Park Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo compare patients over 70 years old with those under 50 years old undergoing inguinal hernia repair. PATIENTS AND

methodsFifty patients aged >70 years (group A) and 50 patients age <50 years (group B) underwent local anaesthetic mesh repair. The mean age for group A was 77.2 years (range 70-85) and for group B it was 40.2 years (range 17-49). There were 46 patients with comorbidities in group A and seven in group B. There were 30 patients with cardiac comorbidities in group A and two in group B.

resultsThere were no major complications, infections, haematomas or unplanned admissions in either group. Patients >70 years of age had less post-operative discomfort and recovered more quickly than patients aged <50 years. The number of days of analgesic use and time to return to normal activities was longer in the younger group, 6.0 versus 3.4 and 21 versus 13, respectively. There was no significant difference between the groups in patients having discomfort at 3 months post-operatively. More patients were satisfied in the older group, though the difference was not statistically significant.

conclusionElective inguinal hernia repair under local anaesthetic in the elderly has a good outcome, even if there are significant comorbidities. Ambulatory surgery is feasible in this age group and age alone or co-existing disease should not be a barrier to elective day-case inguinal hernia repair.

Indexed as

AdolescentAdultAgedAged, 80 and overAmbulatory CareAnesthesia, LocalChi-Square DistributionComorbidityHernia, InguinalHumansMaleMiddle AgedPain MeasurementPatient SatisfactionPostoperative ComplicationsRecovery of Function

Identifiers

PMID19034602
OpenAlexW2120297036

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.