Evidence map›Paper›PMID 23793858›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2013

Nationwide prospective study on readmission after umbilical or epigastric hernia repair.

F Helgstrand, L N Jørgensen, J Rosenberg, H Kehlet, T Bisgaard

Abstract read
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In one paragraph

Article in Hernia : the journal of hernias and abdominal wall surgery, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 3 pooled it
1.2field-weighted citation impact, top 20% 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

22 citing papers in PubMed, 3 syntheses or guidelines pooled it, 49 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. A systematic review on surgical treatment of primary epigastric hernias.Hernia : the journal of hernias and abdominal wall surgery · 2019
    Pooled it
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  11. Unplanned readmissions after hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2023
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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

5 authors at 3 institutions in 1 country.

F HelgstrandKøge Hospital, University of Copenhagen, Køge, Denmark. helgstrand@me.com
L N Jørgensen
J Rosenberg
H Kehlet
T Bisgaard
Zealand University Hospital Køge · DKCopenhagen University Hospital · DKUniversity of Copenhagen · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe primary aim of the present study was to investigate risk factors for readmission after elective umbilical and epigastric hernia repair and secondarily to evaluate causes for readmission.

methodsAll patients with elective umbilical or epigastric hernias registered in The Danish Hernia Database during January 2007-January 2011 were included. A 100 % 30-day follow-up was obtained by merging with administrative data from The Danish National Patient Register.

resultsA total of 6,783 umbilical and epigastric hernia repairs were included (open = 5,634; laparoscopic = 1,149). Readmissions caused by surgical and medical complications related to the hernia repair were observed in 3.6 and 1.5 % of patients, respectively. Surgical complications were mainly due to pain and wound complications, whereas medical complications were mainly cardiovascular, pulmonary, and renal complications. There were no significant differences in surgical or medical complication rates and in risk factors for readmission between open and laparoscopic repair, P ≥ 0.229. After open repair, independent risk factors for readmission were umbilical hernia repair (vs epigastric repair) (OR = 1.5, 95 % CI 1.1-2.1), hernia defects >2 cm (OR = 1.7, 95 % CI 1.2-2.5), mesh reinforcement (OR = 1.3, 95 % CI 1.0-1.7), and tacked mesh fixation (OR = 2.6, 95 % CI 1.1-6.0). After laparoscopic repair, female gender was the only independent risk factor for readmission (OR = 1.7, 95 % CI 1.1-2.7).

conclusionThe risk for 30-day readmission after umbilical or epigastric hernia repairs was mainly because of surgical complications. Open mesh repair reduced the risk for readmission in open repairs; no specific approach was found to reduce readmission after laparoscopic repair.

Indexed as

AdolescentAdultAgedAged, 80 and overCardiovascular DiseasesDenmarkElective Surgical ProceduresFemaleGastrointestinal DiseasesHematomaHernia, UmbilicalHerniorrhaphyHumansKidney DiseasesLaparoscopyLung Diseases

Identifiers

PMID23793858
OpenAlexW2119102902

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.