ArticleHernia : the journal of hernias and abdominal wall surgery2014
An estimation of inguinal hernia epidemiology adjusted for population age structure in Tanzania.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.
- Meta-analysis of the use of sterilized mosquito net mesh for inguinal hernia repair in less economically developed countries.BJS open · 2019Pooled it
- International guidelines for groin hernia management.Hernia : the journal of hernias and abdominal wall surgery · 2018Guideline
- Standardised Competency-Based Training of Medical Doctors and Associate Clinicians in Inguinal Repair with Mesh in Sierra Leone.World journal of surgery · 2023Trial
- Abdominal wall hernia management in a second level hospital of Senegal: a cross-sectional study.Frontiers in surgery · 2026Article
- Prevalence, incidence, repair rate, and morbidity of groin hernias in Sierra Leone: cross-sectional household study.BJS open · 2023Article
- Improving surgical education in East Africa with a standardized hernia training program.Hernia : the journal of hernias and abdominal wall surgery · 2021Article
- Comparative study of collagen and elastin content of abdominal wall fascia in inguinal hernia and non-hernia patients in an African population.Hernia : the journal of hernias and abdominal wall surgery · 2020Article
- Consensus on international guidelines for management of groin hernias.Surgical endoscopy · 2020Article
- Prevalence and risk factors for abdominal wall hernia in the general Russian population.Hernia : the journal of hernias and abdominal wall surgery · 2019Article
- Prevalence of Untreated Surgical Conditions in Rural Rwanda: A Population-Based Cross-sectional Study in Burera District.JAMA surgery · 2017Article
- The Usefulness of International Cooperation in the Repair of Inguinal Hernias in Sub-Saharan Africa.World journal of surgery · 2015Article
- Quality of referrals for elective surgery at a tertiary care hospital in a developing country: an opportunity for improving timely access to and cost-effectiveness of surgical care.International journal of surgery (London, England) · 2015Article
- An estimate of hernia prevalence in Nepal from a countrywide community survey.International journal of surgery (London, England) · 2015Article
- Characterizing the global burden of surgical disease: a method to estimate inguinal hernia epidemiology in Ghana: reply.World journal of surgery · 2014Article
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Authors and funding
6 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeSurgical conditions represent a significant source of global disease burden. Little is known about the epidemiology of inguinal hernia in resource-poor settings. We present a method to estimate inguinal hernia disease burden in Tanzania.
methodsUsing data from the United States National Health and Nutrition Examination Survey (NHANES) prospective cohort study and Tanzanian demographic figures, we calculated inguinal hernia incidence and prevalence in Tanzanian adults under three surgical rate scenarios. Gender-specific incidence figures from NHANES data were adjusted according to Tanzanian population age structure. Hernia duration was adjusted for Tanzanian life expectancy within each age group.
resultsThe prevalence of inguinal hernia in Tanzanian adults is 5.36% while an estimated 12.09% of men had hernias. Today, 683,904 adults suffer from symptomatic inguinal hernia in Tanzania. The annual incidence of symptomatic hernias in Tanzanian adults is 163 per 100,000 population. At Tanzania's current hernia repair rate, a backlog of 995,874 hernias in need of repair will develop over 10 years. 4.4 million disability-adjusted life-years would be averted with repair of prevalent symptomatic hernias in Tanzania.
conclusionsOur data indicate the extent of inguinal hernia disease burden in Tanzania. By adjusting our figures for the age structure of Tanzania, we have demonstrated that while the incidence of symptomatic cases may be lower than previously thought, prevalence of inguinal hernia in Tanzania remains high. This approach provides an update to our previously described methodology for calculation of inguinal hernia epidemiology in resource-poor settings that may be used in multiple country contexts.
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