ArticleJournal of pediatric surgery2015
Does timing of neonatal inguinal hernia repair affect outcomes?
Article in Journal of pediatric surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
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Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 64 citations in OpenAlex.
- Meta-Analysis to Determine Optimal Timing for Repair of Inguinal Hernia in Pre-Term Infants.World journal of surgery · 2025Pooled it
- Risk of incarceration in children with inguinal hernia: a systematic review.Hernia : the journal of hernias and abdominal wall surgery · 2019Pooled it
- Trial
- Natural history of inguinal hernia in neonates and infants: clinical regression and incarceration.Pediatric surgery international · 2026Article
- Current status of neonatal surgery in Japan: An analysis of data from the National Clinical Database Pediatric Surgical Registry.Pediatric surgery international · 2025Article
- Impact of Surgical Timing on Outcomes in Neonatal Inguinal Hernia Repairs: A Systematic Review.Pediatric reports · 2025Review
- Costs and recurrence of inguinal hernia repair in premature infants during neonatal admission.Journal of pediatric surgery · 2023Article
- Comparing Outcomes of Single-Incision Laparoscopic Herniorrhaphy in Newborns and Infants.Diagnostics (Basel, Switzerland) · 2023Article
- Article
- Laparoscopic repair of bilateral inguinal hernias each containing sigmoid colon in a premature infant.Journal of pediatric surgery case reports · 2021Article
- Long-term outcomes of pediatric laparoscopic needled-assisted inguinal hernia repair: A 10-year experience.Journal of pediatric surgery · 2021Article
- Delaying surgery for inguinal hernia in neonates: Is it worthwhile?Journal of Taibah University Medical Sciences · 2019Article
- Propensity score analysis with partially observed covariates: How should multiple imputation be used?Statistical methods in medical research · 2019Article
- Inguinal hernias in premature neonates: exploring optimal timing for repair.Pediatric surgery international · 2018Article
- A multi-institution analysis of predictors of timing of inguinal hernia repair among premature infants.Journal of pediatric surgery · 2018Article
- The efficacy of laparoscopic intracorporeal linear suture technique as a strategy for reducing recurrences in pediatric inguinal hernia.Hernia : the journal of hernias and abdominal wall surgery · 2017Article
- Awareness of Common Pediatric Surgical Entities among Practicing Indian Pediatricians.Journal of Indian Association of Pediatric SurgeonsArticle
- Male Gender and Prematurity are Risk Factors for Incarceration in Pediatric Inguinal Hernia: A Study of 922 Children.Journal of Indian Association of Pediatric SurgeonsArticle
Corrections and comments
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Authors and funding
10 authors at 4 institutions in 1 country.
Funding
Abstract
purposeThe purpose of this study was to examine practice variability and compare outcomes between early and delayed neonatal inguinal hernia repair (IHR).
methodsPatients admitted to neonatal intensive care units with a diagnosis of IH who underwent IHR by age 1 year in the Pediatric Health Information System from 1999 to 2011 were included. IHR after the index hospitalization was considered delayed. Inter-hospital variability in the proportion of delayed repairs and differences in outcomes for each group were compared. A propensity score matched analysis was performed to account for baseline differences between treatment groups.
resultsOf the 2030 patients identified, 32.9% underwent delayed IHR with significant variability in the proportion of patients having delayed repair across hospitals (p<0.0001). More patients in the delayed group had a congenital anomaly or received life supportive measures prior to IHR (all p<0.01), and 8.2% of patients undergoing delayed repair had a diagnosis of incarceration at repair. More patients in the early group underwent reoperation for hernia within 1 year (5.9% vs. 3.7%, p=0.02). Results were similar after performing a propensity score matched analysis.
conclusionsSignificant variability in practice exists between children's hospitals in the timing of IHR, with delayed repair associated with incarceration and early repair with a higher rate of reoperation.
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Registered trials
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.