Evidence map›Paper›PMID 25971607›Full record

Trial reportDer Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen2016

[Watchful waiting vs surgical repair of oligosymptomatic incisional hernias: Current status of the AWARE study].

J C Lauscher, M Leonhardt, P Martus, G Zur Hausen, K Aschenbrenner, U Zurbuchen, H Thielemann, T Kohlert, R Schirren, T Simon and 3 more

Abstract readComparative StudyMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 13% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. The Treatment of Incisional Hernia.Deutsches Arzteblatt international · 2018
    Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. 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

13 authors at 10 institutions in 2 countries.

J C LauscherKlinik für Allgemein-, Viszeral- und Gefäßchirurgie, Charité Campus Benjamin Franklin, Hindenburgdamm 30, 12203, Berlin, Deutschland. johannes.lauscher@charite.de.
M LeonhardtKlinik für Allgemein-, Viszeral- und Gefäßchirurgie, Charité Campus Benjamin Franklin, Hindenburgdamm 30, 12203, Berlin, Deutschland.
P MartusInstitut für Klinische Epidemiologie und angewandte Biometrie, Universitätsklinikum Tübingen, Silcherstr. 5, 72076, Tübingen, Deutschland.
G Zur HausenInstitut für Klinisch-Onkologische Forschung, Krankenhaus Nordwest GmbH, Steinbacher Hohl 2-26, 60488, Frankfurt am Main, Deutschland.
K AschenbrennerKlinik für Allgemein-, Viszeral- und Gefäßchirurgie, Charité Campus Benjamin Franklin, Hindenburgdamm 30, 12203, Berlin, Deutschland.
U ZurbuchenKlinik für Allgemein-, Viszeral- und Gefäßchirurgie, Charité Campus Benjamin Franklin, Hindenburgdamm 30, 12203, Berlin, Deutschland.
H ThielemannKlinik für Allgemein- und Viszeralchirurgie, Unfallkrankenhaus Berlin, Warener Str. 7, 12683, Berlin, Deutschland.
T KohlertKlinik und Polyklinik für Viszeral-, Thorax- und Gefäßchirurgie, Universitätsklinikum Carl Gustav Carus, Fetscherstr.74, 01307, Dresden, Deutschland.
R SchirrenChirurgische Klinik und Poliklinik, Klinikum rechts der Isar, TUM, Ismaninger Straße 22, 81675, München, Deutschland.
T SimonAllgemein- und Viszeralchirurgie, GRN-Klinik Sinsheim, Alte Waibstadter Straße 2, 74889, Sinsheim, Deutschland.
H J BuhrDeutsche Gesellschaft für Allgemein- und Viszeralchirurgie, Schiffbauerdamm 40, 10117, Berlin, Deutschland.
J-P RitzKlinik für Allgemein- und Viszeralchirurgie, HELIOS Kliniken Schwerin, Wismarsche Straße 393-397, 19055, Schwerin, Deutschland.
M E KreisKlinik für Allgemein-, Viszeral- und Gefäßchirurgie, Charité Campus Benjamin Franklin, Hindenburgdamm 30, 12203, Berlin, Deutschland.
Charité - Universitätsmedizin Berlin · DEFranklin University · USDeutsche Gesellschaft für Gefäßchirurgie und Gefäßmedizin · DEDiakonissenkrankenhaus · DEHelios Kliniken · DEKlinikum rechts der Isar · DEKlinik und Poliklinik für Psychotherapie und Psychosomatik · DEKrankenhaus Nordwest · DEUnfallkrankenhaus Berlin · DEUniversitätsklinikum Tübingen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIncisional hernias are one of the the most frequent complications in visceral surgery and incisional hernia repair has a relevant complication rate. Therefore, there have to be solid indications before carrying out incisional hernia repair. To date, there is a lack of evidence concerning the correct indications for surgical repair of incisional hernias. The AWARE trial compares watchful waiting to surgical repair of incisional hernias. MATERIAL AND

methodsThe AWARE trial is a prospective randomized multicenter trial. Patients with asymptomatic or oligosymptomatic incisional hernia are randomized into the watchful waiting or the surgical repair group with a follow-up of 2 years. The primary endpoint is pain during normal activities due to the hernia or the hernia repair after 2 years measured on the hernia-specific surgical pain scale (SPS).

resultsIn this study 36 centers are participating throughout Germany, more than 1600 patients had been screened up to 31 December 2014 and 234 (14.6%) of the screened patients could be recruited.

conclusionThe AWARE study will provide evidence concerning the two therapeutic options of watchful waiting and surgical repair of incisional hernia.

Indexed as

Watchful WaitingEvidence-Based MedicineFollow-Up StudiesGermanyHumansIncisional HerniaPain MeasurementPostoperative ComplicationsProspective StudiesQuality of LifeAWARE studyOligosymptomatic incisional herniaProspective randomized trialSurgical repairWatchful waiting

Identifiers

PMID25971607
OpenAlexW291596391

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.