Evidence map›Paper›PMID 26667260›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2016

Emergency repair of inguinal hernia in the premature infant is associated with high direct medical costs.

J Verhelst, B de Goede, B J H van Kempen, H R Langeveld, M J Poley, G Kazemier, J Jeekel, R M H Wijnen, J F Lange

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Hernia : the journal of hernias and abdominal wall surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. URGENCY HOSPITALIZATIONS FOR INGUINAL HERNIA IN BRAZIL FROM 2010 TO 2019: MORTALITY AND COSTS IN THE PUBLIC HEALTH SYSTEM.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2023
    Article
  4. Cost analysis of inguinal hernia repair: the influence of clinical and hernia-specific factors.Hernia : the journal of hernias and abdominal wall surgery · 2021
    Review
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

9 authors.

J VerhelstDepartment of Surgery, Erasmus University Medical Center (Erasmus MC) Rotterdam, PO Box 2040, 3000, CA Rotterdam, The Netherlands. j.verhelst@erasmusmc.nl.
B de GoedeDepartment of Surgery, Erasmus University Medical Center (Erasmus MC) Rotterdam, PO Box 2040, 3000, CA Rotterdam, The Netherlands.
B J H van KempenDepartment of Epidemiology and Radiology, Erasmus University Medical Center (Erasmus MC) Rotterdam, Rotterdam, The Netherlands.
H R LangeveldDepartment of Paediatric Surgery, Erasmus University Sophia Children's Hospital, Rotterdam, The Netherlands.
M J PoleyDepartment of Paediatric Surgery, Erasmus University Sophia Children's Hospital, Rotterdam, The Netherlands.
G KazemierDepartment of Surgery, VU University Medical Center, Amsterdam, The Netherlands.
J JeekelDepartment of Neuroscience, Erasmus University Rotterdam, Rotterdam, The Netherlands.
R M H WijnenDepartment of Paediatric Surgery, Erasmus University Sophia Children's Hospital, Rotterdam, The Netherlands.
J F LangeDepartment of Surgery, Erasmus University Medical Center (Erasmus MC) Rotterdam, PO Box 2040, 3000, CA Rotterdam, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeInguinal hernia repair is frequently performed in premature infants. Evidence on optimal management and timing of repair, as well as related medical costs is still lacking. The objective of this study was to determine the direct medical costs of inguinal hernia, distinguishing between premature infants who had to undergo an emergency procedure and those who underwent elective inguinal hernia repair.

methodsThis cohort study based on medical records concerned premature infants with inguinal hernia who underwent surgical repair within 3 months after birth in a tertiary academic children's hospital between January 2010 and December 2013. Two groups were distinguished: patients with incarcerated inguinal hernia requiring emergency repair and patients who underwent elective repair. Real medical costs were calculated by multiplying the volumes of healthcare use with corresponding unit prices. Nonparametric bootstrap techniques were used to derive a 95 % confidence interval (CI) for the difference in mean costs.

resultsA total of 132 premature infants were included in the analysis. Emergency surgery was performed in 29 %. Costs of hospitalization comprised 65 % of all costs. The total direct medical costs amounted to €7418 per premature infant in the emergency repair group versus €4693 in the elective repair group. Multivariate analysis showed a difference in costs of €1183 (95 % CI -1196; 3044) in favor of elective repair after correction for potential risk factors.

conclusionEmergency repair of inguinal hernia in premature infants is more expensive than elective repair, even after correction for multiple confounders. This deserves to be taken into account in the debate on timing of inguinal hernia repair in premature infants.

Indexed as

Health Care CostsChildCohort StudiesElective Surgical ProceduresEmergenciesFemaleHernia, InguinalHerniorrhaphyHumansInfantInfant, NewbornInfant, PrematureInfant, Premature, DiseasesMaleRetrospective StudiesRisk FactorsCost analysisEmergency repairInguinal herniaPremature infants

Identifiers

PMID26667260
PMCPMC4945679

What OpenQuestion holds

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LicenceCC BY-NC
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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.