Evidence map›Paper›PMID 26932743›Full record

SynthesisHernia : the journal of hernias and abdominal wall surgery2016

The economic burden of incisional ventral hernia repair: a multicentric cost analysis.

J-F Gillion, D Sanders, M Miserez, F Muysoms

Abstract readMulticenter StudySystematic Review
PubMed Publisher
In one paragraph

Synthesis 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 86 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
86citing papers in PubMed, 10 pooled it
–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

86 citing papers in PubMed, 10 syntheses or guidelines pooled it.

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  17. Long-term results of a prospective randomized trial of midline laparotomy closure with onlay mesh.Hernia : the journal of hernias and abdominal wall surgery · 2019
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26 more citing papers are in PubMed but not listed here.

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

4 authors.

J-F GillionUnité de Chirurgie Viscérale et Digestive, Hôpital Privé d'Antony, Antony, France. jfgillion@wanadoo.fr.
D SandersDepartment of Surgery, Derriford Hospital, Plymouth, UK.
M MiserezDepartment of Abdominal Surgery, University Hospitals, KU Leuven, Leuven, Belgium.
F MuysomsDepartment of Abdominal Surgery, AZ Maria Middelares, Ghent, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeA systematic review of literature led us to take note that little was known about the costs of incisional ventral hernia repair (IVHR).

methodsTherefore we wanted to assess the actual costs of IVHR. The total costs are the sum of direct (hospital costs) and indirect (sick leave) costs. The direct costs were retrieved from a multi-centric cost analysis done among a large panel of 51 French public hospitals, involving 3239 IVHR. One hundred and thirty-two unitary expenditure items were thoroughly evaluated by the accountants of a specialized public agency (ATIH) dedicated to investigate the costs of the French Health Care system. The indirect costs (costs of the post-operative inability to work and loss of profit due to the disruption in the ongoing work) were estimated from the data the Hernia Club registry, involving 790 patients, and over a large panel of different Collective Agreements.

resultsThe mean total cost for an IVHR in France in 2011 was estimated to be 6451€, ranging from 4731€ for unemployed patients to 10,107€ for employed patients whose indirect costs (5376€) were slightly higher than the direct costs.

conclusionReducing the incidence of incisional hernia after abdominal surgery with 5 % for instance by implementation of the European Hernia Society Guidelines on closure of abdominal wall incisions, or maybe even by use of prophylactic mesh augmentation in high risk patients could result in a national cost savings of 4 million Euros.

Indexed as

Cost of IllnessCosts and Cost AnalysisFranceHernia, VentralHerniorrhaphyHumansIncisional HerniaLaparotomyCost analysisHealth economicsIncisional herniaMesh augmentationPrevention

Identifiers

PMID26932743

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.