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ArticleHernia : the journal of hernias and abdominal wall surgery2016

Design and implementation of the Americas Hernia Society Quality Collaborative (AHSQC): improving value in hernia care.

B K Poulose, S Roll, J W Murphy, B D Matthews, B Todd Heniford, G Voeller, W W Hope, M I Goldblatt, G L Adrales, M J Rosen

Registry-linked trialAbstract read
PubMed 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. It is linked to trial NCT03276871 (Randomized Controlled Trial Comparing Telescopic Dissection vs. Balloon Dissection During Laparoscopic TEP Inguinal Hernia Repair), which is not on this map. Cited by 94 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
94citing papers in PubMed, 3 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.

NCT03276871 nacompletednot on this mapstarted 2017, after this paper: background citation

Randomized Controlled Trial Comparing Telescopic Dissection vs. Balloon Dissection During Laparoscopic TEP Inguinal Hernia Repair

TypeinterventionalSponsorThe Cleveland ClinicRan2017 to 2019Enrolled40ConditionsInguinal HerniaArmsTelescopic Dissection, Balloon Dissection
3 · Its place in the literature

Who cites it

94 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  8. Pain outcomes in emergent versus elective ventral hernia repair: Propensity score matched analysis.Hernia : the journal of hernias and abdominal wall surgery · 2026
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  14. Distinguishing abdominal wall denervation injury from normal anatomy via cross section imaging.Hernia : the journal of hernias and abdominal wall surgery · 2026
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  16. "Long-term outcomes of ventral hernia repair using heavyweight non-woven polypropylene mesh".Hernia : the journal of hernias and abdominal wall surgery · 2026
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34 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

10 authors.

B K PouloseDepartment of Surgery, Vanderbilt University Medical Center, D-5203 Medical Center North, 1161 21st Avenue South, Nashville, TN, 37232, USA. benjamin.poulose@vanderbilt.edu.
S RollDivision of General Surgery, Santa Casa of Sao Paulo Medical School, Rua Mato Grosso 306-CJ 408, Sao Paulo, 01239-040, Brazil.
J W MurphyWilliam Beaumont Hospital-Troy, 44199 Dequindre, Troy, MI, 48085-1128, USA.
B D MatthewsCarolinas Medical Center, 1000 Blythe Blvd, 2nd Fl Administrative Suites, Charlotte, NC, 28203, USA.
B Todd HenifordDivision of Gastrointestinal and Minimally Invasive Surgery, Carolinas Medical Center, 1025 Morehead Medical Drive #300, Charlotte, NC, 28204, USA.
G VoellerMid-South Center for Minimally Invasive Surgery, University of Tennessee Health Sciences Center, 7945 Wolf River Boulevard, Suite 200, Germantown, TN, 38138, USA.
W W HopeNew Hanover Regional Medical Center, 2131 S. 17th Street, PO Box 9025, Wilmington, NC, 28401, USA.
M I GoldblattMedical College of Wisconsin, 9200 W. Wisconsin Avenue, Milwaukee, WI, 53226, USA.
G L AdralesDartmouth-Hitchcock Medical Center, One Medical Center Drive, Lebanon, NH, 03756-0001, USA.
M J RosenThe Cleveland Clinic, 9500 Euclid Avenue/A100, Cleveland, OH, 44195, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWide variation in care and costs exists regarding the management of abdominal wall hernias, with unproven benefit for many therapies. This work establishes a specialty society-based solution to improve the quality and value of care delivered to hernia patients during routine clinical management on a national scale.

methodsThe Americas Hernia Society Quality Task Force was charged by the Americas Hernia Society leadership to develop an initiative that utilizes the concepts of continuous quality improvement (CQI). A disease-based registry was created to collect information for CQI incorporating real-time outcome reporting, patient reported outcomes, stakeholder engagement, and collaborative learning methods to form a comprehensive quality improvement effort.

resultsThe Americas Hernia Society Quality Collaborative (AHSQC) was formed with the mission to provide health care professionals real-time information for maximizing value in hernia care. The initial disease areas selected for CQI were incisional and parastomal hernias with ten priorities encompassing the spectrum of care. A prospective registry was created with real-time analytic feedback to surgeons. A data assurance process was implemented to ensure maximal data quality and completeness. Four collaborative meetings per year were established to meet the goals of the AHSQC. As of the fourth quarter 2014, the AHSQC includes nearly 2377 patients at 38 institutions with 82 participating surgeons.

conclusionsThe AHSQC has been established as a quality improvement initiative utilizing concepts of CQI. This ongoing effort will continually refine its scope and goals based on stakeholder input to improve care delivered to hernia patients.

Indexed as

Delivery of Health CareHernia, VentralHumansQuality ImprovementRegistriesSocieties, MedicalUnited StatesAbdominal wall reconstructionAHSQCHerniaQuality

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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.