ArticleSurgical endoscopy2017
Ventral and incisional hernia: the cost of comorbidities and complications.
Article in Surgical endoscopy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Prophylactic negative pressure wound therapy after open ventral hernia repair: a systematic review and meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2021Pooled it
- Trial
- Effect of topical gentamicin in preventing surgical site infection in elective incisional hernia repair in a randomized controlled trial.Scientific reports · 2024Trial
- Incisional hernia following colorectal cancer surgery according to suture technique: Hughes Abdominal Repair Randomized Trial (HART).The British journal of surgery · 2022Trial
- Hughes abdominal closure versus standard mass closure to reduce incisional hernias following surgery for colorectal cancer: the HART RCT.Health technology assessment (Winchester, England) · 2022Trial
- Prospective evaluation of poly-4-hydroxybutyrate mesh in CDC class I/high-risk ventral and incisional hernia repair: 18-month follow-up.Surgical endoscopy · 2018Trial
- The effect of transvesical laparoscopic radical prostatectomy on sexual function and urinary continence.BMC surgery · 2024Article
- Volumetry after botulinum toxin A: the impact on abdominal wall compliance and endotracheal pressure.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Modifiable comorbidities impact on ventral hernia recurrence following robotic abdominal wall reconstruction using resorbable biosynthetic mesh: 36-month follow-up.Surgery open science · 2023Article
- Single-stage abdominal wall reconstruction in contaminated and dirty wounds is safe: a single center experience.Surgical endoscopy · 2022Article
- Hernia mesh infection treatment following the repair of abdominal wall hernias: A single-center experience.Frontiers in surgery · 2022Article
- S116: Impact of incisional negative pressure wound therapy on surgical site infection after complex incisional hernia repair: a retrospective matched cohort study.Surgical endoscopy · 2021Article
- Is there an advantage to laparoscopy over open repair of primary umbilical hernias in obese patients? An analysis of the Americas Hernia Society Quality Collaborative (AHSQC).Hernia : the journal of hernias and abdominal wall surgery · 2021Article
- The contribution of specific enhanced recovery after surgery (ERAS) protocol elements to reduced length of hospital stay after ventral hernia repair.Surgical endoscopy · 2020Article
- Enhanced value with implementation of an ERAS protocol for ventral hernia repair.Surgical endoscopy · 2020Article
- The Effects of Operation Technique on Recurrence of Incisional Hernia Repair.Sisli Etfal Hastanesi tip bulteni · 2020Article
- Professional fee payments by specialty for inpatient open ventral hernia repair: who gets paid for treating comorbidities and complications?Surgical endoscopy · 2019Article
- Early outcomes of an enhanced recovery protocol for open repair of ventral hernia.Surgical endoscopy · 2018Article
- Ventral hernia repair with poly-4-hydroxybutyrate mesh.Surgical endoscopy · 2018Article
- Concomitant open ventral hernia repair: what is the financial impact of performing open ventral hernia with other abdominal procedures concomitantly?Surgical endoscopy · 2018Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionVentral and incisional hernia repair (VIHR) is among the most frequently performed abdominal operations with significant incidence of postoperative complications and readmissions. Payers are targeting increased "value" of care through improved outcomes and reduced costs. Cost data in clinically relevant terms is still rare. This study aims to identify hospital costs associated with clinically relevant factors in order to facilitate strategies by surgeons to enhance the value of VIHR.
methodsAn IRB-approved retrospective review of VIHRs performed at the University of Kentucky from April 2009 through September 2013 was conducted. NSQIP clinical data and hospital cost data were matched. Operating room (ORC), total encounter (TEC), and 90-day postdischarge (90PDC) hospital costs were analyzed relative to clinical variables using non-parametric tests.
resultsIn total 385 patients that underwent VIHR during the time period were included in the analyses. Considering all VIHRs, median [interquartile range (IQR)] ORC was $6900 ($5600-$10,000); TEC was $10,700 ($7500-$18,600); and 90PDC was $0 ($0-$800). Compared to all VIHRs, ASA Class ≥ 3 was associated with increased ORC and TEC (p < .001), and 90PDC (p < .01). Preoperative open wound was associated with increased ORC and TEC (p < .001). Numerous operative variables were associated with both increased ORC and TEC. Wound Class > 1 was associated with increased ORC and TEC (p < .001) and 90PDC (p < .01). Inpatient occurrence of any complication was associated with increased TEC and 90PDC (p < .001).
conclusionsASA Class ≥ 3, Wound Class > 1, open abdominal wound, and postoperative complications significantly increase costs. Although the hospital encounter represents the majority of the cost associated with VIHR, additional costs are incurred during the 90-day postoperative period. An appreciation of global costs is essential in developing alternative payment models for hernia in order to provide the greatest value in hernia care.
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