Observational studyWorld journal of surgery2018
Impact of Abdominal Wall Hernias and Repair on Patient Quality of Life.
Observational study in World journal of surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03490266 (Robotic Versus Laparoscopic Ventral Hernia Repair), which is not on this map. Cited by 25 papers, 3 of them syntheses that pooled 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.
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.
Robotic Versus Laparoscopic Ventral Hernia Repair: A Multicenter Randomized Controlled Trial
Who cites it
25 citing papers in PubMed, 3 syntheses or guidelines pooled it, 55 citations in OpenAlex.
- Patient-reported outcomes of laparoscopic versus robotic primary ventral and incisional hernia repair: a systematic review and meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2023Pooled it
- Measuring quality of life in patients with abdominal wall hernias: a systematic review of available tools.Hernia : the journal of hernias and abdominal wall surgery · 2021Pooled it
- Long-term patient-reported outcomes and quality of the evidence in ventral hernia mesh repair: a systematic review.Hernia : the journal of hernias and abdominal wall surgery · 2020Pooled it
- Is there a link between physical function testing and ventral hernia size?Surgical endoscopy · 2025Trial
- Impact of disclosure of radiographic test results on quality of life among patients with hernias: a randomized controlled trial.Hernia : the journal of hernias and abdominal wall surgery · 2024Trial
- Synthetic versus Biologic Mesh for Complex Open Ventral Hernia Repair: A Pilot Randomized Controlled Trial.Surgical infections · 2021Trial
- Robotic versus laparoscopic ventral hernia repair: multicenter, blinded randomized controlled trial.BMJ (Clinical research ed.) · 2020Trial
- Prevalence and Perioperative Implications of Cardiovascular Comorbidities in Non-Cardiac Surgery: A Three-Year Retrospective Cohort Study.Medicina (Kaunas, Lithuania) · 2026Article
- The impact of active smoking on postoperative morbidity and hernia recurrence following abdominal wall reconstruction: long-term follow-up.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Cutting through the p-value: evaluating clinical relevance in surgical literature analyzing the approaches for inguinal hernia repair.Surgical endoscopy · 2025Article
- A critical COSMIN-informed scoping review of complex abdominal wall hernia quality of life tools: making a case for patient-driven tool development.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Hernia Recurrence Risk Matters More Than Mesh Type to Patients Undergoing Ventral Hernia Repair.The Journal of surgical research · 2025Article
- Article
- Quality of life and abdominal wall functionality after abdominal wall reconstruction: A prospective single center follow-up study.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Underdiagnosis of umbilical hernias in CT scans in a multicenter study - the radiologically neglected pathology and its surgical implications.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Individuals with a ventral hernia who report moderate to high fear have worse functional performance than those with low fear.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Article
- Quality of life, post-operative complications, and hernia recurrence following enhanced-view Totally Extra-Peritoneal (eTEP) Rives-Stoppa for incisional and primary ventral hernia repair.Updates in surgery · 2023Article
- Fascial Defect Closure During Ventral Hernia Repair: A Systematic Review of Randomized Controlled Trials.HCA healthcare journal of medicine · 2023Article
- Health-related quality of life in abdominal wall hernia: let's ask patients what matters to them?Hernia : the journal of hernias and abdominal wall surgery · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundThe modified Activities Assessment Scale (AAS) is a 13-question abdominal wall quality of life (AW-QOL) survey validated in patients undergoing ventral hernia repair (VHR). No studies have assessed AW-QOL among individuals without abdominal wall pathology. The minimal clinically important difference (MCID) of the modified AAS and its implications for the threshold at which VHR should be offered also remain unknown. Our objectives were to (1) establish the AW-QOL of patients with a clinical abdominal wall hernia versus those with no hernia, (2) determine the MCID of the modified AAS, and (3) identify the baseline quality of life (QOL) score at which patients derive little clinical benefit from VHR.
methodsPatient-centered outcomes data for all patients presenting to General Surgery and Hernia Clinics October-December 2016 at a single safety-net institution were collected via a prospective, cross-sectional observational study design. Primary outcome was QOL measured using the modified AAS. Secondary outcome was the MCID.
resultsPatients with no hernia had modified AAS scores of 81.6 (50.4-94.4), while patients with a clinically apparent hernia had lower modified AAS scores of 31.4 (12.6-58.7) (p < 0.001). The MCID threshold was 7.6 for a "slight" change and 14.9 for "definite" change. Above a modified AAS score of 81, the risk of worsening a patient's QOL by surgery is higher than the chances of improvement.
conclusionsVHR can improve 1-year postsurgical AW-QOL to levels similar to that of the general population. The MCID of the modified AAS is 7.6 points. Patients with high baseline scores should be counseled about the lack of potential benefit in QOL from elective VHR.
Indexed as
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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.