Evidence map›Paper›PMID 28832246›Full record

ArticleSurgical infections2017

Decreasing Surgical Site Infections after Ventral Hernia Repair: A Quality-Improvement Initiative.

Deepa V Cherla, Julie L Holihan, Juan R Flores-Gonzalez, Debbie F Lew, Richard J Escamilla, Tien C Ko, Lillian S Kao, Mike K Liang

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Surgical infections, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
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

8 authors.

Deepa V Cherla1 Department of Surgery, University of Texas Health Science Center at Houston , Houston, Texas.
Julie L Holihan1 Department of Surgery, University of Texas Health Science Center at Houston , Houston, Texas.
Juan R Flores-Gonzalez1 Department of Surgery, University of Texas Health Science Center at Houston , Houston, Texas.
Debbie F Lew1 Department of Surgery, University of Texas Health Science Center at Houston , Houston, Texas.
Richard J Escamilla1 Department of Surgery, University of Texas Health Science Center at Houston , Houston, Texas.
Tien C Ko1 Department of Surgery, University of Texas Health Science Center at Houston , Houston, Texas.
Lillian S Kao1 Department of Surgery, University of Texas Health Science Center at Houston , Houston, Texas.
Mike K Liang1 Department of Surgery, University of Texas Health Science Center at Houston , Houston, Texas.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSurgical site infections (SSIs) remain prevalent after ventral hernia repair (VHR). In 2013-2014, a safety-net academic hospital initiated a two-pronged quality-improvement (QI) project: (1) Development and implementation of evidence-based guidelines; and (2) creation of a specialized hernia clinic to manage challenging patients and complex ventral hernias. Our objective was to decrease SSI rates after elective VHR.

methodsThe primary outcome was SSI 30 days post-operatively, which was assessed in aggregate and with a stratified analysis based on case complexity using the χ

resultsA total of 399 patients in the pre-QI period and 390 patients in post-QI period (178 patients in general surgery clinics; 212 patients in the specialty hernia clinic) underwent VHR. Patients treated in the post-QI period were less likely to experience an SSI (13.5% vs. 1.5%; p < 0.001). On subgroup analysis of the post-QI clinics, specialty hernia clinic patients had an even lower risk of SSI than those in general surgery clinics (1.4% versus 1.7%).

conclusionsThe QI initiatives of evidence-based guidelines and the specialty hernia clinic were associated with lower SSI rates. Differences in peri-operative management included differences in patient selection and pre-operative preparation and increased use of synthetic mesh and laparoscopy. Future studies must investigate the long-term outcomes of these initiatives.

Indexed as

AdultFemaleHernia, VentralHerniorrhaphyHumansMaleMiddle AgedRetrospective StudiesSurgical Wound InfectionTreatment Outcomesurgical site infectionventral hernia

Identifiers

PMID28832246
PMCPMC5649122

What OpenQuestion holds

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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.