ArticleHernia : the journal of hernias and abdominal wall surgery2017
The effect of smoking on surgical outcomes in ventral hernia repair: a propensity score matched analysis of the National Surgical Quality Improvement Program data.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06864377 (Ventral Hernia Improvement of Treatment and Life), which is not on this map. Cited by 18 papers, 1 of them a synthesis 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.
Ventral Hernia Improvement of Treatment and Life
Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.
- The effect of preoperative smoking and smoke cessation on wound healing and infection in post-surgery subjects: A meta-analysis.International wound journal · 2022Pooled it
- [Differentiated concept for treatment of incisional hernias].Chirurgie (Heidelberg, Germany) · 2026Review
- Prehabilitation in Obese Patients with Ventral Hernia: A Narrative Review and Proposal of a Clinical Algorithm.Journal of clinical medicine · 2026Review
- 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
- Long-Term Risk of Mesh Infection Requiring Removal After Elective Ventral Hernia Repair.JAMA surgery · 2025Article
- Do smokers deserve "No"? Management and outcomes of smokers undergoing elective ventral hernia repair.Surgical endoscopy · 2025Article
- Elective Umbilical Hernia Repair in Adults in the 21st Century: Challenging the Status Quo.Journal of clinical medicine · 2025Article
- The impact of smoking on lung cancer patients.European respiratory review : an official journal of the European Respiratory Society · 2025Review
- A single-centre, retrospective study of incisional hernia repair outcomes post kidney transplantation.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Impact of the ventral hernia working group's publication: a bibliometric analysis.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Analysis of risk factors affecting the postoperative drainage after a laparoscopic partial nephrectomy: a retrospective study.Frontiers in medicine · 2024Article
- Midline incisional hernia guidelines: the European Hernia Society.The British journal of surgery · 2023Article
- Does smoking influence the clinical outcomes of robotic ventral hernia repair? A propensity score matching analysis study.Journal of robotic surgery · 2023Article
- The effect of smoking status on inguinal hernia repair outcomes: An ACHQC analysis.Surgical endoscopy · 2023Article
- Risk Factor-Driven Prehabilitation Prior to Abdominal Wall Reconstruction to Improve Postoperative Outcome. A Narrative Review.Journal of abdominal wall surgery : JAWS · 2022Review
- Prevalence and Risk Factors of Hernia in Patients With Rectus Abdominis Diastasis: A 10-Year Multicenter Retrospective Study.Frontiers in surgery · 2021Article
- Costs Associated With Modifiable Risk Factors in Ventral and Incisional Hernia Repair.JAMA network open · 2019Article
- Increased Surgical Complications in Smokers Undergoing Radical Cystectomy.Bladder cancer (Amsterdam, Netherlands) · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeAlthough studies have implicated smoking as a positive predictor of post-operative outcomes in inguinal hernia repair, its impact on ventral hernia repair (VHR) is not as clear. This study aims to fill this gap by investigating the impact of smoking on developing adverse 30-day post-operative outcomes in VHR.
methodsPatients undergoing VHR between 2005 and 2014 were extracted from the American College of Surgeons National Surgical Quality Improvement Program database. Patients were stratified by smoking status and compared for significant differences in baseline characteristics. Logistic regression modeled the impact of smoking on the primary outcome variable of 30-day mortality and the secondary outcome variables of 30-day overall, cardiac, respiratory, or wound morbidity. To evaluate the influence of smoking in comparable groups undergoing VHR, a propensity score matched analysis was performed.
resultsOut of 169,458 patients identified, 32,973 (19.5%) were classified as current smokers. Smokers and non/ex-smokers differed significantly in multiple pre-operative baseline characteristics. Unmatched univariate analyses revealed smoking status as a positive predictor of every post-operative outcome. These findings were validated with propensity score matching analyses, which found current smokers have an increased likelihood of 30-day mortality (OR 1.42), overall morbidity (OR 1.39), wound (OR 1.40), respiratory (OR 1.14), or cardiac morbidity (OR 1.88) compared to non/ex-smokers (p < 0.05 for all).
conclusionsSmoking is a modifiable risk factor with a detrimental impact on outcomes in patients undergoing ventral hernia repair. Delaying VHR and promoting smoking cessation prior to surgery may help reduce the odds of adverse 30-day post-operative outcomes.
Indexed as
Identifiers
What OpenQuestion holds
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.