Evidence map›Paper›PMID 29453731›Full record

ArticleJournal of robotic surgery2018

Patient perceptions of acute pain and activity disruption following inguinal hernia repair: a propensity-matched comparison of robotic-assisted, laparoscopic, and open approaches.

James G Bittner Iv, Lawrence W Cesnik, Thomas Kirwan, Laurie Wolf, Dongjing Guo

Erratum issuedOpen access · hybridAbstract readComparative Study
In one paragraph

Article in Journal of robotic surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 27 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 3 pooled it
5.4field-weighted citation impact, top 4% of its field
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

27 citing papers in PubMed, 3 syntheses or guidelines pooled it, 56 citations in OpenAlex.

  1. Pooled it
  2. Robotic inguinal hernia repair: is technology taking over? Systematic review and meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2019
    Pooled it
  3. Robot-assisted abdominal wall surgery: a systematic review of the literature and meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2019
    Pooled it
  4. Article
  5. Article
  6. Article
  7. Review
  8. Robotic Platform: What It Does and Does Not Offer in Hernia Surgery.Journal of abdominal wall surgery : JAWS · 2024
    Article
  9. Risk factors predicting acute postoperative pain immediately after minimally invasive inguinal hernia repair.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2023
    Article
  10. Postoperative compression in preventing early complications after groin hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2023
    Observational
  11. Article
  12. Article
  13. Review
  14. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

James G Bittner IvDepartment of Surgery, Virginia Commonwealth University School of Medicine, PO Box 980519, Richmond, VA, 23298, USA. jbittner4@gmail.com.
Lawrence W CesnikMarket Research Department, Intuitive Surgical, Inc., Sunnyvale, CA, USA.
Thomas KirwanBruno and Ridgway Research Associates, Lawrenceville, NJ, USA.
Laurie WolfBruno and Ridgway Research Associates, Lawrenceville, NJ, USA.
Dongjing GuoDepartment of Clinical Affairs, Intuitive Surgical, Inc., Sunnyvale, CA, USA.
Intuitive Surgical (United States) · USVirginia Commonwealth University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Few publications describe the potential benefit of robotic-assisted inguinal hernia repair on acute postoperative groin pain (APGP). This study compared patients' perceptions of APGP, activity limitation, and overall satisfaction after robotic-assisted- (R), laparoscopic (L), or open (O) inguinal hernia repair (IHR). Random samples of patients from two web-based research panels and surgical practices were screened for patients who underwent IHR between October 28, 2015 and November 1, 2016. Qualified patients were surveyed to assess perceived APGP at 1 week postoperatively, activity disruption, and overall satisfaction. Three cohorts based on operative approach were compared after propensity matching. Propensity scoring resulted in 83 R-IHR matched to 83 L-IHR respondents, while 85 R-IHR matched with 85 O-IHR respondents. R-IHR respondents recalled less APGP compared to respondents who had O-IHR (4.1 ± 0.3 vs 5.6 ± 0.3, p < 0.01) but similar APGP compared to L-IHR (4.0 ± 0.3 vs 4.4 ± 0.3, p = 0.37). Respondents recalled less activity disruption 1 week postoperatively after R-IHR versus O-IHR (6.1 ± 0.3 vs. 7.3 ± 0.2, p < 0.01) but similar levels of activity disruption after R-IHR and L-IHR (6.0 ± 0.3 vs. 6.6 ± 0.27, p = 0.32). At the time of the survey, respondents perceived less physical activity disruption after R-IHR compared to O-IHR (1.4 ± 0.2 vs. 2.8 ± 0.4, p < 0.01) but similar between R-IHR and L-IHR (1.3 ± 0.2 vs 1.2 ± 0.2, p = 0.94). Most respondents felt satisfied with their outcome regardless of operative approach. Patient perceptions of pain and activity disruption differ by approach, suggesting a potential advantage of a minimally invasive technique over open for IHR. Further studies are warranted to determine long-term outcomes regarding pain and quality of life after IHR.

Indexed as

Activities of Daily LivingPatient SatisfactionPerceptionAdultAgedExerciseFemaleGroinHernia, InguinalHerniorrhaphyHumansLaparoscopyMaleMiddle AgedPostoperative PainPropensity ScoreGroin herniaGroin painInguinal herniaInguinal hernia repairLaparoscopic inguinal hernia repairPostoperative groin painRoboticRobotic assistedRobotic-assisted inguinal hernia repair

Identifiers

PMID29453731
PMCPMC6223756
OpenAlexW2794138632

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.