Evidence map›Paper›PMID 29728882›Full record

Trial reportHernia : the journal of hernias and abdominal wall surgery2018

Factors predicting chronic pain after open inguinal hernia repair: a regression analysis of randomized trial comparing three different meshes with three fixation methods (FinnMesh Study).

M Matikainen, E Aro, J Vironen, J Kössi, T Hulmi, S Silvasti, I Ilves, M Hertsi, K Mustonen, H Paajanen

Erratum issuedOpen access · greenAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Hernia : the journal of hernias and abdominal wall 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 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 15% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Article
  6. Article
  7. Heliyon · 2024
    Article
  8. Article
  9. Fixation techniques in inguinal hernia repair, what is really new?Hernia : the journal of hernias and abdominal wall surgery · 2020
    Article
  10. Observational
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

M MatikainenNorth-Carelia Central Hospital, Tikkamäentie 12, 80210, Joensuu, Finland. markku.matikainen@siunsote.fi.ORCID http://orcid.org/0000-0002-3097-5066
E AroNorth-Carelia Central Hospital, Tikkamäentie 12, 80210, Joensuu, Finland.
J VironenNorth-Carelia Central Hospital, Tikkamäentie 12, 80210, Joensuu, Finland.
J KössiNorth-Carelia Central Hospital, Tikkamäentie 12, 80210, Joensuu, Finland.
T HulmiNorth-Carelia Central Hospital, Tikkamäentie 12, 80210, Joensuu, Finland.
S SilvastiNorth-Carelia Central Hospital, Tikkamäentie 12, 80210, Joensuu, Finland.
I IlvesNorth-Carelia Central Hospital, Tikkamäentie 12, 80210, Joensuu, Finland.
M HertsiNorth-Carelia Central Hospital, Tikkamäentie 12, 80210, Joensuu, Finland.
K MustonenNorth-Carelia Central Hospital, Tikkamäentie 12, 80210, Joensuu, Finland.
H PaajanenNorth-Carelia Central Hospital, Tikkamäentie 12, 80210, Joensuu, Finland.
North Karelia Central Hospital · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChronic pain after inguinal hernioplasty is the foremost side-effect up to 10-30% of patients. Mesh fixation may influence on the incidence of chronic pain after open anterior mesh repairs.

methodsSome 625 patients who underwent open anterior mesh repairs were randomized to receive one of the three meshes and fixations: cyanoacrylate glue with low-weight polypropylene mesh (n = 216), non-absorbable sutures with partially absorbable mesh (n = 207) or self-gripping polyesther mesh (n = 202). Factors related to chronic pain (visual analogue scores; VAS ≥ 30, range 0-100) at 1 year postoperatively were analyzed using logistic regression method. A second analysis using telephone interview and patient records was performed 2 years after the index surgery.

resultsAt index operation, all patient characteristics were similar in the three study groups. After 1 year, chronic inguinal pain was found in 52 patients and after 2 years in only 16 patients with no difference between the study groups. During 2 years' follow-up, three (0.48%) patients with recurrences and five (0.8%) patients with chronic pain were re-operated. Multivariate regression analysis indicated that only new recurrent hernias and high pain scores at day 7 were predictive factors for longstanding groin pain (p = 0.001). Type of mesh or fixation, gender, pre-operative VAS, age, body mass index or duration of operation did not predict chronic pain.

conclusionOnly the presence of recurrent hernia and early severe pain after index operation seemed to predict longstanding inguinal pain.

Indexed as

Surgical MeshAbsorbable ImplantsChronic PainCyanoacrylatesFemaleHernia, InguinalHerniorrhaphyHumansMaleMiddle AgedPolyestersPolypropylenesPostoperative ComplicationsProspective StudiesRecurrenceRegression AnalysisCyanoacrylatesPolyestersPolypropylenesTissue AdhesivesChronic inguinal painInguinal herniaLichtenstein hernioplastyMesh fixation

Identifiers

PMID29728882
OpenAlexW2800508037

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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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.