ArticleSurgical endoscopy2019
Surgeon utilization of minimally invasive techniques for inguinal hernia repair: a population-based study.
Article in Surgical endoscopy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
26 citing papers in PubMed, 50 citations in OpenAlex.
- Article
- Rates of Minimally Invasive Surgery After Introduction of Robotic-Assisted Surgery for Common General Surgery Operations.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2025Article
- Use of Biologic and Biosynthetic Mesh for Ventral Hernia Repair in Current Practice.JAMA surgery · 2025Article
- Primary abandonment of the sac in the management of scrotal hernias: a dual-institution experience of short-term outcomes.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- ENGINE-An EHS Project for Future Guidelines.Journal of abdominal wall surgery : JAWS · 2024Article
- Nationwide analysis of open groin hernia repairs in Italy from 2015 to 2020.Hernia : the journal of hernias and abdominal wall surgery · 2023Article
- Mesh overlap for ventral hernia repair in current practice.Surgical endoscopy · 2023Article
- Article
- Impact of race and ethnicity on rates of emergent ventral hernia repair (VHR): has anything changed?Surgical endoscopy · 2023Article
- Five year trends in surgical technique and outcomes of groin hernia repair in the United States.Surgical endoscopy · 2023Article
- The impact of laparoscopic versus open inguinal hernia repair for inguinal hernia treatment: A retrospective cohort study.Health science reports · 2023Article
- Hospital-level variation in mesh use for ventral and incisional hernia repair.Surgical endoscopy · 2023Article
- Comparing functional outcomes in minimally invasive versus open inguinal hernia repair using the army physical fitness test.Hernia : the journal of hernias and abdominal wall surgery · 2023Article
- Telemedicine-based new patient consultations for hernia repair and advanced abdominal wall reconstruction.Hernia : the journal of hernias and abdominal wall surgery · 2022Article
- Association of hospital factors and socioeconomic status with the utilization of minimally invasive surgery for colorectal cancer over a decade.Surgical endoscopy · 2022Article
- Ten-year trends in minimally invasive hernia repair: a NSQIP database review.Surgical endoscopy · 2021Article
- Inguinal hernia repair in Spain. A population-based study of 263,283 patients: factors associated with the choice of laparoscopic approach.Hernia : the journal of hernias and abdominal wall surgery · 2021Article
- Random forest modeling using socioeconomic distress predicts hernia repair approach.Surgical endoscopy · 2021Article
- Development and Implementation of Preoperative Optimization for High-Risk Patients With Abdominal Wall Hernia.JAMA network open · 2021Article
- Variation in colectomy rates for benign polyp and colorectal cancer.Surgical endoscopy · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundMIS utilization for inguinal hernia repair is low compared to in other procedures. The impact of low adoption in surgeons is unclear, but may affect regional access to minimally invasive surgery (MIS). We explored the impact of surgeon MIS utilization in inguinal hernia repair across a statewide population.
methodsWe analyzed 6723 patients undergoing elective inguinal hernia repair from 2012 to 2016 in the Michigan Surgical Quality Collaborative. The primary outcome was surgeon MIS utilization. The geographic distribution of high MIS-utilizing surgeons was compared across Hospital Referral Regions using Pearson's Chi-squared test. Hierarchical logistic regression was used to identify patient and hospital factors associated with MIS utilization.
resultsSurgeon MIS utilization varied, with 58% of 540 surgeons performing no MIS repair. For the remaining surgeons, MIS utilization was bimodally distributed. High-utilization surgeons were unevenly distributed across region, with corresponding differences in regional MIS rate ranging from 10 to 48% (p < 0.001). MIS was used in 41% of bilateral and 38% of recurrent hernia. MIS repair was more likely with higher hospital volume and less likely for patients aged 65+ (OR 0.68, p = 0.003), black patients (OR 0.75, p = 0.045), patients with COPD (OR 0.57, p < 0.001), and patients in ASA class > 3 (OR 0.79 p < 0.001).
conclusionsMIS utilization varies between surgeons, likely driving differences in regional MIS rates and leading to guideline-discordant care for patients with bilateral or recurrent hernia. Interventions to reduce this practice gap could include training programs in MIS repair, or regionalization of care to improve MIS access.
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.