Evidence map›Paper›PMID 30564978›Full record

Observational studyHernia : the journal of hernias and abdominal wall surgery2019

Early repair of ventral incisional hernia may improve quality of life after surgery for abdominal malignancy: a prospective observational cohort study.

M P Feng, R B Baucom, K K Broman, D A Harris, M D Holzman, L-C Huang, J L Kaiser, S L Kavalukas, O O Oyefule, S E Phillips and 2 more

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Hernia : the journal of hernias and abdominal wall surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
2.8field-weighted citation impact, top 9% 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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Incisional hernia rates following midline laparotomy in the obese patient: a retrospective review.Hernia : the journal of hernias and abdominal wall surgery · 2023
    Article
  5. Article
  6. 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

12 authors at 4 institutions in 1 country.

M P FengDepartment of Surgery, Vanderbilt University Medical Center, 1161 21st Avenue South, Room D5203 Medical Center North, Nashville, TN, 37232-2577, USA.
R B BaucomDepartment of Surgery, Baylor University Medical Center, Baylor Scott & White, 3409 Worth Street, Worth Tower, Suite 640, Dallas, TX, 75246, USA.
K K BromanDepartment of Surgery, Vanderbilt University Medical Center, 1161 21st Avenue South, Room D5203 Medical Center North, Nashville, TN, 37232-2577, USA.ORCID http://orcid.org/0000-0002-4679-4665
D A HarrisDepartment of Surgery, Office of Surgical Education, Emory University School of Medicine, 1364 Clifton Road NE, Room H127, Atlanta, GA, 30322, USA.
M D HolzmanDepartment of Surgery, Vanderbilt University Medical Center, 1161 21st Avenue South, Room D5203 Medical Center North, Nashville, TN, 37232-2577, USA.
L-C HuangDepartment of Biostatistics, Vanderbilt University Medical Center, 2220 Pierce Avenue, 571 Preston Research Building, Nashville, TN, 37232, USA.
J L KaiserDepartment of Surgery, Vanderbilt University Medical Center, 1161 21st Avenue South, Room D5203 Medical Center North, Nashville, TN, 37232-2577, USA.
S L KavalukasDepartment of Surgery, Vanderbilt University Medical Center, 1161 21st Avenue South, Room D5203 Medical Center North, Nashville, TN, 37232-2577, USA.
O O OyefuleDepartment of General Surgery, Cleveland Clinic Florida, 2950 Cleveland Clinic Blvd, Weston, FL, 33331, USA.
S E PhillipsDepartment of Biostatistics, Vanderbilt University Medical Center, 2220 Pierce Avenue, 571 Preston Research Building, Nashville, TN, 37232, USA.ORCID http://orcid.org/0000-0002-4230-4454
B K PouloseDepartment of Surgery, Vanderbilt University Medical Center, 1161 21st Avenue South, Room D5203 Medical Center North, Nashville, TN, 37232-2577, USA.
R A PierceDepartment of Surgery, Vanderbilt University Medical Center, 1161 21st Avenue South, Room D5203 Medical Center North, Nashville, TN, 37232-2577, USA. Richard.Pierce@Vanderbilt.Edu.ORCID http://orcid.org/0000-0002-7143-0310
Vanderbilt University Medical Center · USBaylor University Medical Center · USCleveland Clinic Florida · USEmory University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeRecent work has shown that over 40% of patients undergoing surgery for abdominal malignancy develop ventral incisional hernias (VIH) within 2 years. We hypothesized that early repair of VIH for cancer survivors could improve long-term quality of life (QoL).

methodsAll patients presenting with a history of surgery for abdominal malignancy and a VIH were prospectively enrolled. QoL was assessed at baseline and 3-, 6-, 12-, 18-, and 24-month follow-up using abdominal wall-specific (HerQLes) and cancer-specific (FACT-G) instruments. At the study's conclusion, patients were divided into 2 groups-those that underwent VIH repair during the study's course (Repair Group) and those that did not (Control Group). Categorical variables were analyzed using Pearson's Chi-square and continuous variables with Wilcoxon rank sum test.

resultsEighty-four patients were enrolled. Overall, 46 patients (55%) underwent VIH repair, with 36 repairs (78%) occurring within 3 months of initial evaluation. Sixty-six (79%) had complete 1-year follow-up data, and 30 (36%) had 2-year data, with a median follow-up duration of 15.6 months. At baseline, both groups were similar with respect to demographics, cancer stage, and HerQLes/FACT-G scores. Compared to the Controls, the Repair Group showed greater improvements over baseline HerQLes Summary Scores at the 3-, 6-, 12-, and 18-month time points (median increase, 37 vs. 26 points), and in FACT-G total scores at the 3-, 6-, and 12-month time points (median increase, 6 vs. 4 points).

conclusionsRepair of VIH after surgery for abdominal malignancy may improve abdominal wall-specific and cancer-specific QoL, making post-resection abdominal wall reconstruction an important aspect of cancer survivorship.

Indexed as

Quality of LifeAbdominal NeoplasmsAbdominal WallAgedFemaleFollow-Up StudiesHernia, VentralHerniorrhaphyHumansIncisional HerniaMaleMiddle AgedProspective StudiesAbdominal malignancyCancer survivorshipHernia preventionIncisional herniaProspective cohort studyQuality of life

Identifiers

PMID30564978
OpenAlexW2905271110

What OpenQuestion holds

Textmetadata
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.