Evidence map›Paper›PMID 31781964›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2020

Revisiting HERQL, the hernia-specific quality-of-life assessment instrument, to extend the clinical applicability for abdominal wall hernias.

C-C Huang, H-H Lien, J-U Wong, T-F Ho, W-P Chang, C-S Hunag

Abstract readValidation Study
PubMed Publisher
In one paragraph

Article in Hernia : the journal of hernias and abdominal wall surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.7field-weighted citation impact, top 27% 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

7 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Quality of Life With a Hernia-A Novel Patient Led Study.Journal of abdominal wall surgery : JAWS · 2023
    Article
  6. Article
  7. Health-related quality of life in abdominal wall hernia: let's ask patients what matters to them?Hernia : the journal of hernias and abdominal wall surgery · 2022
    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

6 authors at 4 institutions in 1 country.

C-C HuangDepartment of Surgery, Taipei Veterans General Hospital, Taipei, 112, Taiwan.
H-H LienSchool of Medicine, College of Medicine, Fu-Jen Catholic University, New Taipei, Taiwan.
J-U WongDepartment of Surgery, Fu-Jen Catholic University Hospital, New Taipei, Taiwan.
T-F HoDepartment of Surgery, Cathay General Hospital Sijhih, New Taipei, Taiwan.
W-P ChangSchool of Health Care Administration, Taipei Medical University, Taipei, Taiwan.
C-S HunagDepartment of Surgery, Cathay General Hospital, Taipei, 106, Taiwan. chishenh74@gmail.com.
Cathay General Hospital · TWFu Jen Catholic University · TWTaipei Medical University · TWTaipei Veterans General Hospital · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIn the past we have developed and validated the hernia-specific quality of life assessment instrument, HERQL, for groin hernias. In current study we evaluated the conceptual structure and validated HERQL for abdominal wall hernias.

methodsSubjective quality-of-life perceptions from abdominal wall hernia patients were assessed. Clinical responsiveness was evaluated comparing treatment naïve with follow-up hernia patients. Measurement invariance between groin and abdominal wall hernias was approached with structural equation modeling (SEM). Subgroup comparisons were conducted between primary ventral and incisional hernias, as well as the presence of co-morbidity, hernia incarceration, surgical complications, and recurrent abdominal wall hernias.

resultsA total of 775 HERQL assessments, including 167 from abdominal wall hernias, were successfully performed. Cronbach's alpha coefficients for the summative pain, worse symptoms for treatment-naïve patients, and improving summative pain scores across the pre-operative, immediately post-operative, and post-operative 3-month assessments indicating clinical responsiveness were observed and comparable between groin and abdominal wall hernias. Configural invariance was evidenced by that the same model held true for both types of hernias with multi-group SEM, while mean structure exploration showed that abdominal wall hernia patients reported less latent summative pain (- 0.535, p < 0.0001) but worse latent quality-of-life score (0.207, p < 0.0001). Patients with peri-operative complications suffered from worse pain during mild activities (2.7 versus 1.5, p = 0.01), and patients with recurrent hernias reported compromised global health/quality of life (2 versus 1.6, p = 0.001).

conclusionsThe study successfully validated and extended the clinical applicability of HERQL across distinct types of hernias. Measurement invariance was ascertained and the same HERQL construct could be administered for both abdominal wall and groin hernias in Taiwan.

Indexed as

HerniorrhaphyQuality of LifeAbdominal WallAdultFemaleGroinHernia, InguinalHernia, VentralHumansIncisional HerniaMaleMiddle AgedPatient Reported Outcome MeasuresPostoperative PeriodTaiwanAbdominal wall herniaChronic painHERQLQuality of lifeStructural equation modelingValidation study

Identifiers

PMID31781964
OpenAlexW2989603493

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.