Evidence map›Paper›PMID 31981009›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2020

Complex abdominal wall hernia repair with biologic mesh in elderly: a propensity matched analysis.

S Gogna, R Latifi, A Policastro, K Prabhakaran, P Anderson, J Con, J Choi, D J Samson, J Butler

Open access · bronzeAbstract readComparative Study
PubMed Full text at PMC 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 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
2.9field-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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Review
  7. Article
  8. Geriatric assessment and medical preoperative screening (GrAMPS) program for older hernia patients.Hernia : the journal of hernias and abdominal wall surgery · 2022
    Article
  9. 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

9 authors at 1 institution in 1 country.

S GognaDepartment of Surgery, Westchester Medical Center, New York Medical College, 100 Woods Road, Taylor Pavilion, E-348, Valhalla, NY, 10595, USA.ORCID 0000-0002-4075-9674
R LatifiWestchester Medical Center, School of Medicine, New York Medical College, Valhalla, NY, 10595, USA. Rifat.Latifi@wmchealth.org.
A PolicastroMedical Director SICU, PCU, Trauma and Critical Care, Department of Surgery, Westchester Medical center, School of Medicine, New York Medical College, 100 Woods Road, Taylor Pavilion, Office E-136, Valhalla, NY, 10595, USA.
K PrabhakaranDivision of Trauma, Acute Care Surgery and Burns, Department of Surgery, Westchester Medical center, School of Medicine, New York Medical College, 100 Woods Road, Taylor Pavilion, Office E-150, Valhalla, NY, 10595, USA.
P AndersonTrauma Intensive Care Unit, Department of Surgery, Westchester Medical center, School of Medicine, New York Medical College, 100 Woods Road, Taylor Pavilion, Office E-145, Valhalla, NY, 10595, USA.
J ConDepartment of Surgery, Westchester Medical center, School of Medicine, New York Medical College, 100 Woods Road, Taylor Pavilion, E-131, Office #E145, Valhalla, NY, 10595, USA.
J ChoiDepartment of Surgery, Westchester Medical Center, New York Medical College, 100 Woods Road, Taylor Pavilion, E-348, Valhalla, NY, 10595, USA.
D J SamsonDepartment of Surgery, Clinical Research Unit, Westchester Medical Center, 100 Woods Road, Taylor Pavilion, Office E-348, Valhalla, NY, 10595, USA.
J ButlerClinical Research Unit, Westchester Medical Center, 100 Woods Road, Taylor Pavilion, Office E-348, Valhalla, NY, 10595, USA.
Westchester Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundComplex abdominal wall reconstruction (CAWR) has become a common surgical procedure both in non-elderly and elderly patients.

objectiveThe aim of this study is to analyze the outcomes of the elderly compared to nonelderly undergoing CAWR using propensity score matching.

methodsAll patients who underwent CAWR using porcine-derived, non-crosslinked acellular dermal matrix (ADM) (Strattice™) between January 2014 and July 2017 were studied retrospectively. Propensity matched analysis was performed for risk adjustment in multivariable analysis and for one-to-one matching. The outcomes were analyzed for differences in postoperative complications, reoperations, mortality, hospital length of stay and adverse discharge disposition.

resultsOne hundred-thirty-six patients were identified during the study period. Non-elderly (aged 18-64 years) constituted 70% (n = 95) and elderly (aged ≥ 65 years) comprised 30% of the overall patient population (n = 41). Seventy-three (56.7%) were females. After adjustment through the propensity score, which included 35 pairs, the surgical site infection (p = 1.000), wound necrosis (p = 1.000), the need for mechanical ventilation (p = 0.259), mortality (p = 0.083), reoperation rate (p = 0.141), hospital length of stay (p = 0.206), and discharge disposition (p = 0.795) were similar.

conclusionElderly patients undergoing CAWR with biological mesh have comparable outcomes with non-elderly patients when using propensity matching score.

Indexed as

Acellular DermisAbdominal WallAdolescentAdultAgedAged, 80 and overAge FactorsAnimalsBioprosthesisFemaleHernia, VentralHerniorrhaphyHumansMaleMiddle AgedPlastic Surgery ProceduresBiologic meshComplex abdominal wall reconstructionComplicationsElderlyHerniaOutcomesPosterior component releasePropensity matching

Identifiers

PMID31981009
PMCPMC7223233
OpenAlexW3001348541

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.