Evidence map›Paper›PMID 32451792›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2022

The use of a novel synthetic resorbable scaffold (TIGR Matrix

R Lewis, B Forman, M Preston, E Heidel, B Alvoid-Preston, B Ramshaw

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Article in Hernia : the journal of hernias and abdominal wall surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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, 1 synthesis or guideline pooled it.

  1. Pooled it
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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.

R LewisDepartment of Surgery, University of Tennessee Knoxville Graduate School of Medicine, 1924 Alcoa Hwy Box U-11, Knoxville, TN, 37920, USA. rlewis1@utmck.edu.
B FormanCQInsights, Knoxville, TN, USA.
M PrestonUniversity Surgeons Associates, Knoxville, TN, USA.
E HeidelDepartment of Surgery, University of Tennessee Knoxville Graduate School of Medicine, 1924 Alcoa Hwy Box U-11, Knoxville, TN, 37920, USA.
B Alvoid-PrestonCQInsights, Knoxville, TN, USA.
B RamshawCQInsights, Knoxville, TN, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe use of hernia mesh is a common practice in abdominal wall reconstruction (AWR) operations. The high cost of biologic mesh has raised questions about the value of its use in AWR. Resorbable synthetic mesh may have the potential benefits of biologic mesh, minimizing the need for removal when infected, at a lower cost.

methodsA hernia program has implemented the principles of clinical quality improvement (CQI) to improve patient outcomes. One process improvement attempt was implemented using a newly available resorbable synthetic scaffold. Long-term follow-up was obtained as a part of the CQI process.

resultsA total of 91 patients undergoing AWR were included between 8/11 and 9/15 (49 months). There were 58 female (64%) and 33 male (36%) patients. The average age was 57.2 years (28-80). The average BMI was 34.0 (17.6-53.4). There were 52 patients (57%) with recurrent hernias. Mean hernia defect size was 306.6 cm

conclusionIn this group of patients, an attempt at process improvement was implemented using a resorbable synthetic scaffold for AWR. With no mesh-related complications and no mesh removals required, there was an improvement in value due to the decrease in mesh cost and improved outcomes over time. Long-term follow-up demonstrated the durability of the repair.

Indexed as

Abdominal WallHernia, VentralFemaleHerniorrhaphyHumansMaleMiddle AgedQuality ImprovementRecurrenceRetrospective StudiesSurgical MeshTreatment OutcomeAbdominalAbdominal wall reconstructionClinical quality improvementHerniaHernia recurrenceResorbable synthetic scaffold

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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.