Evidence map›Paper›PMID 32621037›Full record

GuidelineWorld journal of surgery2020

META Score: An International Consensus Scoring System on Mesh-Tissue Adhesions.

L C L van den Hil, E H H Mommers, J W A M Bosmans, S Morales-Conde, V Gómez-Gil, K LeBlanc, A Vanlander, E Reynvoet, F Berrevoet, S Gruber-Blum and 12 more

Abstract readPractice Guideline
PubMed Publisher
In one paragraph

Guideline in World journal of surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

1 citing paper in PubMed.

  1. 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

22 authors.

L C L van den HilDepartment of General Surgery, Maastricht University Medical Centre, PO Box 5800, 6202 AZ, Maastricht, The Netherlands. l.vandenhil@maastrichtuniversity.nl.
E H H MommersDepartment of General Surgery, Maastricht University Medical Centre, PO Box 5800, 6202 AZ, Maastricht, The Netherlands.
J W A M BosmansDepartment of General Surgery, Maastricht University Medical Centre, PO Box 5800, 6202 AZ, Maastricht, The Netherlands.
S Morales-CondeUnit of Innovation and Minimally Invasive Surgery, University Hospital Virgen Del Rocío, Seville, Spain.
V Gómez-GilDepartment of Surgery, Medical and Social Sciences, Faculty of Medicine and Health Sciences, Networking Research Centre on Bioengineering, Biomaterials and Nanomedicine (CIBER-BBN), University of Alcalá, Alcalá de Henares, Madrid, Spain.
K LeBlancOur Lady of the Lake Physician Group, Minimally Invasive Surgery Institute, Baton Rouge, LA, USA.
A VanlanderDepartment of General and Hepatobiliary Surgery, Ghent University Hospital, Ghent, Belgium.
E ReynvoetDepartment of General and Hepatobiliary Surgery, Ghent University Hospital, Ghent, Belgium.
F BerrevoetDepartment of General and Hepatobiliary Surgery, Ghent University Hospital, Ghent, Belgium.
S Gruber-BlumLudwig Boltzmann Institute for Experimental and Clinical Traumatology, Austrian Cluster for Tissue Regeneration, Vienna, Austria.
E AltinliDepartment of General Surgery, Bilim University, Istanbul, Turkey.
C R DeekenCovalent Bio, LLC, St. Louis, MO, USA.
R H FortelnyDepartment of General Surgery, Wilhelminenspital Der Stadt Wien, Vienna, Austria.
J W GreveDepartment of General Surgery, Zuyderland Medical Center, Heerlen, The Netherlands.
K ChiersDepartment of Veterinary Pathology, Faculty of Veterinary Medicine, University of Ghent, Ghent, Belgium.
R KaufmannDepartment of Surgery, Erasmus University Medical Center Rotterdam, Rotterdam, The Netherlands.
J F LangeDepartment of Surgery, Erasmus University Medical Center Rotterdam, Rotterdam, The Netherlands.
U KlingeDepartment of General, Visceral and Transplantation Surgery, RWTH Aachen University Hospital, Aachen, Germany.
M MiserezDepartment of Abdominal Surgery, University Hospitals, KU Leuven, Leuven, Belgium.
A H Petter-PuchnerLudwig Boltzmann Institute for Experimental and Clinical Traumatology, Austrian Cluster for Tissue Regeneration, Vienna, Austria.
M H F SchreinemacherDepartment of General Surgery, Maastricht University Medical Centre, PO Box 5800, 6202 AZ, Maastricht, The Netherlands.
N D BouvyDepartment of General Surgery, Maastricht University Medical Centre, PO Box 5800, 6202 AZ, Maastricht, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCurrently, the lack of consensus on postoperative mesh-tissue adhesion scoring leads to incomparable scientific results. The aim of this study was to develop an adhesion score recognized by experts in the field of hernia surgery.

methodsAuthors of three or more previously published articles on both mesh-tissue adhesion scores and postoperative adhesions were marked as experts. They were queried on seven items using a modified Delphi method. The items concerned the utility of adhesion scoring models, the appropriateness of macroscopic and microscopic variables, the range and use of composite scores or subscores, adhesion-related complications and follow-up length. This study comprised two questionnaire-based rounds and one consensus meeting.

resultsThe first round was completed by 23 experts (82%), the second round by 18 experts (64%). Of those 18 experts, ten were able to participate in the final consensus meeting and all approved the final proposal. From a total of 158 items, consensus was reached on 90 items. The amount of mesh surface covered with adhesions, tenacity and thickness of adhesions and organ involvement was concluded to be a minimal set of variables to be communicated separately in each future study on mesh adhesions.

conclusionThe MEsh Tissue Adhesion scoring system is the first consensus-based scoring system with a wide backing of renowned experts and can be used to assess mesh-related adhesions. By including this minimal set of variables in future research interstudy comparability and objectivity can be increased and eventually linked to clinically relevant outcomes.

Indexed as

Postoperative ComplicationsSurgical MeshTissue AdhesionsConsensusDelphi TechniqueFemaleHumansMale

Identifiers

PMID32621037

What OpenQuestion holds

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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.