Evidence map›Paper›PMID 33839746›Full record

SynthesisBJS open2021

A systematic review of outcome reporting in incisional hernia surgery.

D Harji, C Thomas, S A Antoniou, H Chandraratan, B Griffiths, B T Henniford, L Horgan, F Köckerling, M López-Cano, L Massey and 7 more

Abstract readSystematic Review
In one paragraph

Synthesis in BJS open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing 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

25 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Systematic review and meta-analysis on robotic assisted ventral hernia repair: the ROVER review.Hernia : the journal of hernias and abdominal wall surgery · 2025
    Pooled it
  2. Trial
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  6. Observational
  7. Article
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  10. Review
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  13. What is the association between BMI classes and the outcome in incisional hernia repair?Hernia : the journal of hernias and abdominal wall surgery · 2025
    Article
  14. Complex abdomen: a scoping review.Hernia : the journal of hernias and abdominal wall surgery · 2025
    Article
  15. Review
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  17. Article
  18. Article
  19. Risk factors of venous thromboembolism after incisional ventral hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2023
    Article
  20. 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

17 authors.

D HarjiNorthern Surgical Trainees Research Association (NoSTRA), Northern Deanery, Newcastle Upon Tyne, UK.
C ThomasNorthern Surgical Trainees Research Association (NoSTRA), Northern Deanery, Newcastle Upon Tyne, UK.
S A AntoniouDepartment of Surgery, Royal Devon & Exeter NHS Foundation Trust, Exeter, UK.
H ChandraratanNotre Dame University, General Surgery, Murdoch, Western Australia, Australia.
B GriffithsNewcastle Surgical Education, Newcastle Upon Tyne, UK.
B T HennifordDivision of Gastrointestinal and Minimally Invasive Surgery Carolinas Medical Center, Charlotte, North Carolina, USA.
L HorganUpper Gastrointestinal Surgical Department, Northumbria Healthcare NHSFT, North Shields, UK.
F KöckerlingDepartment of Surgery and Centre for Minimally Invasive Surgery, Academic Teaching Hospital of Charité Medical School, Vivantes Hospital, Berlin, Germany.
M López-CanoAbdominal Wall Surgery Unit, Hospital Universitario Vall d'Hebron, Universidad Autónoma de Barcelona, Barcelona, Spain.
L MasseyDepartment of Surgery, Royal Devon & Exeter NHS Foundation Trust, Exeter, UK.
M MiserezDepartment of Abdominal Surgery, University Hospital Gasthuisberg, KU Leuven, Leuven, Belgium.
A MontgomeryDepartment of Clinical Sciences Malmö, Lund University, Malmö, Sweden.
F MuysomsDepartment of Surgery, Maria Middelares, Ghent, Belgium.
B K PouloseDivision of General and Gastrointestinal Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
W ReinpoldDepartment of Surgery and Reference Hernia Centre, Gross Sand Hospital Hamburg, Hamburg, Germany.
N SmartDepartment of Surgery, Royal Devon & Exeter NHS Foundation Trust, Exeter, UK.
NoSTRA HarMoNY

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe incidence of incisional hernia is up to 20 per cent after abdominal surgery. The management of patients with incisional hernia can be complex with an array of techniques and meshes available. Ensuring consistency in reporting outcomes across studies on incisional hernia is important and will enable appropriate interpretation, comparison and data synthesis across a range of clinical and operative treatment strategies.

methodsLiterature searches were performed in MEDLINE and EMBASE (from 1 January 2010 to 31 December 2019) and the Cochrane Central Register of Controlled Trials. All studies documenting clinical and patient-reported outcomes for incisional hernia were included.

resultsIn total, 1340 studies were screened, of which 92 were included, reporting outcomes on 12 292 patients undergoing incisional hernia repair. Eight broad-based outcome domains were identified, including patient and clinical demographics, hernia-related symptoms, hernia morphology, recurrent incisional hernia, operative variables, postoperative variables, follow-up and patient-reported outcomes. Clinical outcomes such as hernia recurrence rates were reported in 80 studies (87 per cent). A total of nine different definitions for detecting hernia recurrence were identified. Patient-reported outcomes were reported in 31 studies (34 per cent), with 18 different assessment measures used.

conclusionsThis review demonstrates the significant heterogeneity in outcome reporting in incisional hernia studies, with significant variation in outcome assessment and definitions. This is coupled with significant under-reporting of patient-reported outcomes.

Indexed as

HerniorrhaphyHumansIncisional HerniaPatient Reported Outcome MeasuresPostoperative ComplicationsRecurrenceSurgical Mesh

Identifiers

PMID33839746
PMCPMC8038267

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.