Evidence map›Paper›PMID 34338937›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2022

The Abdominal Hernia-Q: a critical analysis of the components that impact quality-of-life.

G Onyekaba, J T Mauch, V Patel, R B Broach, S Thrippleton, J P Fischer

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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 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

  1. Pooled it
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  3. 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.

G Onyekaba *Divison of Plastic Surgery, Department of Surgery, University of Pennsylvania, 51 North 39th Street, Wright Saunders Building, Philadelphia, PA, 19104, USA.ORCID http://orcid.org/0000-0001-9506-4434
J T Mauch *Divison of Plastic Surgery, Department of Surgery, University of Pennsylvania, 51 North 39th Street, Wright Saunders Building, Philadelphia, PA, 19104, USA.
V PatelDivison of Plastic Surgery, Department of Surgery, University of Pennsylvania, 51 North 39th Street, Wright Saunders Building, Philadelphia, PA, 19104, USA.
R B BroachDivison of Plastic Surgery, Department of Surgery, University of Pennsylvania, 51 North 39th Street, Wright Saunders Building, Philadelphia, PA, 19104, USA.
S ThrippletonDivison of Plastic Surgery, Department of Surgery, University of Pennsylvania, 51 North 39th Street, Wright Saunders Building, Philadelphia, PA, 19104, USA.
J P FischerDivison of Plastic Surgery, Department of Surgery, University of Pennsylvania, 51 North 39th Street, Wright Saunders Building, Philadelphia, PA, 19104, USA. John.Fischer2@pennmedicine.upenn.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeVentral hernias (VH) are a common surgical problem associated with significant morbidity. While assessment tools have examined quality-of-life (QoL), the relative change in specific domains of hernia-related QoL measures from pre- to post-operative period has yet to be comprehensively examined. Using the Abdominal Hernia-Q (AHQ), this study aims to assess the impact of ventral hernia repair (VHR) on key components of QoL.

methodsA retrospective chart review was conducted of patients undergoing VHR between September 2017 and September 2019 who had completed at least one pre- and post-operative AHQ. Post-operative intervals were created to capture AHQ responses around standard follow-up visits (< 1.5 months, 1.5-4.5 months, 4.5-11 months, and 11 + months) and scores were statistically analyzed.

resultsA total of 136 patients were included, with an average age of 54.8 years at the time of VHR. Compared to the pre-operative period, the appearance score increased significantly (p < 0.05). The physical domain score increased from < 1.5 month to the 1.5-4.5 month period (p = 0.03) and remained significantly higher in later time period. The appearance score decreased from the 1.5-4.5 month to 4.5-11 month period (p = 0.05).

conclusionsVHR leads to a sustained multi-dimensional increase in hernia-specific QoL measures during the post-operative course driven by early positive changes in appearance and sustained physical functioning. The initial increase in QoL is mainly driven by an improvement in appearance, while the sustained increase may be due to restored physical function.

Indexed as

Hernia, VentralHerniorrhaphyHumansMiddle AgedQuality of LifeRetrospective StudiesTreatment OutcomeHerniaOutcomePatientQuality-of-life

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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.