Evidence map›Paper›PMID 35304009›Full record

ArticleSurgery2022

Preoperative computed tomography for acutely incarcerated ventral or inguinal hernia.

Daniel K Knewitz, Stacey L Kirkpatrick, Phillip D Jenkins, Mazen Al-Mansour, Martin D Rosenthal, Philip A Efron, Tyler J Loftus

Open access · greenAbstract read
In one paragraph

Article in Surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

5 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Observational
  3. Article
  4. Article
  5. 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

7 authors at 2 institutions in 1 country.

Daniel K KnewitzUniversity of Florida College of Medicine, Gainesville, FL.
Stacey L KirkpatrickDepartment of Surgery, University of Florida Health, Gainesville, FL.
Phillip D JenkinsUniversity of Florida College of Medicine, Gainesville, FL.
Mazen Al-MansourDepartment of Surgery, University of Florida Health, Gainesville, FL.
Martin D RosenthalDepartment of Surgery, University of Florida Health, Gainesville, FL.
Philip A EfronDepartment of Surgery, University of Florida Health, Gainesville, FL.
Tyler J LoftusDepartment of Surgery, University of Florida Health, Gainesville, FL. Electronic address: tyler.loftus@surgery.ufl.edu.
University of Florida Health · USUniversity of Florida · US

Funding

Aligning Patient Acuity with Intensity of Care after SurgeryK23GM140268 · NIGMS · UNIVERSITY OF FLORIDA · PI LOFTUS, TYLER J · 2020 to 2023
$619k
NIGMS NIH HHS K23 GM140268
6 · The paper itself

Abstract

backgroundThe utility of preoperative computed tomography for urgent abdominal wall hernia repair is unclear. This study tests the hypothesis that there is no difference in patient outcomes for acutely incarcerated ventral or inguinal hernias diagnosed by preoperative computed tomography versus clinical assessment alone.

methodsThis retrospective cohort analysis included 270 adult patients undergoing urgent repair of ventral or inguinal hernia. Demographics, risk factors for complications, operative management strategies, and 1-year outcomes were compared between patients with (n = 179) versus without (n = 91) preoperative computed tomography.

resultsAmong 179 preoperative computed tomography scans, 15 (8.4%) were ordered by surgeons, and all others were ordered by referring providers. The computed tomography and no computed tomography groups had similar age (58 vs 58 years, P = .77), body mass index (30.7 vs 30.6 kg/m

conclusionThe performance of preoperative computed tomography was associated with a longer interval between admission and incision and no differences in mesh placement, mesh type, or 1-year patient outcomes. These results support the safety of performing urgent repair of acutely incarcerated ventral or inguinal hernias based on clinical assessment alone.

Indexed as

Hernia, InguinalHernia, VentralAdultHerniorrhaphyHumansMiddle AgedRetrospective StudiesSurgical MeshTomography, X-Ray ComputedTreatment Outcome

Identifiers

PMID35304009
PMCPMC9295726
OpenAlexW4220891853

What OpenQuestion holds

Textmetadata
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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.