Evidence map›Paper›PMID 35640625›Full record

SynthesisThe British journal of surgery2022

Development of the ParaOesophageal hernia SympTom (POST) tool.

Aiysha Puri, Nikhil M Patel, Viknesh Sounderajah, Lorenzo Ferri, Ewen A Griffiths, Donald Low, Nick Maynard, Carmen Mueller, Manuel Pera, Mark I van Berge Henegouwen and 5 more

Abstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in The British journal of surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. No advantage of fundoplication in paraesophageal hernia repair: a retrospective multicenter study.Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus · 2025
    Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors.

Aiysha PuriDepartment of Surgery and Cancer, Imperial College London, London, UK.
Nikhil M PatelDepartment of Surgery and Cancer, Imperial College London, London, UK.ORCID 0000-0002-5623-2404
Viknesh SounderajahDepartment of Surgery and Cancer, Imperial College London, London, UK.ORCID 0000-0002-4595-8402
Lorenzo FerriDivision of Thoracic and Upper Gastrointestinal Surgery, McGill University Health Centre, Montreal, Quebec, Canada.
Ewen A GriffithsDepartment of Upper Gastrointestinal Surgery, Queen Elizabeth Hospital Birmingham, University Hospitals Birmingham NHS Foundation Trust, Edgbaston, Birmingham, UK.ORCID 0000-0001-6630-3547
Donald LowDepartment of Thoracic Surgery and Thoracic Oncology, Virginia Mason Medical Centre, Seattle, Washington, USA.
Nick MaynardOxford Oesophagogastric Centre, Churchill Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Carmen MuellerDivision of Thoracic and Upper Gastrointestinal Surgery, McGill University Health Centre, Montreal, Quebec, Canada.
Manuel PeraDepartment of Surgery, University Hospital del Mar, Barcelona, Spain.ORCID 0000-0002-9449-1810
Mark I van Berge HenegouwenDepartment of Surgery, Amsterdam University Medical Centres, Cancer Centre Amsterdam, Amsterdam, the Netherlands.ORCID 0000-0001-8689-3134
David I WatsonFlinders University, Discipline of Surgery, Flinders Medical Centre, Adelaide, South Australia, Australia.ORCID 0000-0002-7683-2693
Giovanni ZaninottoDepartment of Surgery and Cancer, Imperial College London, London, UK.ORCID 0000-0003-0333-9491
George B HannaDepartment of Surgery and Cancer, Imperial College London, London, UK.
Sheraz R MarkarDepartment of Surgery and Cancer, Imperial College London, London, UK.ORCID 0000-0001-8650-2017
POST Collaborative

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this study was to develop a symptom severity instrument (ParaOesophageal hernia SympTom (POST) tool) specific to para-oesophageal hernia (POH).

methodsThe POST tool was developed in four stages. The first was establishment of a Steering Committee. In the second stage, items were generated through a systematic review and online scoping survey of international experts. In the third stage, a three-round modified Delphi consensus process was conducted with a group of international experts who were asked to rate the importance of candidate items. An a priori threshold for inclusion was set at 80 per cent. The modified Delphi process culminated in a consensus meeting to develop the first iteration of the tool. In the final stage, two international patient workshops were held to assess the content validity and acceptability of the POST tool.

resultsThe systematic review and scoping survey generated 64 symptoms, refined to 20 for inclusion in the modified Delphi consensus process. Twenty-six global experts participated in the Delphi consensus process. Five symptoms reached consensus across two rounds: difficulty getting solid foods down, chest pain after meals, difficulty getting liquids down, shortness of breath only after meals, and an early feeling of fullness after eating. The subsequent patient workshops deemed these five symptoms to be relevant and suggested that reflux should be included; these were taken forward to create the final POST tool.

conclusionThe POST tool is the first instrument designed to capture POH-specific symptoms. It will allow clinicians to standardize reporting of symptoms of POH and evaluate the response to surgical intervention.

Indexed as

Hernia, HiatalConsensusDelphi TechniqueHumansSurveys and Questionnaires

Identifiers

PMID35640625
PMCPMC10364681

What OpenQuestion holds

Textmetadata
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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.