Evidence map›Paper›PMID 35764698›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2023

Operative management of non-elective incisional hernia reduces readmission in a national database.

J Nigh, D J Wade, G T Rives, S A Karim, A Bhavaraju, M K Kimbrough, R J Reif, K W Sexton, H K Jensen

Abstract read
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In one paragraph

Article in Hernia : the journal of hernias and abdominal wall surgery, 2023. 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
0.9field-weighted citation impact, top 27% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
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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

9 authors at 5 institutions in 1 country.

J NighDepartment of Surgery, Division of Trauma and Acute Care Surgery, University of Arkansas for Medical Sciences (UAMS), 4301 West Markham St. Slot 520-1, Little Rock, AR, 72205, USA.
D J WadeDepartment of Surgery, Division of Trauma and Acute Care Surgery, University of Arkansas for Medical Sciences (UAMS), 4301 West Markham St. Slot 520-1, Little Rock, AR, 72205, USA.
G T RivesDepartment of Surgery, Division of Trauma and Acute Care Surgery, University of Arkansas for Medical Sciences (UAMS), 4301 West Markham St. Slot 520-1, Little Rock, AR, 72205, USA.
S A KarimDepartment of Health Administration, College of Health Professions, Virginia Commonwealth University, Richmond, VA, USA.
A BhavarajuDepartment of Surgery, Division of Trauma and Acute Care Surgery, University of Arkansas for Medical Sciences (UAMS), 4301 West Markham St. Slot 520-1, Little Rock, AR, 72205, USA.
M K KimbroughDepartment of Surgery, Division of Trauma and Acute Care Surgery, University of Arkansas for Medical Sciences (UAMS), 4301 West Markham St. Slot 520-1, Little Rock, AR, 72205, USA.
R J ReifDepartment of Health Policy and Management, Fay W. Boozman College of Public Health, Little Rock, AR, 72205, USA.
K W SextonDepartment of Surgery, Division of Trauma and Acute Care Surgery, University of Arkansas for Medical Sciences (UAMS), 4301 West Markham St. Slot 520-1, Little Rock, AR, 72205, USA.
H K JensenDepartment of Surgery, Division of Trauma and Acute Care Surgery, University of Arkansas for Medical Sciences (UAMS), 4301 West Markham St. Slot 520-1, Little Rock, AR, 72205, USA. hkjensen@uams.edu.ORCID 0000-0001-8487-7982
University of Arkansas for Medical Sciences · USArkansas Department of Health · USUniversity of Arkansas at Little Rock · USUniversity of Arkansas Medical Center · USVirginia Commonwealth University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this project was to compare patient characteristics, overall efficacy, and readmission events following operative vs non-operative management modalities of non-elective patients presenting with symptomatic incisional hernias.

methodsThis study is a retrospective study of patients and patient demographics that presented as non-elective hospitalizations with symptomatic incisional hernia. Analysis of patients and characteristics utilized the National Readmission Database from 2010 to Q3 of 2015, delineating patient factors and outcomes following operative or non-operative management of hernias.

resultsA total of 14,137 patients met inclusion criteria for our study. The majority of patients were treated operatively rather than non-operatively (79 vs. 21%) on their non-elective admission for incisional hernia. Those undergoing surgical management were younger (56 vs 61 years, p < 0.01), we more often of male gender (69 vs 64%, p < 0.01), and had fewer comorbidities (1.92 vs 2.97, p < 0.01) and chronic conditions (0.45 vs 2.68, p < 0.01). Patients managed operatively had a significantly lower readmission rate when compared to patients managed non-operatively (6.6 vs 14.3%, p < 0.01). However, non-operative management was associated with a shorter length of stay (3 vs 4 days, p < 0.01). Of patients who were initially medically managed and had to be readmitted, a further 61% underwent surgical treatment on their readmission.

conclusionIn this nationwide study, patients with non-elective admissions for incisional hernia were mostly managed surgically. Those managed operatively had lower rates of readmission when compared to non-operative management. Initial non-operative management was associated with a shorter length of stay and a lower cost to the patient. The results of this study support operative management of symptomatic incisional hernia.

Indexed as

Hernia, VentralIncisional HerniaLaparoscopyHerniorrhaphyHospitalizationHumansMalePatient ReadmissionRetrospective StudiesHernia repairIncisional herniaOperative managementReadmission

Identifiers

PMID35764698
OpenAlexW4283644253

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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.