Evidence map›Paper›PMID 35879569›Full record

ArticleSurgical endoscopy2022

Incidence and trends of decision regret following elective hernia repair.

Ryan Howard, Anne Ehlers, Lia Delaney, Quintin Solano, Brian Fry, Michael Englesbe, Justin Dimick, Dana Telem

Abstract read
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.8field-weighted citation impact, top 6% 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

11 citing papers in PubMed, 16 citations in OpenAlex.

  1. Trial
  2. Associations of Patient and Parent Characteristics With Parental Decision Regret in the PICU: A Secondary Analysis of the 2015-2017 Navigate Randomized Comparative Trial.Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies · 2024
    Trial
  3. Article
  4. Observational
  5. Article
  6. Article
  7. Article
  8. Impact of preoperative frailty status on decision regret following elective hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2025
    Article
  9. Article
  10. Postoperative compression in preventing early complications after groin hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2023
    Observational
  11. 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

8 authors at 1 institution in 1 country.

Ryan HowardDepartment of Surgery, University of Michigan, Ann Arbor, MI, USA.ORCID http://orcid.org/0000-0001-9877-9603
Anne EhlersDepartment of Surgery, University of Michigan, Ann Arbor, MI, USA.
Lia DelaneyUniversity of Michigan Medical School, Ann Arbor, MI, USA.
Quintin SolanoUniversity of Michigan Medical School, Ann Arbor, MI, USA.
Brian FryDepartment of Surgery, University of Michigan, Ann Arbor, MI, USA.
Michael EnglesbeDepartment of Surgery, University of Michigan, Ann Arbor, MI, USA.
Justin DimickDepartment of Surgery, University of Michigan, Ann Arbor, MI, USA.
Dana TelemDepartment of Surgery, University of Michigan, Ann Arbor, MI, USA. dtelem@med.umich.edu.
University of Michigan · US

Funding

Obesity Surgery Scientist Training ProgramT32DK108740 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Justin Brigham Dimick, RANDY J SEELEY · 2016 to 2026
$2.2M
Developing and Implementing Evidence-Based Hernia CareK08HS025778 · AHRQ · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI TELEM, DANA ALEXA · 2018 to 2021
$561k
AHRQ HHS K08 HS025778NIDDK NIH HHS T32 DK108740
6 · The paper itself

Abstract

backgroundOne approach to evaluate decision-making is using the concept of decision regret, which measures patient remorse after a healthcare decision. This is particularly important for elective, preference-sensitive conditions with multiple treatment options, such as ventral and inguinal hernia repair. In this study, we assessed decision regret among patients who pursued surgical management of ventral and inguinal hernias.

methodsWe retrospectively reviewed a statewide registry of adult patients who underwent elective ventral and inguinal hernia repair between January 2017 and March 2020 and completed a validated survey measuring decision regret. 30-day outcomes included complications, emergency department (ED) utilization, readmission, and reoperation. Multivariable logistic regression examined the association of regret with age, sex, race, insurance status, ASA, tobacco use, diabetes, admission status, surgical approach (open vs. laparoscopic vs. robotic), year, and outcomes.

results8315 patients underwent surgery during the study period with a mean age of 60.5 (14.7) years and 1812 (22%) female patients. Among 2159 patients who underwent ventral hernia repair, 248 (11%) reported regret to undergo surgery, 64 (3%) experienced a complication, 160 (7%) visited an ED, 86 (4%) were readmitted, and 29 (1%) underwent reoperation. Outcomes associated with regret after ventral hernia repair included complications (OR 2.33, 95% CI 1.26-4.29) and readmission (OR 2.67, 95% CI 1.51-4.71). Among 6,156 patients who underwent inguinal hernia repair, 533 (9%) reported regret to undergo surgery, 41 (1%) experienced a complication, 304 (5%) visited an ED, 72 (1%) were readmitted, and 63 (1%) underwent reoperation. Outcomes associated with regret after inguinal hernia repair included ED visits (OR 2.03, 95% CI 1.44-2.87) and readmission (OR 4.23, 95% CI 2.35-7.61).

conclusionRoughly 1 in 10 patients undergoing hernia repair report regret with their decision to undergo surgery. Developing a better understanding of the factors associated with decision regret after hernia repair may better inform both patients and surgeon decision-making.

Indexed as

Hernia, InguinalHernia, VentralLaparoscopyAdultEmotionsFemaleHerniorrhaphyHumansIncidenceMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesDecision regretHerniaPatient-reported outcomesRegret

Identifiers

PMID35879569
OpenAlexW4287577982

What OpenQuestion holds

Textmetadata
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.