Evidence map›Paper›PMID 35927347›Full record

ArticleSurgical endoscopy2023

Ventral hernia repair and mesh use in females of childbearing age.

Mary R Shen, Ryan Howard, Anne P Ehlers, Lia Delaney, Quintin Solano, Michael Englesbe, Justin Dimick, Dana Telem

Abstract read
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Article in Surgical endoscopy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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

3 citing papers in PubMed, 4 citations in OpenAlex.

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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

8 authors at 2 institutions in 1 country.

Mary R ShenDepartment of Surgery, University of Michigan, Ann Arbor, MI, USA.
Ryan HowardDepartment of Surgery, University of Michigan, Ann Arbor, MI, USA.ORCID 0000-0001-9877-9603
Anne P EhlersDepartment of Surgery, University of Michigan, Ann Arbor, MI, USA.
Lia DelaneyDepartment of Surgery, Stanford University, Palo Alto, CA, USA.
Quintin SolanoUniversity of Michigan Medical School, 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 · USStanford University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA substantial knowledge gap exists in understanding sex as a biological variable for abdominal wall hernia repair, which also extends to hernia repair practices in females of childbearing age. We sought to determine the incidence of mesh repairs in females of childbearing age and to characterize factors associated with mesh use.

methodsUsing a statewide hernia-specific data registry, we conducted a retrospective study identifying females of childbearing age, defined as 18-44 per CDC guidelines, who underwent clean ventral hernia repair between January 2020 and Dec 2021. The primary outcome was mesh use. Multivariable logistic regression was used to examine factors associated with mesh use. To further delineate whether childbearing status may affect decision to use mesh, we also examined mesh practice stratified by age, comparing women 18 to 44 to those 45 and older.

resultsEight hundred and thirty-six females of childbearing age underwent ventral hernia repair with a mean age of 34.8 (6.2) years. Mesh was used in 547 (65.4%) patients. Mesh use was significantly associated with minimally invasive approach [aOR 29.46 (95% CI 16.30-53.25)], greater hernia width [aOR 1.50 (95% CI 1.20-1.88)], and greater BMI [aOR 1.05 (95% CI 1.03-1.08)]. Age was not significantly associated with mesh use [aOR 1.02 (95% CI 0.99-1.05)]. Compared to 1,461 female patients older than 44 years old, there was no significant association between childbearing age and mesh use [aOR 0.77 (95% CI 0.57-1.04)].

conclusionsMost females of childbearing age had mesh placed during ventral and incisional hernia repair, which was largely associated with hernia size, BMI, and a minimally invasive surgical approach. Neither chronologic patient age nor being of childbearing age were associated with mesh use. Insofar as existing evidence suggests that childbearing status is an important factor in deciding whether to use mesh, these findings suggest that real-world practice may not reflect that evidence.

Indexed as

Hernia, VentralIncisional HerniaAdultChildFemaleHerniorrhaphyHumansIncidenceRecurrenceRetrospective StudiesSurgical MeshChildbearing ageFemalesHerniaMeshPractice improvement

Identifiers

PMID35927347
OpenAlexW4289783294

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.