ArticleSurgical endoscopy2023
The impact of frailty on ventral hernia repair outcomes in a statewide database.
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 11 papers, 2 of them syntheses that pooled it.
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Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Frailty index as a predictive tool for poor outcomes after ventral hernia repair - systematic review and meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2026Pooled it
- Preoperative frailty and postoperative complications after non-cardiac surgery: a systematic review.The Journal of international medical research · 2024Pooled it
- Frailty and abdominal wall hernias: a Mendelian randomization and retrospective study.Surgical endoscopy · 2026Article
- How frail is too frail? Impact of frailty on complex abdominal wall reconstruction.Surgical endoscopy · 2026Article
- The impact of BMI on frailty screening and the frailty phenotype in ventral hernia patients.Surgical endoscopy · 2025Article
- Impact of preoperative frailty status on decision regret following elective hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Classifying frailty in the ventral hernia population.Surgical endoscopy · 2024Article
- Variation in surgical approach and postoperative complication among older adults undergoing ventral hernia repair.Surgical endoscopy · 2024Article
- The modified frailty index predicts postoperative morbidity in elective hernia repair patients: analysis of the national inpatient sample 2015-2019.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Gender, racial, and socioeconomic disparity of preoperative optimization goals in ventral hernia repair.Surgical endoscopy · 2023Article
- Minimally Invasive Surgery Benefits Frail Patients Undergoing Emergency Hernia Repairs.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
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10 authors.
Funding
Abstract
introductionPreoperative frailty is a strong predictor of postoperative morbidity in the general surgery population. Despite this, there are a paucity of research examining the effect of frailty on outcomes after ventral hernia repair (VHR), one of the most common abdominal operations in the USA. We examined the association of frailty with short-term postoperative outcomes while accounting for differences in preoperative, operative, and hernia characteristics.
methodsWe retrospectively reviewed the Michigan Surgery Quality Collaborative Hernia Registry (MSQC-HR) for adult patients who underwent VHR between January 2020 and January 2022. Patient frailty was assessed using the validated 5-factor modified frailty index (mFI5) and categorized as follows: no (mFI5 = 0), moderate (mFI5 = 1), and severe frailty (mFI5 ≥ 2). Our primary outcome was any 30-day complication. Multivariable logistic regression was used to evaluate the association of frailty with outcomes while controlling for patient, operative, and hernia variables.
resultsA total of 4406 patients underwent VHR with a mean age (SD) of 55 (15) years, 2015 (46%) females, and 3591 (82%) white patients. The mean (SD) BMI of the cohort was 33 (8) kg/m2. A total of 2077 (47%) patients had no frailty, 1604 (36%) were moderately frail, and 725 (17%) were severely frail. The median hernia size (interquartile range) was 2.5 cm (1.5-4.0 cm). Severe frailty was associated with increased odds of any complication (adjusted Odds Ratio (aOR) 3.12, 95% CI 1.78-5.47), serious complication (aOR 5.25, 95% CI 2.17-13.19), SSI (aOR 3.41, 95% CI 1.58-7.34), and post-discharge adverse events (aOR 1.70, 95% CI 1.24-2.33).
conclusionAfter controlling for patient, operative, and hernia characteristics, frailty was independently associated with increased odds of postoperative complications. These findings highlight the importance of preoperative frailty assessment for risk stratification and to inform patient counseling.
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