Evidence map›Paper›PMID 36655327›Full record

ArticleBJS open2023

Prevalence, incidence, repair rate, and morbidity of groin hernias in Sierra Leone: cross-sectional household study.

Karel C Lindenbergh, Alex J van Duinen, Johan G Ahlbäck, Joseph Kamoh, Silleh Bah, Thomas Ashley, Jenny Löfgren, Martin P Grobusch, Osman Sankoh, Håkon A Bolkan and 1 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BJS open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
3.5field-weighted citation impact, top 8% 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 11 citations in OpenAlex.

  1. Pooled it
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  8. Review
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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

11 authors at 6 institutions in 6 countries.

Karel C LindenberghVUmc School of Medical Sciences, Amsterdam, The Netherlands.
Alex J van DuinenDepartment of Public Health and Nursing, Norwegian University of Science and Technology, Trondheim, Norway.ORCID 0000-0002-6943-0100
Johan G AhlbäckDepartment of Surgery, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway.
Joseph KamohCapaCare, Norway, Sierra Leone, The Netherlands.
Silleh BahStatistics Sierra Leone, Tower Hill, Freetown, Sierra Leone.
Thomas AshleyCapaCare, Norway, Sierra Leone, The Netherlands.
Jenny LöfgrenDepartment of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0001-5884-0369
Martin P GrobuschMasanga Medical Research Unit, Masanga, Sierra Leone.
Osman SankohStatistics Sierra Leone, Tower Hill, Freetown, Sierra Leone.
Håkon A BolkanDepartment of Public Health and Nursing, Norwegian University of Science and Technology, Trondheim, Norway.
PRESSCO 2020 study group
Norwegian University of Science and Technology · NOAmsterdam UMC Location Vrije Universiteit Amsterdam · NLKarolinska Institutet · SESt Olav's University Hospital · NOUniversity of Cape Town · ZAUniversity of the Witwatersrand · ZA

Funding

Academic Medical CenterCentre of Tropical MedicineMasanga Medical Research Unit Sierra LeoneNorwegian University of Science and Technology
6 · The paper itself

Abstract

backgroundKnowledge about the prevalence of groin hernias in sub-Saharan Africa is limited. Previous studies have demonstrated a higher incidence of the condition than the annual repair rate. This study aimed to investigate prevalence, incidence, annual repair rate, morbidity, and health-seeking behaviour of persons with groin hernias in Sierra Leone.

methodsThis population-based, cross-sectional household survey on groin hernias in Sierra Leone was part of the Prevalence Study on Surgical Conditions 2020 (PRESSCO 2020). Those who indicated possible groin hernia were asked problem-specific questions and underwent physical examination to confirm or exclude the diagnosis.

results3626 study participants were interviewed. The prevalence of untreated groin hernia was 1.1 per cent (95 per cent c.i. 0.8 to 1.5 per cent), whereas the prevalence of untreated and treated groin hernia was 2.5 per cent (95 per cent c.i. 2.0 to 3.0 per cent). The proportion of recurrence was 13.1 per cent. An incidence of 389 (95 per cent c.i. 213 to 652) groin hernia cases per 100 000 people per year was identified, while a population-based annual hernia repair rate estimation was 470 (95 per cent c.i. 350 to 620) per 100 000 people. Out of 39 participants with groin hernia, non-ignorable pain was reported by eight and 27 reported financial shortcomings as a reason for not seeking healthcare.

conclusionsGroin hernias are common in Sierra Leone and although the repair rate might match the incidence, the existing backlog of untreated hernias is likely to remain. It may be possible to reduce the number of recurrences through improved management. Measures to reduce financial barriers to treatment seem crucial to improve the health of people with groin hernias in Sierra Leone.

Indexed as

GroinHernia, InguinalCross-Sectional StudiesHumansIncidencePrevalenceSierra Leone

Identifiers

PMID36655327
PMCPMC9849845
OpenAlexW4317477369

What OpenQuestion holds

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LicenceCC BY
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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.