Evidence map›Paper›PMID 36795186›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2023

Natural history of occult hernias in adults at a safety-net hospital.

D Quach, N B Lyons, K Nguyen, O A Olavarria, K Bernardi, N Neela, N H Dhanani, A Jackson, Z Ali, M K Liang

Abstract read
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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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.9field-weighted citation impact, top 15% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Trial
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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

10 authors at 4 institutions in 1 country.

D Quach *Department of Surgery, HCA Healthcare Kingwood, University of Houston, Kingwood, TX, USA.
N B Lyons *Department of Surgery, University of Miami Miller School of Medicine, 1800 NW 10th Ave, Miami, FL, 33136, USA. nblyons@med.miami.edu.ORCID http://orcid.org/0000-0001-8338-2400
K NguyenDepartment of Surgery, HCA Healthcare Kingwood, University of Houston, Kingwood, TX, USA.
O A OlavarriaDepartment of Surgery, McGovern Medical School at the University of Texas Health Science Center at Houston, Houston, TX, USA.
K BernardiDepartment of Surgery, McGovern Medical School at the University of Texas Health Science Center at Houston, Houston, TX, USA.
N NeelaDepartment of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX, USA.
N H DhananiDepartment of Surgery, McGovern Medical School at the University of Texas Health Science Center at Houston, Houston, TX, USA.
A JacksonDepartment of Surgery, University of Miami Miller School of Medicine, 1800 NW 10th Ave, Miami, FL, 33136, USA.
Z AliDepartment of Surgery, HCA Healthcare Kingwood, University of Houston, Kingwood, TX, USA.
M K LiangDepartment of Surgery, HCA Healthcare Kingwood, University of Houston, Kingwood, TX, USA.
Lone Star College Kingwood · USThe University of Texas Health Science Center at Houston · USUniversity of Miami · USThe University of Texas Southwestern Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeOccult hernias, hernias seen on radiologic imaging but not felt on physical exam, are common. Despite their high prevalence, little is known about the natural history of this finding. Our aim was to determine and report on the natural history of patients with occult hernias including the impact on abdominal wall quality of life (AW-QOL), need for surgery, and risk of acute incarceration/strangulation.

methodsThis was a prospective cohort study of patients who underwent a computed tomography (CT) abdomen/pelvis scan from 2016 to 2018. Primary outcome was change in AW-QOL using the modified Activities Assessment Scale (mAAS), a hernia-specific, validated survey (1 = poor, 100 = perfect). Secondary outcomes included elective and emergent hernia repairs.

resultsA total of 131 (65.8%) patients with occult hernias completed follow-up with a median (IQR) of 15.4 (22.5) months. Nearly half of these patients (42.8%) experienced a decrease in their AW-QOL, 26.0% were unchanged, and 31.3% reported improvement. One-fourth of patients (27.5%) underwent abdominal surgery during the study period: 9.9% were abdominal procedures without hernia repair, 16.0% involved elective hernia repairs, and 1.5% were emergent hernia repairs. AW-QOL improved for patients who underwent hernia repair (+ 11.2 ± 39.7, p = 0.043) while those who did not undergo hernia repair experienced no change in AW-QOL (- 3.0 ± 35.1).

conclusionWhen untreated, patients with occult hernias on average experience no change in their AW-QOL. However, many patients experience improvement in AW-QOL after hernia repair. Additionally, occult hernias have a small but real risk of incarceration requiring emergent repair. Further research is needed to develop tailored treatment strategies.

Indexed as

Hernia, VentralQuality of LifeAdultHerniorrhaphyHumansProspective StudiesSafety-net ProvidersComputed tomographyHerniaHernia repairOccult hernia

Identifiers

PMID36795186
OpenAlexW4321003902

What OpenQuestion holds

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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.