Evidence map›Paper›PMID 37129637›Full record

ArticleSurgical endoscopy2023

Surgeon perspectives on the STITCH trial: a mixed methods study.

Steven L Cochrun, Ivan Herbey, Nataliya Ivankova, Vahagn C Nikolian, Jan O Jansen, Abhishek D Parmar

Abstract read
PubMed Publisher
In one paragraph

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, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Observational
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

6 authors.

Steven L CochrunDivision of Gastrointestinal Surgery, Department of Surgery, University of Alabama at Birmingham, 1808 8Th Avenue South, Boshell Diabetes Building #525, Birmingham, AL, 35294, USA. scochrun@uabmc.edu.ORCID http://orcid.org/0000-0003-0680-0394
Ivan HerbeyDivision of Gastrointestinal Surgery, Department of Surgery, University of Alabama at Birmingham, 1808 8Th Avenue South, Boshell Diabetes Building #525, Birmingham, AL, 35294, USA.
Nataliya IvankovaSchool of Health Professions, University of Alabama at Birmingham, Birmingham, AL, USA.
Vahagn C NikolianDepartment of Surgery, Oregon Health & Science University, Portland, OR, USA.
Jan O JansenDivision of Trauma and Acute Care Surgery, Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA.
Abhishek D ParmarDivision of Gastrointestinal Surgery, Department of Surgery, University of Alabama at Birmingham, 1808 8Th Avenue South, Boshell Diabetes Building #525, Birmingham, AL, 35294, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIncisional hernia prevention strategies related to fascial closure technique during laparotomy are well described yet poorly implemented in practice. The factors hindering the surgeon's adoption of evidence-based techniques for fascial closure are poorly understood and characterized.

methodsUsing an exploratory sequential mixed methods design, we first collected 139 responses to a validated quantitative survey based on a Theoretical Domain Framework for adoption of healthcare practices. Mean scores from survey responses were tabulated, and the findings were used to develop an interview guide for subsequent qualitative individual semi-structured phone interviews. Fourteen practicing surgeons were purposively sampled from social media outlets and our institution. The interviews were recorded and transcribed verbatim for coding and thematic analysis using NVivo 12 Plus. Data from the surveys and interviews were integrated using joint displays.

resultsQuantitative and qualitative analyses from surveys and semi-structured interviews revealed various themes related to surgeon decision-making related to fascial closure technique. Surgeons cited limitations of prior studies, applicability of findings, anecdotal experiences, and situation-specific environments that influence their decision-making. Peer influence and lack of training also affected surgeons' perspectives on integrating small bite technique into practice.

conclusionTrial design limitations, peer influence, and patient-specific factors impacted surgeon decision-making in the choice of fascial closure technique. Future clinical trials in diverse patient populations may improve surgeons' confidence in implementing technique for fascial closure.

Indexed as

Abdominal Wound Closure TechniquesIncisional HerniaSurgeonsClinical Trials as TopicFasciaHumansWound Closure TechniquesDecision-makingFascial closureHernia preventionMixed methodsSmall bite technique

Identifiers

PMID37129637

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.