Evidence map›Paper›PMID 37369887›Full record

Trial reportHernia : the journal of hernias and abdominal wall surgery2024

Impact of disclosure of radiographic test results on quality of life among patients with hernias: a randomized controlled trial.

O A Olavarria, N B Lyons, K Bernardi, N H Dhanani, N Neela, A Arakelians, B L Cohen, K Mohebzad, R Coelho, J L Holihan and 1 more

Erratum issued Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Hernia : the journal of hernias and abdominal wall surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT04355819 (Patient Centered Outcomes Among Patients With and Without Ventral Hernia), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.6field-weighted citation impact, top 31% 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.

NCT04355819 nacompletednot on this map

Patient Centered Outcomes Among Patients With and Without Ventral Hernia

TypeinterventionalSponsorThe University of Texas Health Science Center, HoustonRan2016 to 2018Enrolled500ConditionsHernia, VentralArmsDisclosure timing
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 1 country.

O A OlavarriaDepartment of Surgery, McGovern Medical School at the University of Texas Health Science Center Houston, Houston, TX, USA.
N B LyonsDepartment of Surgery, University of Miami Miller School of Medicine, Miami, FL, USA. nblyons@med.miami.edu.ORCID 0000-0001-8338-2400
K BernardiDepartment of Surgery, McGovern Medical School at the University of Texas Health Science Center Houston, Houston, TX, USA.
N H DhananiDepartment of Surgery, McGovern Medical School at the University of Texas Health Science Center Houston, Houston, TX, USA.
N NeelaDepartment of Surgery, McGovern Medical School at the University of Texas Health Science Center Houston, Houston, TX, USA.
A ArakeliansDepartment of Surgery, University of Miami Miller School of Medicine, Miami, FL, USA.
B L CohenDepartment of Surgery, University of Miami Miller School of Medicine, Miami, FL, USA.
K MohebzadDepartment of Surgery, University of Houston, HCA Kingwood, Kingwood, TX, USA.
R CoelhoDepartment of Surgery, University of Houston, HCA Kingwood, Kingwood, TX, USA.
J L HolihanDepartment of Surgery, McGovern Medical School at the University of Texas Health Science Center Houston, Houston, TX, USA.
M K LiangDepartment of Surgery, University of Houston, HCA Kingwood, Kingwood, TX, USA.
The University of Texas Health Science Center at Houston · USLone Star College Kingwood · USUniversity of Miami · US

Funding

Institutional Career Development CoreKL2TR003168 · NCATS · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI MILLER, CHARLES C · 2019 to 2023
$4.9M
6 · The paper itself

Abstract

purposeHernias noted on radiographic imaging are common. We aimed to determine if informing patients of the presence of a clinically apparent or occult hernia on imaging would change their abdominal wall quality of life (AW-QOL).

methodsThis study was registered on clinicaltrials.gov (NCT04355819) in April 2020. Patients with a ventral hernia on elective CT abdomen/pelvis were enrolled. Patients underwent standardized abdominal examination by surgeons, and completed the modified Activities Assessment Scale, a validated, hernia-specific AW-QOL survey. On this scale, 1 is poor AW-QOL, 100 is perfect, and the minimally clinically important difference is five for a minor change. Patients were randomized to complete the one-year follow-up survey before or after being informed of the presence of a hernia on their imaging results. Primary outcome was follow-up AW-QOL adjusted for baseline AW-QOL.

resultsOf 169 patients randomized, 126 (75%) completed follow up at one-year. Among patients with occult hernias, those who completed the follow-up survey after being informed of having a hernia had a lower follow-up AW-QOL (mean difference - 7.6, 95% CI =  - 20.8 to 5.7, p = 0.261) compared to those who completed the survey before being informed. Conversely, for patients with clinical hernias, those who completed the survey after being informed had higher adjusted follow-up AW-QOL (mean difference 10.3, 95% CI =  - 3.0 to 23.6, p = 0.126) than those that completed it after.

conclusionConveying findings of hernias found on CT imaging can influence patients' AW-QOL. Future research should focus on identifying and addressing patients' concerns after disclosure of CT results.

Indexed as

Abdominal WallHernia, VentralDisclosureHerniorrhaphyHumansQuality of LifeSurgical MeshHernia repairOccult herniaQuality of lifeVentral hernia

Identifiers

PMID37369887
OpenAlexW4382203223

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.