Evidence map›Paper›PMID 37658198›Full record

ArticleSurgical endoscopy2023

Gender, racial, and socioeconomic disparity of preoperative optimization goals in ventral hernia repair.

Mazen R Al-Mansour, Khal-Hentz Gabriel, Dan Neal

Abstract read
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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 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. The impact of socioeconomic status in hernia treatment: a qualitative systematic review.Hernia : the journal of hernias and abdominal wall surgery · 2026
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Impact of surgical approach on complications by sex following ventral and incisional hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2025
    Article
  6. Article
  7. The Role of Prehabilitation in Abdominal Wall Reconstruction: It Is More Than "Watch and Wait".Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2024
    Article
  8. Article
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

3 authors.

Mazen R Al-MansourDepartment of Surgery, University of Florida, Gainesville, FL, USA. mazen.al-mansour@surgery.ufl.edu.ORCID 0000-0003-3485-2263
Khal-Hentz GabrielUniversity of Florida College of Medicine, Gainesville, FL, USA.
Dan NealDepartment of Surgery, University of Florida, Gainesville, FL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPreoperative optimization cut-offs are frequently utilized to determine eligibility for elective ventral hernia repair. Our objective was to assess the relationship between gender, race, and socioeconomic status and preoperative optimization goals.

methodsWe queried our institutional database for adults with ventral hernia diagnoses between 2016 and 2021. Demographics, comorbidities, laboratory, and operative data were collected and analyzed. The following cut-offs were used to determine eligibility for elective repair: body mass index (BMI) < 40 kg/m

resultsA total of 5638 patients were included [Whites = 4321 (77%), Blacks = 794 (14%), Hispanics = 318 (6%), and other/unknown 205 (4%)]. Median age was 61 years and 50% were male. Most common hernia types were umbilical (36%) and incisional (20%). 10% had BMI > 40 kg/m

conclusionNearly 1 of 5 patients with ventral hernias is affected by commonly used arbitrary preoperative optimization cut-offs. These cut-offs disproportionately impact females, Black patients and those with higher socioeconomic distress. These disparities need to be considered when planning preoperative optimization protocols and resource allocation to ensure equitable access to elective ventral hernia repair.

Indexed as

Hernia, VentralHerniorrhaphyAdultFemaleGlycated HemoglobinGoalsHumansMaleMiddle AgedRetrospective StudiesSocioeconomic Disparities in HealthGlycated HemoglobinAccess to careGender disparityPreoperative optimizationRacial disparitySocioeconomic disparityVentral hernia

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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.