ArticleHernia : the journal of hernias and abdominal wall surgery2023
Risk factors for inguinal hernia repair among US adults.
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 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.
- Comparison of totally extraperitoneal versus Lichtenstein operation under local or general anesthesia for inguinal hernia: a meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2025Pooled it
- Visceral Fat Volume and Inguinal Hernia After Robot-Assisted Radical Prostatectomy: A Three-Dimensional CT Analysis.International journal of urology : official journal of the Japanese Urological Association · 2026Article
- Article
- Inguinal hernia repair under crisis: a retrospective cohort study of surgical outcomes across the COVID-19 era in China.Journal of minimally invasive surgery · 2025Article
- To infinity and beyond: the promise of data-driven 3D printing of hernia mesh - a primer for surgeons.Hernia : the journal of hernias and abdominal wall surgery · 2025Review
- The Outcomes of Transabdominal Preperitoneal Repair for Groin Hernias In a Single Consultant Series.Cureus · 2025Article
- Phenome-wide association of physical activity with morbidity and mortality risk in China: A prospective cohort study.Innovation (Cambridge (Mass.)) · 2025Article
- Groin hernia.Nature reviews. Disease primers · 2025Review
- Article
- System dynamics modeling to predict hospitalization costs in adults with inguinal hernia: a single-centre study.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Article
- Impacts of sufentanil/remifentanil plus sevoflurane versus propofol in adults undergoing laparoscopic herniorrhaphy.American journal of translational research · 2025Article
- Bladder Herniation through the Obturator Foramen Treated with Laparoscopic Transabdominal Preperitoneal Repair Using a Contralateral 3D Max Mesh: A Case Report.Surgical case reports · 2025Article
- Association between constipation and inguinal hernia: a case-control study in an adult population.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2025Observational
- Obesity and abdominal hernia in ambulatory patients, 2018-2023.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Obesity and abdominal hernia in ambulatory patients, 2018-2023.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
Abstract
purposeTo investigate demographic, clinical, and behavioral risk factors for undergoing inguinal hernia repair within a large and ethnically diverse cohort.
methodsWe conducted a retrospective case-control study from 2007 to 2020 on 302,532 US individuals from a large, integrated healthcare delivery system with electronic health records, who participated in a survey of determinants of health. Participants without diagnosis or procedure record of an inguinal hernia at enrollment were included. We then assessed whether demographic (age, sex, race/ethnicity), clinical, and behavioral factors (obesity status, alcohol use, cigarette smoking and physical activity) were predictors of undergoing inguinal hernia repair using survival analyses. Risk factors showing statistical significance (P < 0.05) in the univariate models were added to a multivariate model.
resultsWe identified 7314 patients who underwent inguinal hernia repair over the study period, with a higher incidence in men (6.31%) compared to women (0.53%). In a multivariate model, a higher incidence of inguinal hernia repair was associated with non-Hispanic white race/ethnicity, older age, male sex (aHR = 13.55 [95% confidence interval 12.70-14.50]), and more vigorous physical activity (aHR = 1.24 [0.045]), and alcohol drinker status (aHR = 1.05 [1.00-1.11]); while African-American (aHR = 0.69 [0.59-0.79]), Hispanic/Latino (aHR = 0.84 [0.75-0.91]), and Asian (aHR = 0.35 [0.31-0.39]) race/ethnicity, obesity (aHR = 0.33 [0.31-0.36]) and overweight (aHR = 0.71 [0.67-0.75]) were associated with a lower incidence. The use of cigarette was significantly associated with a higher incidence of inguinal hernia repair in women (aHR 1.23 [1.09-1.40]), but not in men (aHR 0.96 [0.91-1.02]).
conclusionInguinal hernia repair is positively associated with non-Hispanic white race/ethnicity, older age, male sex, increased physical activity, alcohol consumption and tobacco use (only in women); while negatively associated with obesity and overweight status. Findings from this large and ethnically diverse study may support future prediction tools to identify patients at high risk of this surgery.
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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.