Evidence map›Paper›PMID 38007413›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2023

Risk factors for reoperation following inguinal hernia repair: results from a cohort of patients from an integrated healthcare system.

Cheryl L Park, P H Chan, H A Prentice, K Sucher, E R Brill, E W Paxton, B Laxa

Abstract read
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In one paragraph

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 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
3.8field-weighted citation impact, top 6% 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Observational
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  8. Review
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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

7 authors at 3 institutions in 1 country.

Cheryl L ParkDepartment of General Surgery, Southern California Permanente Medical Group, 5601 De Soto Ave, Woodland Hills, CA, 91367, USA. Cheryl.Lin@kp.org.
P H ChanMedical Device Surveillance and Assessment, Kaiser Permanente, San Diego, CA, USA.
H A PrenticeMedical Device Surveillance and Assessment, Kaiser Permanente, San Diego, CA, USA.ORCID http://orcid.org/0000-0002-2200-6564
K SucherMedical Device Surveillance and Assessment, Kaiser Permanente, San Diego, CA, USA.
E R BrillDepartment of Surgery, The Permanente Medical Group, Santa Clara, CA, USA.
E W PaxtonMedical Device Surveillance and Assessment, Kaiser Permanente, San Diego, CA, USA.
B LaxaDepartment of General Surgery, Southern California Permanente Medical Group, Downey, CA, USA.
Kaiser Permanente San Diego Medical Center · USColorado Permanente Medical Group · USWoodland Hills Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeInguinal hernia repair is one of the most common operations performed globally. Identification of risk factors that contribute to hernia recurrence following an index inguinal hernia repair, especially those that are modifiable, is of paramount importance. Therefore, we sought to investigate risk factors for reoperation following index inguinal hernia repair.

methods125,133 patients aged ≥ 18 years who underwent their first inguinal hernia repair with mesh within a large US integrated healthcare system were identified for a cohort study (2010-2020). Laparoscopic, robotic, and open procedures were included. The system's integrated electronic health record was used to obtain data on demographics, patient characteristics, surgical characteristics, and reoperations. The association of these characteristics with ipsilateral reoperation during follow-up was modeled using Cox proportional-hazards regression. Risk factors were selected into the final model by stepwise regression with Akaike Information Criteria, which quantifies the amount of information lost if a factor is left out of the model. Factors associated with reoperation with p < 0.05 were considered statistically significant.

resultsThe cumulative incidence of reoperation at 5-year follow-up was 2.4% (95% CI 2.3-2.5). Increasing age, female gender, increasing body mass index, White race, chronic pulmonary disease, diabetes, drug abuse, peripheral vascular disease, and bilateral procedures all associated with a higher risk for reoperation during follow-up.

conclusionThis study identifies several risk factors associated with reoperation following inguinal hernia repair. These risk factors may serve as targets for optimization protocols prior to elective inguinal hernia repair, with the goal of reducing reoperation risk.

Indexed as

Delivery of Health Care, IntegratedHernia, InguinalLaparoscopyCohort StudiesFemaleHerniorrhaphyHumansPostoperative ComplicationsRecurrenceReoperationRisk FactorsSurgical MeshInguinal hernia repairMeshReoperation

Identifiers

PMID38007413
OpenAlexW4388996138

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.