Evidence map›Paper›PMID 39190257›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2024

Research prioritization in hernia surgery: a modified Delphi ACHQC and VHOC expert consensus.

Daphne Remulla, Mazen R Al-Mansour, Christopher Schneider, Sharon Phillips, William W Hope, Joel F Bradley Iii, Richard A Pierce, Luis Arias-Espinosa, Karla Bernardi, Julie L Holihan and 3 more

Registry-linked trialAbstract readConsensus Statement
PubMed Full text at PMC Publisher
In one paragraph

Article 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. It is linked to trial NCT07461558 (WATCH IT TRIAL WAtchful Waiting Versus immediaTe Repair for Occult Contralateral Hernias Found During MIS Inguinal Hernia Repair Trial.), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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.

NCT07461558 narecruitingnot on this mapstarted 2026, after this paper: background citation

WATCH IT TRIAL WAtchful Waiting Versus immediaTe Repair for Occult Contralateral Hernias Found During MIS Inguinal Hernia Repair Trial.

TypeinterventionalSponsorNorthwestern UniversityRan2026 to 2029Enrolled380ConditionsInguinal Hernia Bilateral, Inguinal Hernia UnilateralArmssurgery (any volume) and / or pharmaceuticals treatment initiated or planned or only dynamic observation, in accordance with current clinical guidelines, Watchful waiting with supportive care
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. 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

13 authors.

Daphne RemullaCleveland Clinic Center for Abdominal Core Health, 9500 Euclid Ave, Cleveland, OH, 44195, USA. remulld@ccf.org.ORCID 0000-0001-6856-9146
Mazen R Al-MansourDepartment of Surgery, University of Florida, Gainesville, FL, USA.
Christopher SchneiderWright State University School of Medicine, Dayton, OH, USA.
Sharon PhillipsDepartment of Biostatistics, Vanderbilt University Medical Center, Nashville, TN, USA.
William W HopeDepartment of Surgery, New Hanover Regional Medical Center, Wilmington, NC, USA.
Joel F Bradley IiiDepartment of Surgery, Vanderbilt University Medical Center, Nashville, TN, 37232, USA.
Richard A PierceDepartment of Surgery, Vanderbilt University Medical Center, Nashville, TN, 37232, USA.
Luis Arias-EspinosaDivision of General Surgery, NYU Langone, New York, NY, USA.
Karla BernardiDepartment of Surgery, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
Julie L HolihanDepartment of Surgery, McGovern Medical School at UTHealth, Houston, TX, USA.
Michelle LoorMichael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX, USA.
Mike K LiangDepartment of Surgery, HCA Healthcare Kingwood, University of Houston, Kingwood, TX, USA.
Benjamin T MillerCleveland Clinic Center for Abdominal Core Health, 9500 Euclid Ave, Cleveland, OH, 44195, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeNumerous clinical practice guidelines and consensus statements have been published in hernia surgery, however, there is still a need for high-quality evidence to address remaining unanswered questions. The aim of this study was to conduct research priority setting through a modified Delphi process to identify a list of top research priorities in hernia surgery.

methodsA structured literature review of clinical practice guidelines was performed by the steering committee. Topics considered clinically significant, practical to study and lacking strong evidence were extracted and refined into a comprehensive list, then entered into a two-round Delphi survey for prioritization at the Abdominal Core Health Quality Collaborative (ACHQC) Quality Improvement Summit. In round 1, participants were instructed to select any topic that should be prioritized for future research. Topics were ranked according to the proportion of votes and the 25 highest-ranking topics were included in the second round. In round 2, participants were instructed to select only the top 10 topics for research prioritization.

resultsEleven clinical practice guidelines were reviewed. Eighty-seven topics were extracted by the steering committee and submitted for prioritization. After the first round, 25 of the highest-ranking topics were determined and included in the second round. A final list of 11 research questions was identified. The hernia types with the most research interest were inguinal and epigastric/umbilical hernias. Other topics of high interest were the management of diastasis recti, primary versus mesh repairs and expectant management versus surgical repair.

conclusionOur study provides a research agenda generated through expert consensus that may be used in the prioritization of the design and funding of clinical trials in hernia surgery.

Indexed as

Biomedical ResearchDelphi TechniqueHerniorrhaphyHumansResearchDelphi processHernia surgeryResearch priorities

Identifiers

PMID39190257
PMCPMC11530562

What OpenQuestion holds

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LicenceCC BY
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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.