Evidence map›Paper›PMID 39724506›Full record

ReviewHernia : the journal of hernias and abdominal wall surgery2024

Characterizing patterns of opioid prescribing after outpatient ventral hernia repair with mesh.

Kimberly P Woo, Xinyan Zheng, Amitabh P Goel, Rana M Higgins, Anthony A Iacco, Todd S Harris, Jeremy A Warren, Michael Reinhorn, Clayton C Petro

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In one paragraph

Review 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. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

1 citing paper in PubMed.

  1. The effect of surgical approach on opioid prescription rates for outpatient ventral hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2026
    Article
4 · The record

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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

9 authors.

Kimberly P WooDepartment of Surgery, Cleveland Clinic, Cleveland, OH, USA. wook2@ccf.org.ORCID 0009-0001-4601-1309
Xinyan ZhengDepartment of Population Health Sciences, Weill Cornell Medicine, New York, NY, USA.
Amitabh P GoelDepartment of Surgery, Case Western Reserve University, Cleveland, OH, USA.
Rana M HigginsDepartment of Surgery, Medical College of Wisconsin, Milwaukee, WI, USA.
Anthony A IaccoDepartment of Surgery, Corewell Health East-William Beaumont University Hospital, Royal Oak, MI, USA.
Todd S HarrisCalifornia Hernia Specialists, Huntington Beach, CA, USA.
Jeremy A WarrenDepartment of Surgery, Prisma Health Upstate, Greenville, SC, USA.
Michael ReinhornBoston Hernia, Wellesley, MA, USA.
Clayton C PetroDepartment of Surgery, Cleveland Clinic, Cleveland, OH, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDespite efforts to minimize opioid prescribing, outpatient ventral hernia repair (VHR) with mesh remains notoriously painful, often requiring postoperative opioid analgesia. Here, we aim to characterize patterns of opioid prescribing for the heterogenous group of patients and procedures that comprise mesh-based, outpatient VHR.

methodsThe Abdominal Core Health Quality Collaborative registry was queried for patients undergoing VHR with mesh who were discharged the same or next day between January 2019 to October 2023. Procedures were broadly classified by approach and mesh location: open, minimally-invasive with intraperitoneal mesh (MIP), and minimally-invasive with retromuscular or preperitoneal mesh (MRPP). Surgeon-reported opioid prescription quantity and patient-reported 30-day consumption data were reviewed.

resultsOf 2,795 patients who met inclusion criteria (46.1% open, 22.7% MIP, 31.2% MRPP), approximately 80% of patients consumed ≤ 10 tablets of opioid pain medication (open 87.7%, MIP 78.4%, MRPP 84.2%). For patients who were prescribed ≤ 10 tablets, the median number of unconsumed tablets was 5 (IQR 0-8). For patients who were prescribed > 10 tablets, the median number of unconsumed tablets was 10 or more (open 10 [IQR 2-16], MIP 10 [IQR 2-18], MRPP 12 [IQR 5-16]). The number of tablets consumed was positively correlated with the number of tablets prescribed (Kendall's rank correlation = 0.232, p < 0.001).

conclusionRegardless of technique, for outpatient VHR with mesh, the fewer opioid tablets prescribed, the fewer tablets patients consumed. Decreasing the prescription quantity to ≤ 10 tablets, coupled with preoperative patient education, may help minimize excess opioid prescribing while still achieving adequate pain control.

Indexed as

Analgesics, OpioidHernia, VentralHerniorrhaphyPostoperative PainPractice Patterns, Physicians'Surgical MeshAmbulatory Surgical ProceduresHumansRetrospective StudiesAnalgesics, OpioidOpioid consumptionOpioid excessOpioid prescribingOutpatient ventral hernia repairVentral hernia

Identifiers

PMID39724506

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Registered trials

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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.