Evidence map›Paper›PMID 39845342›Full record

ArticleSurgery in practice and science2024

Variation in approach for midsize (4-6cm) ventral hernias across a statewide quality improvement collaborative.

Anne P Ehlers, Alex K Hallway, Sean M O'Neill, Brian T Fry, Ryan A Howard, Jenny M Shao, Michael J Englesbe, Justin B Dimick, Dana A Telem, Grace J Kim

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Article in Surgery in practice and science, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

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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

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No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Anne P EhlersDepartment of Surgery, University of Michigan, Ann Arbor, MI, USA.
Alex K HallwayMichigan Surgical Quality Collaborative Core Optimization Hernia Registry, USA.
Sean M O'NeillDepartment of Surgery, University of Michigan, Ann Arbor, MI, USA.
Brian T FryDepartment of Surgery, University of Michigan, Ann Arbor, MI, USA.
Ryan A HowardDepartment of Surgery, University of Michigan, Ann Arbor, MI, USA.
Jenny M ShaoDepartment of Surgery, University of Michigan, Ann Arbor, MI, USA.
Michael J EnglesbeDepartment of Surgery, University of Michigan, Ann Arbor, MI, USA.
Justin B DimickDepartment of Surgery, University of Michigan, Ann Arbor, MI, USA.
Dana A TelemDepartment of Surgery, University of Michigan, Ann Arbor, MI, USA.
Grace J KimDepartment of Surgery, University of Michigan, Ann Arbor, MI, USA.

Funding

Physician Scientist Training in Age-Related DiseasesT32AG062403 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MIN, LILLIAN CHIANG, MODY, LONA · 2020 to 2025
$2.7M
NIA NIH HHS T32 AG062403
6 · The paper itself

Abstract

Introduction: Repair of midsize (4-6 cm) ventral hernias is challenging given lack of guidelines. Within this context, we sought to characterize surgical approach among patients undergoing repair of midsize ventral hernias within the only population-level, clinically-nuanced hernia registry in the US. Methods: Retrospective cohort study of patients undergoing ventral hernia repair in the Michigan Surgical Quality Collaborative Core Optimization Hernia Registry (MSQC-COHR). MSQC-COHR is the only US population-level registry that captures clinically-nuanced data pertaining to patient hernia characteristics. We included patients who underwent repair of a 4-6 cm hernia from January 1, 2020-June 30, 2022. We stratified repair type as open or minimally invasive and used a multivariable logistic regression model to identify factors associated with MIS approach. Secondary outcomes included complications rate. Results: Among 771 patients, mean hernia width (SD) was 4.7 cm (0.8) and 339 (44 %) underwent MIS approach. Patients with MIS approach had lower BMI (33.5 vs 34.8, Conclusion: Among patients with midsize hernias, few patient-level factors are associated with approach. This may indicate that surgeon preference factors largely into this decision.

Indexed as

Incisional herniaMinimally-invasive repairRobotic surgeryVentral hernia

Identifiers

PMID39845342
PMCPMC11749823

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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.