Evidence map›Paper›PMID 40492311›Full record

ArticleAnnals of surgery2026

"I Just Wish Someone would Take me Very Seriously": Impact of Delayed Ventral Hernia Repair on Patient Well-being.

Tejal H Patel, Michael A Rubyan, Leah J Schoel, Ryan A Howard, Sean M O'Neill, Jenny M Shao, Dana A Telem, Anne P Ehlers

Abstract read
In one paragraph

Article in Annals of surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

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

8 authors.

Tejal H PatelUniversity of Michigan Medical School, Ann Arbor, MI.
Michael A RubyanUniversity of Michigan School of Public Health, Ann Arbor, MI.
Leah J SchoelUniversity of Michigan, Center for Healthcare Outcomes and Policy, Ann Arbor, MI.
Ryan A HowardUniversity of Michigan, Center for Healthcare Outcomes and Policy, Ann Arbor, MI.
Sean M O'NeillUniversity of Michigan, Center for Healthcare Outcomes and Policy, Ann Arbor, MI.
Jenny M ShaoUniversity of Michigan, Center for Healthcare Outcomes and Policy, Ann Arbor, MI.
Dana A TelemUniversity of Michigan, Center for Healthcare Outcomes and Policy, Ann Arbor, MI.
Anne P EhlersUniversity of Michigan, Center for Healthcare Outcomes and Policy, Ann Arbor, MI.

Funding

Combining Policy and Implementation Science to Optimize Clinical PracticeR01DK128179 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Dana Alexa Telem · 2022 to 2026
$3.2M
Sex as a Biologic Variable in Groin HerniaK08DK135919 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Anne Pugel Ehlers · 2024 to 2026
$478k
NIDDK NIH HHS K08 DK135919NIDDK NIH HHS L30 DK134076NIDDK NIH HHS R01 DK128179
6 · The paper itself

Abstract

objectiveTo explore the impact of delayed or deferred ventral hernia repair for surgical optimization, including consequences on physical, social, and emotional well-being. SUMMARY BACKGROUND DATA: While previous studies have shown that surgical optimization can reduce complications of ventral hernia repair surgery, many patients face various barriers that preclude them from meeting these requirements, resulting in delayed or deferred surgery. Though these optimization requirements are well intentioned, the unintended consequences on patient well-being of needing to live with untreated hernia repairs remains unknown.

methodsSemistructured qualitative interviews from January to June 2022 were conducted in a preoperative optimization clinic of 20 participants with ventral wall hernias were analyzed using an inductive thematic approach. The discussions aimed to explore challenges that patients living with untreated hernias faced, and what their expectations were during clinic visits. The transcripts were coded and analyzed using the MAXQDA software.

resultsOur study demonstrated 3 predominant themes in unintended consequences of delaying ventral hernia repair surgery for surgical optimization, including decreased feelings of emotional and social well-being, feelings of fear and uncertainty about the future, and frustration with lack of patient autonomy and preferences.

conclusionUntreated hernias have many unintended psychosocial consequences that need to be accounted for when determining surgical candidacy, using a shared decision-making approach.

Indexed as

Hernia, VentralHerniorrhaphyQuality of LifeTime-to-TreatmentAdultAgedFemaleHumansInterviews as TopicMaleMiddle AgedQualitative Researchshared decision-makingsurgical optimizationventral herniawell-being

Identifiers

PMID40492311
PMCPMC12512624

What OpenQuestion holds

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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.