Evidence map›Paper›PMID 42260173›Full record

ArticleSurgical endoscopy2026

Paraesophageal hernia repair is associated with similar safety and efficacy results in octogenarians as compared to younger patients.

Kayvan Barekatain, Emily F Simon, Joshua L Lyons, Natalie N Chakraborty, Christina S Boutros, Trisha Lal, Jill Knepprath, Ayesha Siddiq, Hamza N Chatha, Saher-Zahra S Khan and 5 more

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Surgical endoscopy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

15 authors.

Kayvan BarekatainDepartment of Surgery, University Hospitals Cleveland Medical Center, 11100 Euclid Ave, Cleveland, OH, 44106, USA.ORCID http://orcid.org/0000-0003-0521-2806
Emily F SimonDepartment of Surgery, University Hospitals Cleveland Medical Center, 11100 Euclid Ave, Cleveland, OH, 44106, USA.
Joshua L LyonsDepartment of Surgery, University Hospitals Cleveland Medical Center, 11100 Euclid Ave, Cleveland, OH, 44106, USA.
Natalie N ChakrabortyDepartment of Surgery, University Hospitals Cleveland Medical Center, 11100 Euclid Ave, Cleveland, OH, 44106, USA.
Christina S BoutrosDepartment of Surgery, University Hospitals Cleveland Medical Center, 11100 Euclid Ave, Cleveland, OH, 44106, USA.
Trisha LalDepartment of Surgery, University Hospitals Cleveland Medical Center, 11100 Euclid Ave, Cleveland, OH, 44106, USA.
Jill KnepprathDepartment of Surgery, University Hospitals Cleveland Medical Center, 11100 Euclid Ave, Cleveland, OH, 44106, USA.
Ayesha SiddiqDepartment of Surgery, University Hospitals Cleveland Medical Center, 11100 Euclid Ave, Cleveland, OH, 44106, USA.
Hamza N ChathaDepartment of Surgery, University Hospitals Cleveland Medical Center, 11100 Euclid Ave, Cleveland, OH, 44106, USA.
Saher-Zahra S KhanDepartment of Surgery, University Hospitals Cleveland Medical Center, 11100 Euclid Ave, Cleveland, OH, 44106, USA.
Patrick M WielandDepartment of Surgery, University Hospitals Cleveland Medical Center, 11100 Euclid Ave, Cleveland, OH, 44106, USA.
Sami O Abul-KhoudoudDepartment of Surgery, University Hospitals Cleveland Medical Center, 11100 Euclid Ave, Cleveland, OH, 44106, USA.
Nicolette M WinderDepartment of Surgery, University Hospitals Cleveland Medical Center, 11100 Euclid Ave, Cleveland, OH, 44106, USA.
Samuel J ZolinDepartment of Surgery, University Hospitals Cleveland Medical Center, 11100 Euclid Ave, Cleveland, OH, 44106, USA.
Jeffrey MarksDepartment of Surgery, University Hospitals Cleveland Medical Center, 11100 Euclid Ave, Cleveland, OH, 44106, USA. Jeffrey.Marks@UHhospitals.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNational database studies suggest elective paraesophageal hernia (PEH) repair in octogenarians is safe but provide limited detail on operative strategy and long-term symptom outcomes. We evaluated perioperative outcomes, operative strategy, and post-discharge functional outcomes in octogenarians undergoing PEH repair compared with younger patients in a contemporary institutional cohort.

methodsA retrospective review of 2,517 PEH repairs performed at a tertiary academic center from 2010-2023 was conducted. Patients were stratified by age (18-79 vs. ≥ 80 years). Demographics, operative characteristics, 30-day complications, recurrence, reoperation, and postoperative symptoms were compared. Multivariable logistic regression identified predictors of composite adverse outcome (CAO), defined as postoperative GERD, dysphagia, recurrence, or reoperation.

resultsOf 2,517 patients, 195 (7.7%) were ≥ 80 years. Compared with younger patients, octogenarians had lower BMI (26.9 vs. 32.5 kg/m

conclusionsPEH repair in octogenarians is associated with increased perioperative morbidity but similar PEH-related outcomes compared with younger patients. These findings support consideration of elective repair in appropriately selected symptomatic octogenarians and individualized risk assessment based on comorbidities rather than age alone.

Indexed as

Hernia, HiatalHerniorrhaphyOctogenariansAdolescentAdultAgedAged, 80 and overAge FactorsFemaleHumansMaleMiddle AgedPostoperative ComplicationsRecurrenceReoperationRetrospective StudiesHiatal hernia repairMinimally invasive surgeryOctogenariansParaesophageal herniaRecurrenceSurgical outcomes

Identifiers

PMID42260173
PMCPMC13368840

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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.