Evidence map›Paper›PMID 42637950›Full record

ArticleSurgical endoscopy2026

Outcomes of emergent hiatal hernia repair: does specialty matter?

Khaled Noueihed, Jacob Woodroof, George Ibrahim, Scott Koeneman, John Jacob, Tyler R Grenda, Nathaniel R Evans, Olugbenga T Okusanya

Abstract read
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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
–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

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

8 authors.

Khaled NoueihedDivision of Esophageal and Thoracic Surgery, Department of Surgery, Thomas Jefferson University Hospital, 1015 Walnut Street, Curtis Building, Suite 613, Philadelphia, PA, 19107, USA. kxn061@jefferson.edu.ORCID http://orcid.org/0000-0002-2451-6170
Jacob WoodroofDivision of Esophageal and Thoracic Surgery, Department of Surgery, Thomas Jefferson University Hospital, 1015 Walnut Street, Curtis Building, Suite 613, Philadelphia, PA, 19107, USA.
George IbrahimDivision of Esophageal and Thoracic Surgery, Department of Surgery, Thomas Jefferson University Hospital, 1015 Walnut Street, Curtis Building, Suite 613, Philadelphia, PA, 19107, USA.
Scott KoenemanDivision of Biostatistics and Bioinformatics, Thomas Jefferson University, Philadelphia, PA, 19107, USA.
John JacobDivision of Esophageal and Thoracic Surgery, Department of Surgery, Thomas Jefferson University Hospital, 1015 Walnut Street, Curtis Building, Suite 613, Philadelphia, PA, 19107, USA.
Tyler R GrendaDivision of Esophageal and Thoracic Surgery, Department of Surgery, Thomas Jefferson University Hospital, 1015 Walnut Street, Curtis Building, Suite 613, Philadelphia, PA, 19107, USA.
Nathaniel R EvansDivision of Esophageal and Thoracic Surgery, Department of Surgery, Thomas Jefferson University Hospital, 1015 Walnut Street, Curtis Building, Suite 613, Philadelphia, PA, 19107, USA.
Olugbenga T OkusanyaDivision of Esophageal and Thoracic Surgery, Department of Surgery, Thomas Jefferson University Hospital, 1015 Walnut Street, Curtis Building, Suite 613, Philadelphia, PA, 19107, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHiatal hernia repair is a common procedure performed by both general and thoracic surgeons. While prior studies have shown that emergent hiatal hernia repairs are associated with worse outcomes than elective cases, differences in outcomes by surgical specialty for emergent repairs have not been well-described.

methodsThe American College of Surgeons-National Surgical Quality Improvement Program (ACS-NSQIP) database was queried for patients undergoing hiatal hernia repair from 2012 to 2024. Patients undergoing elective repair and non-primary repairs were excluded. Perioperative outcomes were compared between patients with procedures performed by general and thoracic surgeons. Multivariable logistic regression was used to evaluate differences in outcomes after adjustment for demographics, comorbidities, and preoperative risk factors.

resultsA total of 2,629 patients were identified, including 2,443 (92.9%) performed by general surgery and 186 (7.1%) performed by thoracic surgery. The majority of cases were performed laparoscopically (74.9%) with no mesh placement (70%). On unadjusted analysis, perioperative outcomes were similar between groups. After multivariable adjustment, surgical specialty was not independently associated with 30-day mortality (OR 0.67, 95% CI 0.26-1.73), readmission (OR 0.81, 95% CI 0.45-1.44), reoperation (OR 1.64, 95% CI 0.89-3.04), overall morbidity (OR 1.16, 95% CI 0.79-1.70), and length of stay (β = 0.15 days, 95% CI -1.05 to 1.36).

conclusionsAmong patients undergoing emergent hiatal hernia repair, there were no significant differences in short-term outcomes between general and thoracic surgeons after multivariable adjustment.

Indexed as

Emergency surgeryHiatal herniaOutcomesParaesophageal herniaSpecialty

Identifiers

PMID42637950

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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.