Extending the value of the National Surgical Quality Improvement Program claims dataset to study long-term outcomes: Rate of repeat ventral hernia repair

Surgery
Anne M SteyClifford Y Ko

Abstract

Existing large clinical registries capture short-term follow-up. Yet, there are many important long-term outcomes in surgery, such as recurrence of a ventral hernia after ventral hernia repair. The goal of the current study was to conduct an exploratory analysis to determine whether the rates, timing, and risk factors for ventral hernia re-repair in claims data linked to registry data were consistent with the known clinical literature. The American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) and Medicare inpatient claims linked data set from 2005 to 2008 was queried to identify ventral hernia re-repairs after index ventral hernia repairs. Survival analysis was used to examine the ventral hernia re-repair rate over time and to quantify the relationship with clinical variables. Of 3,730 index ventral hernia repairs identified in ACS-NSQIP, 247 patients (6.6%) underwent re-repair of a ventral hernia during the study period (2005-2008) in the Medicare claims data. ACS-NSQIP clinical variables that were associated with the ventral hernia re-repair rate in Medicare claims data 1 year after index ventral hernia repair were being a smoker (hazard ratio [HR] = 1.70, P = .02), body mass index (HR = 1.16,...Continue Reading

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Citations

Jul 25, 2015·Journal of the American College of Surgeons·Julie L HolihanMike K Liang
Jul 22, 2016·Surgical Endoscopy·Luise I M PernarAli Tavakkoli
Apr 27, 2017·Plastic and Reconstructive Surgery·Salvatore A GiordanoCharles E Butler
Nov 4, 2017·The Cochrane Database of Systematic Reviews·Sunil V PatelScott R Steele
Dec 24, 2016·Annals of Surgery·Mike K LiangDavid H Berger
Apr 12, 2020·World Journal of Surgery·Alexander C MartinMike K Liang
Apr 23, 2020·Hernia : the Journal of Hernias and Abdominal Wall Surgery·H ParkA Moazzez
Jun 7, 2021·American Journal of Surgery·Ryan HowardDana Telem
Jul 17, 2021·The American Surgeon·Christine TungAshkan Moazzez

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