Long-term patient-reported outcomes and quality of the evidence in ventral hernia mesh repair: a systematic review.

Hernia : the Journal of Hernias and Abdominal Wall Surgery
A SandøThue Bisgaard

Abstract

Patient-reported outcome measures (PROMs) have been increasingly accepted to evaluate the quality of surgery. The impact of a hernia on PROMs and the indication for elective ventral hernia mesh repair are poorly researched. The primary objective in this systematic review was to provide evidence for PROM changes at least 3 months after elective ventral hernia mesh repair. Secondarily, a critical appraisal of the study quality was undertaken. Ovid MEDLINE, PubMed, Ovid Embase, and CENTRAL were searched (year 2000-May 12, 2019) for studies reporting any of 21 predefined PROMs pre- and ≥ 3 months postoperatively following adult ventral hernia mesh repair. A pre-study defined analysis method was used to assess pre- vs. postoperative PROM changes. Quality assessment was guided by criteria formulated by the National Institutes of Health. The search yielded 11,438 potentially eligible studies of which 24 met the inclusion criteria. Most studies were of poor or moderate quality and one study was of high quality. There was no evidence for a clinically relevant postoperative improvement in any PROM following umbilical hernia repair or medium-sized incisional hernia repair. A clinically relevant postoperative improvement of pain, physical ...Continue Reading

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Citations

Sep 11, 2020·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·Kenney Fehrenkamp PedersenThue Bisgaard
Mar 23, 2021·Journal of the American College of Surgeons·Mikhail AttaarMichael B Ujiki
Aug 3, 2021·Hernia : the Journal of Hernias and Abdominal Wall Surgery·N van VeenendaalH J Bonjer

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