Calibration of Hernia-Specific Patient-Reported Outcome Measures

Patel, Viren; Hsu, Jesse Y.; Broach, Robyn B.; Morris, Marty P.; Christopher, Adrienne N.; Nathan, Shelby N.; Cunning, Jessica R.; Poulose, Benjamin K.; Fischer, John P.

doi:10.1016/j.jss.2022.02.021

Cited by 6 publications

(5 citation statements)

References 25 publications

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“…Surveys were then collected postoperatively at each clinical follow-up or by telephone encounter. Hernia-Related Quality-of-Life Survey scores were converted to AHQ scores using a conversion method detailed in a previous publication so that PRO scores can be pooled and compared 21 …”

Section: Methodsmentioning

confidence: 99%

“…As in our previous study, patient-reported outcomes (PROs) were assessed through the Abdominal Hernia-Q (AHQ) and the Hernia-Related Quality-of-Life Survey. 19,21 Patients were given surveys to complete before hernia repair, and these served as the patient's preoperative baseline. Surveys were then collected postoperatively at each clinical follow-up or by telephone encounter.…”

Section: Patient-reported Outcomesmentioning

confidence: 99%

“…Hernia-Related Quality-of-Life Survey scores were converted to AHQ scores using a conversion method detailed in a previous publication so that PRO scores can be pooled and compared. 21…”

Section: Patient-reported Outcomesmentioning

confidence: 99%

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Outcomes and Quality of Life After Resorbable Synthetic Ventral Hernia Repair in Contaminated Fields

Lemdani,

Niu,

Amro

et al. 2024

Ann Plast Surg

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Introduction The ideal mesh type for hernia repair in a contaminated field remains controversial. Data regarding outcomes beyond 1 year and the impact on quality of life (QoL) are unknown. This study aims to evaluate the long-term surgical outcomes and patient-reported outcomes (PROs) after contaminated repair with poly-4-hydroxybutyrate (P4HB) mesh. Materials & Methods Patients undergoing a contaminated hernia repair with P4HB between 2015 and 2020 were identified. Surgical site occurrences and hernia recurrences were recorded. Long-term PROs as defined by the Abdominal Hernia-Q and Hernia-Related Quality-of-Life Survey were assessed. Results Fifty-five patients were included with a mean age of 54.5 years, a body mass index of 34 kg/m2, and a defect size of 356.9 ± 227.7 cm2. Median follow-up time was 49 months with a reoperation rate of 14.5% and a hernia recurrence rate of 7.3%. Of the 55 patients, 37 completed preoperative and postoperative PRO questionnaires. When comparing preoperative with postoperative Abdominal Hernia-Q, there was significant improvement in overall PROs (2.1 vs 3.5, P < 0.001). This improvement was maintained with no significant changes between postoperative scores over the course of 5 years. Patients with complications saw the same improvement in postoperative PRO scores as those without complications. Conclusions Our study found a low hernia recurrence and acceptable long-term reoperation rates in patients undergoing hernia repair with P4HB mesh in a contaminated setting. We demonstrate a sustained significant improvement in QoL scores after hernia repair. These data yield insight into the long-term outcomes and QoL improvement, providing physicians further knowledge to better counsel their patients.

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Section: Methodsmentioning

confidence: 99%

Section: Patient-reported Outcomesmentioning

confidence: 99%

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Outcomes and Quality of Life After Resorbable Synthetic Ventral Hernia Repair in Contaminated Fields

Lemdani,

Niu,

Amro

et al. 2024

Ann Plast Surg

Self Cite

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“…Data examining QoL were obtained using the Abdominal Hernia Questionnaire (AHQ) and the Hernia-Related Quality-of-Life Survey (HerQLes) 34,35 . We used a calibration tool to create a combined QoL score because of a transition from HerQLes to AHQ during the study 36 . Therefore, all HerQLes data were transitioned to AHQ scores.…”

Section: Methodsmentioning

confidence: 99%

“…34,35 We used a calibration tool to create a combined QoL score because of a transition from HerQLes to AHQ during the study. 36 Therefore, all HerQLes data were transitioned to AHQ scores. This calibration tool permitted the analysis of QoL analysis over a greater study period.…”

Section: Quality Of Lifementioning

confidence: 99%

Comparative Analysis of Ventral Hernia Repair and Transverse Abdominis Release With and Without Panniculectomy

Amro,

Ryan,

Elhage

et al. 2024

Ann Plast Surg

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Introduction Amid rising obesity, concurrent ventral hernia repair and panniculectomy procedures are increasing. Long-term outcomes of transverse abdominis release (TAR) combined with panniculectomy remain understudied. This study compares clinical outcomes and quality of life (QoL) after TAR, with or without panniculectomy. Methods A single-center retrospective review from 2016 to 2022 evaluated patients undergoing TAR with and without panniculectomy. Propensity-scored matching was based on age, body mass index, ASA, and ventral hernia working group. Patients with parastomal hernias were excluded. Patient/operative characteristics, postoperative outcomes, and QoL were analyzed. Results Fifty subjects were identified (25 per group) with a median follow-up of 48.8 months (interquartile range, 43–69.7 months). The median age and body mass index were 57 years (47–64 years) and 31.8 kg/m2 (28–36 kg/m2), respectively. The average hernia defect size was 354.5 cm2 ± 188.5 cm2. There were no significant differences in hernia recurrence, emergency visits, readmissions, or reoperations between groups. However, ventral hernia repair with TAR and panniculectomy demonstrated a significant increase in delayed healing (44% vs 4%, P < 0.05) and seromas (24% vs 4%, P < 0.05). Postoperative QoL improved significantly in both groups (P < 0.005) across multiple domains, which continued throughout the 4-year follow-up period. There were no significant differences in QoL among ventral hernia working group, wound class, surgical site occurrences, or surgical site occurrences requiring intervention (P > 0.05). Patients with concurrent panniculectomy demonstrated a significantly greater percentage change in overall scores and appearance scores. Conclusions Ventral hernia repair with TAR and panniculectomy can be performed safely with low recurrence and complication rates at long-term follow-up. Despite increased short-term postoperative complications, patients have a significantly greater improvement in disease specific QoL.

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Shifting the Goalpost in Ventral Hernia Care: 5-year Outcomes after Ventral Hernia Repair with Poly-4-hydroxybutyrate Mesh

Talwar

Perry

McAuliffe

et al. 2022

Hernia

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Calibration of Hernia-Specific Patient-Reported Outcome Measures

Cited by 6 publications

References 25 publications

Outcomes and Quality of Life After Resorbable Synthetic Ventral Hernia Repair in Contaminated Fields

Outcomes and Quality of Life After Resorbable Synthetic Ventral Hernia Repair in Contaminated Fields

Comparative Analysis of Ventral Hernia Repair and Transverse Abdominis Release With and Without Panniculectomy

Shifting the Goalpost in Ventral Hernia Care: 5-year Outcomes after Ventral Hernia Repair with Poly-4-hydroxybutyrate Mesh

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