Carolinas Comfort Scale as a Measure of Hernia Repair Quality of Life

Heniford, B. Todd; Lincourt, Amy E.; Walters, Amanda L.; Colavita, Paul D.; Belyansky, Igor; Kercher, Kent W.; Sing, Ronald F.; Augenstein, Vedra A.

doi:10.1097/sla.0000000000002027

Cited by 93 publications

(59 citation statements)

References 24 publications

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“…Therefore, in 2008, Heniford proposed a new, easy-to-use, and reliable tool for evaluating pain in the inguinal region, i.e., the Carolina Comfort Scale. Using this scale, a patient specifies the intensity of pain during eight daily activities, and the scope of the questions in this scale is consistent with the scope of the questions presented to our study group [ 12 ].…”

Section: Discussionmentioning

confidence: 81%

The change in groin pain perception after transabdominal preperitoneal inguinal hernia repair with glue fixation: a prospective trial of a single surgeon’s experience

et al. 2018

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BackgroundAlthough inguinal hernia is one of the most common conditions requiring surgical treatment, no reliable information is available on the quality of life of patients with inguinal hernias before surgery. Additionally, patients with intense inguinal pain prior to surgery are more susceptible to postoperative chronic pain. In such cases, less invasive laparoscopic techniques can be used, allowing atraumatic mesh fixation to reduce postoperative pain. The aim of the study was to determine, whether these treatments for patients with preoperative pain would minimize upsetting experiences after surgery.Materials and methodsData were gathered prospectively from the National Hernia Repair Register for 146 patients who underwent TAPP repairs in the general surgery department (2013–2016). The demographic data were recorded, the pain intensity was determined and patients described the occurrence of pain during ten everyday activities.ResultsThe average surgery time was 56.4 min. The follow-up was 23.4 months. The pain before surgery was 4.28 and 12 months after surgery 0.38 (p < 0.001). Pain intensity before surgery was scored as 4.1, 4.3, and 4.9 among patients who had a hernia < 12 months, > 1 year, and > 5 years, respectively (p = 0.028). Twelve months after surgery, the pain was 0.26, 0.34, and 0.40 (p = 0.037), respectively. Patients < 40 years experienced pain before the surgery more often. The intensity of pre-/postoperative pain was significantly higher < 40 years (4.9/0.63) than > 60 years (3.8/0.29).ConclusionsTAPP inguinal hernia repair with glue fixation significantly decreased the frequency and intensity of the pain compared to that experienced preoperatively. After TAPP repair, the influence of pain on basic everyday activities is substantially lower. Patients under 40 years of age experience frequent and intense pre- and postoperative pain. A longer hernia duration prior to surgery causes increased pre- and postoperative pain.

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Section: Discussionmentioning

confidence: 81%

The change in groin pain perception after transabdominal preperitoneal inguinal hernia repair with glue fixation: a prospective trial of a single surgeon’s experience

et al. 2018

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“…A generic validated QOL scale should be more acceptable to population and observers and should be consistent and acceptable in both short and long term follow up. [18][19][20][21][22][23][24][25][26][27][28][29][30][31] Literature review has showed that, it is best to use a generic scale with a disease specific scale along with a validated pain scale that can cover the immediate postoperative period. 8,13,14 Pain scores should be used in the peri-operative period to determine if patient has developed any acute pain or his pre-operative pain is continuing and becoming a chronic pain.…”

Section: Discussionmentioning

confidence: 99%

“…Time frame for follow up is the most diverged subject in the literature, where quality of life was measured as soon as next day of surgery to up to five years. [18][19][20][21][22][23][24][25][26][27][28][29][30][31] No consistency was found in the follow up period and in different studies it ranges from days to years. Literature review also did not help to conclude the best time for follow up.…”

Section: Discussionmentioning

confidence: 99%

Review of currently used standardized measures of quality of life after ventral incisional hernia repair: systematic review

Majeed

Chauhan

2019

Int Surg J

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After advancements in surgical and anaesthetics expertise and increased life spans among patients with complex abdominal surgeries, clinicians are left with the next main challenge, to how to improve the quality of life in patients with incisional hernia resulted from previous complex abdominal surgeries. To date there is no consensus over the choice of instrument and time frame for its administration in the literature. The aim of this review was to search for the current literature on measurement of quality of life in patients with ventral incisional hernia repair and to explore how effective each QOL instrument was for measuring impact on quality of life after ventral incisional hernia repair. In accordance with PRISMA guidelines two independent clinicians searched for Mesh and specific terms related to quality of life in patients with ventral incisional hernia. Search was made on PubMed, Embase and other research databases. Trial registries were searched for any published or unpublished trials. Literature search came up with 461 articles. After scanning and removal of duplication, 200 articles were subjected to inclusion and exclusion criterion and 59 articles were selected for qualitative analysis. Different scales for the measurement of quality of life after ventral incisional hernia repair were found. The incidence of incisional hernia itself was found to be the biggest determinant of poor quality of life, regardless of timescale of follow up and type of surgery performed. No single instrument was found to be complete enough to address the wide-ranging health-related quality of life issues in patients after incisional hernia repair.

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“…Due to the unique set of complications arising from VH surgery, the importance of chronic pain and QoL, a hernia-specific patient reported outcome assessment tool, such as the Carolinas Comfort Scale [70] or the EuraHS-QoL questionnaire [69], should be used.…”

Section: Discussionmentioning

confidence: 99%

A systematic methodological review of reported perioperative variables, postoperative outcomes and hernia recurrence from randomised controlled trials of elective ventral hernia repair: clear definitions and standardised datasets are needed

Parker

Wood

Butterworth

et al. 2018

Hernia

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Carolinas Comfort Scale as a Measure of Hernia Repair Quality of Life

Abstract: The present study confirms that the CCS questionnaire is a validated, sensitive, and robust instrument for assessing QOL after hernia repair, which has become a predominant outcome measure in this discipline of surgery.

Cited by 93 publications

References 24 publications

The change in groin pain perception after transabdominal preperitoneal inguinal hernia repair with glue fixation: a prospective trial of a single surgeon’s experience

The change in groin pain perception after transabdominal preperitoneal inguinal hernia repair with glue fixation: a prospective trial of a single surgeon’s experience

Review of currently used standardized measures of quality of life after ventral incisional hernia repair: systematic review

A systematic methodological review of reported perioperative variables, postoperative outcomes and hernia recurrence from randomised controlled trials of elective ventral hernia repair: clear definitions and standardised datasets are needed

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