Comparison of Generic Versus Specific Quality-of-Life Scales for Mesh Hernia Repairs

Heniford, B. Todd; Walters, Amanda L.; Lincourt, Amy E.; Novitsky, Yuri W.; Hope, William W.; Kercher, Kent W.

doi:10.1016/j.jamcollsurg.2007.11.025

Cited by 218 publications

(132 citation statements)

References 25 publications

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“…At follow-up, quality of life, or chronic pain are usually measured by different validated questionnaires: SF-36, Mc Gill pain questionnaire, VAS (visual analogic scale) or NRS (numeric rating scale), CCS (Carolina comfort scale), and GIQLI (Gastrointestinal Quality of Life Index) [14,44,50,201].…”

Section: Suggested Follow-up Schedulementioning

confidence: 99%

Laparoscopic ventral/incisional hernia repair: updated guidelines from the EAES and EHS endorsed Consensus Development Conference

et al. 2015

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The availability of recent level 1 evidence (a meta-analysis of 10 RCTs) allowed to recommend that not only laparoscopic repair is an acceptable alternative to the open repair, but also it is advantageous in terms of shorter hospital stay and wound infection rate. This conclusion appears to be extremely relevant in a clinical setting. Indications about specific conditions could also be issued: laparoscopy is recommended for the treatment of recurrent ventral hernias and obese patients, while it is a potential option for compensated cirrhotic and childbearing-age female patients. Many relevant and controversial topics were thoroughly examined by this consensus conference for the first time. Among them are the issue of safety of the intraperitoneal mesh placement, traditionally considered a major drawback of the laparoscopic technique, the role for the biologic meshes, and various aspects of the laparoscopic approach for particular locations of the defect such as the abdominal border or parastomal hernias.

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Section: Suggested Follow-up Schedulementioning

confidence: 99%

Laparoscopic ventral/incisional hernia repair: updated guidelines from the EAES and EHS endorsed Consensus Development Conference

et al. 2015

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“…In addition, the SF36 is suitable for comparing changes in QOL between different diseases and treatments. However, some authors including Heniford et al [98] argue that a disease-specific QOL measure is preferable to assess the impact of CPIP on QOL and patient satisfaction. In this review, 4 hernia-specific QOL measures were identified among 8 studies: the Carolinas Comfort Scale (CCS) [76], the IPQ [48], the Activities Assessment Scale [53], and a questionnaire based on the Danish Hernia Database [99].…”

Section: Discussionmentioning

confidence: 99%

Uniformity of Chronic Pain Assessment after Inguinal Hernia Repair: A Critical Review of the Literature

2016

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Background: Chronic postoperative inguinal pain (CPIP) is the most common long-term complication of inguinal hernia repair. As such procedures are routinely performed, CPIP can be considered a significant burden to global health care. Therefore, adequate preventative measures relevant to surgical practice are investigated. However, as no gold standard research approach is currently available, study and outcome measures differ between studies. The current review aims to provide a qualitative analysis of the literature to seek out if outcomes of CPIP are valid and comparable, facilitating recommendations on the best approach to preventing CPIP. Methods: A systematic review of recent studies investigating CPIP was performed, comprising studies published in 2007-2015. Study designs were analyzed regarding the CPIP definitions applied, the use of validated instruments, the availability of a baseline score, and the existence of a minimal follow-up of 12 months. Results: Eighty eligible studies were included. In 48 studies, 22 different definitions of CPIP were identified, of which the definition provided by the International Association for the Study of Pain was applied most often. Of the studies included, 53 (66%) used 33 different validated instruments to quantify CPIP. There were 32 studies (40%) that assessed both pain intensity (PI) and quality of life (QOL) with validated tools, 41% and 4% had a validated assessment of only PI or QOL, respectively, and 15% lacked a validated assessment. The visual analog scale and the Short Form 36 (SF36) were most commonly used for measuring PI (73%) and QOL (19%). Assessment of CPIP was unclear in 15% of the studies included. A baseline score was assessed in 45% of the studies, and 75% had a follow-up of at least 12 months. Conclusion: The current literature addressing CPIP after inguinal hernia repair has a variable degree of quality and lacks uniformity in outcome measures. Proper comparison of the study results to provide conclusive recommendations for preventive measures against CPIP therefore remains difficult. These findings reaffirm the need for a uniform and validated assessment with uniform reporting of outcomes to improve the burden that CPIP poses to a significant surgical patient population.

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“…The population was relatively small (n = 80) and the follow-up was conducted via medical files and questionnaires and not by clinical examination. However, the response rate was high (85%), and the questionnaires have previously been validated (12)(13)(14).…”

Section: Discussionmentioning

confidence: 99%

The initial experience of introducing the Onstep technique for inguinal hernia repair in a general surgical department

2014

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Background and Aims: a new technique for the repair of inguinal hernia, called onstep, has been described. This technique places the mesh in the preperitoneal space medially and between the internal and external oblique muscles laterally. The onstep technique has not yet been described outside the inventors' departments. This study was based on the first 80 patients operated by the onstep technique in a general surgical department. The objective of the study was to investigate postoperative pain and complications following the onstep repair of inguinal hernia.Material and Methods: a total of 80 patients, operated in our department, were followed up in the medical files and contacted by letter. patients were asked to fill out the Inguinal pain questionnaire, carolinas comfort scale, and the activity assessment scale, in order to assess postoperative pain.Results: no perioperative complications occurred. The response rate was 85% on the mailed questionnaires. no patients had any activities they were not able to perform. activity assessment scale results: 80.3% did not have substantial pain-related impairment of daily function. carolinas comfort scale results: 94.8% did not have a symptomatic repair. Inguinal pain questionnaire results: 95.5% reported no pain or pain that was easily ignored.Conclusions: It seems from this study that the onstep technique is a safe method for inguinal hernia repair regarding perioperative and postoperative complications. The postoperative pain seems to be equal to or lower than after the lichtenstein technique.

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Comparison of Generic Versus Specific Quality-of-Life Scales for Mesh Hernia Repairs

Cited by 218 publications

References 25 publications

Laparoscopic ventral/incisional hernia repair: updated guidelines from the EAES and EHS endorsed Consensus Development Conference

Laparoscopic ventral/incisional hernia repair: updated guidelines from the EAES and EHS endorsed Consensus Development Conference

Uniformity of Chronic Pain Assessment after Inguinal Hernia Repair: A Critical Review of the Literature

The initial experience of introducing the Onstep technique for inguinal hernia repair in a general surgical department

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