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Hernia recurrence inventory: inguinal hernia recurrence can be accurately assessed using patient-reported outcomes.
- Source :
-
Hernia . Feb2020, Vol. 24 Issue 1, p127-135. 9p. - Publication Year :
- 2020
-
Abstract
- <bold>Purpose: </bold>Relying solely on in-person encounters to assess long-term outcomes of hernia repair leads to substantial loss of information and patients lost-to-follow-up, hindering research and quality improvement initiatives. We aimed to determine if inguinal hernia recurrences could be assessed using the Ventral Hernia Recurrence Inventory (VHRI), a previously existing patient-reported outcome (PRO) tool that can be administered through the telephone and has already been validated for diagnosing ventral hernia recurrence.<bold>Methods: </bold>A prospective, multicentric comparative study was conducted. Adult patients from two centers (United States and Brazil) at least 1 year after open or minimally invasive inguinal hernia repair were asked to answer the questions of the VHRI in relation to their prior repair. A physical exam was then performed by a blinded surgeon. Testing characteristics and diagnostic performance of the PRO were calculated. Patients with suspected recurrences were preferentially recruited.<bold>Results: </bold>128 patients were enrolled after 175 repairs. All patients answered the VHRI and were further examined, where a recurrence was present in 32% of the repairs. Self-reported bulge and patient perception of a recurrence were highly sensitive (84-94%) and specific (93-94%) for the diagnosis of an inguinal hernia recurrence. Test performance was similar in the American and Brazilian populations despite several baseline differences in demographic and clinical characteristics.<bold>Conclusion: </bold>The VHRI can be used to assess long-term inguinal hernia recurrence and should be reestablished as the Hernia Recurrence Inventory (HRI). Its implementation in registries, quality improvement efforts, and research could contribute to improving long-term follow-up rates in hernia patients. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 12654906
- Volume :
- 24
- Issue :
- 1
- Database :
- Academic Search Index
- Journal :
- Hernia
- Publication Type :
- Academic Journal
- Accession number :
- 141625242
- Full Text :
- https://doi.org/10.1007/s10029-019-02000-z