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Self-reported adverse events after groin hernia repair, a study based on a national register

Franneby, Ulf; Sandblom, Gabriel LU ; Nyren, Olof; Nordin, Par and Gunnarsson, Ulf (2008) In Value in Health 11(5). p.927-932
Abstract
Objectives: In most clinics, follow-up after inguinal hernia surgery is not a routine procedure and complications may pass unnoticed, thus impairing quality assessment. The aim of this study was to investigate the frequency, spectrum, and risk factors of short-term adverse events after groin hernia repair. Methods: All patients aged 15 years or older with a primary unilateral inguinal or femoral hernia repair recorded in the Swedish Hernia Register (SHR) between November 1 and December 31, 2002 were sent a questionnaire asking about complications within the first 30 postoperative days. Results: Of the 1643 recorded patients, 1448 (88.1%) responded: 1341 (92.6%) were men and 107 (7.4%) women, mean age 59 years. There were 195 (11.9%)... (More)
Objectives: In most clinics, follow-up after inguinal hernia surgery is not a routine procedure and complications may pass unnoticed, thus impairing quality assessment. The aim of this study was to investigate the frequency, spectrum, and risk factors of short-term adverse events after groin hernia repair. Methods: All patients aged 15 years or older with a primary unilateral inguinal or femoral hernia repair recorded in the Swedish Hernia Register (SHR) between November 1 and December 31, 2002 were sent a questionnaire asking about complications within the first 30 postoperative days. Results: Of the 1643 recorded patients, 1448 (88.1%) responded: 1341 (92.6%) were men and 107 (7.4%) women, mean age 59 years. There were 195 (11.9%) nonresponders. Postoperative complications reported in the questionnaire were hematoma in 203 (14.0%) patients, severe pain in 168 (11.6%), testicular pain in 120 (8.3%), and infection in 105 (7.3%). Adverse events were reported in the questionnaire by 391 (23.8%) patients, whereas only 85 (5.2%) were affected according to the SHR. Risk factors for postoperative complications were age below the median (59 years) among the studied hernia patients (OR 1.36; 95% CI 1.06-1.74) and laparoscopic repair (OR 2.66; 95% CI 1.17-6.05). Conclusion: Questionnaires provide valuable additional information concerning postoperative complications. We recommend that they become an integrated part of routine postoperative assessment. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
factors, risk, questionnaire study, groin hernia, postoperative complications
in
Value in Health
volume
11
issue
5
pages
927 - 932
publisher
Wiley-Blackwell
external identifiers
  • wos:000259526800015
  • scopus:52649129840
ISSN
1098-3015
DOI
10.1111/j.1524-4733.2008.00330.x
language
English
LU publication?
yes
id
b5f4ea05-d9d5-4179-b483-09efa329e4c9 (old id 1286158)
date added to LUP
2009-02-04 09:09:50
date last changed
2017-05-28 03:28:46
@article{b5f4ea05-d9d5-4179-b483-09efa329e4c9,
  abstract     = {Objectives: In most clinics, follow-up after inguinal hernia surgery is not a routine procedure and complications may pass unnoticed, thus impairing quality assessment. The aim of this study was to investigate the frequency, spectrum, and risk factors of short-term adverse events after groin hernia repair. Methods: All patients aged 15 years or older with a primary unilateral inguinal or femoral hernia repair recorded in the Swedish Hernia Register (SHR) between November 1 and December 31, 2002 were sent a questionnaire asking about complications within the first 30 postoperative days. Results: Of the 1643 recorded patients, 1448 (88.1%) responded: 1341 (92.6%) were men and 107 (7.4%) women, mean age 59 years. There were 195 (11.9%) nonresponders. Postoperative complications reported in the questionnaire were hematoma in 203 (14.0%) patients, severe pain in 168 (11.6%), testicular pain in 120 (8.3%), and infection in 105 (7.3%). Adverse events were reported in the questionnaire by 391 (23.8%) patients, whereas only 85 (5.2%) were affected according to the SHR. Risk factors for postoperative complications were age below the median (59 years) among the studied hernia patients (OR 1.36; 95% CI 1.06-1.74) and laparoscopic repair (OR 2.66; 95% CI 1.17-6.05). Conclusion: Questionnaires provide valuable additional information concerning postoperative complications. We recommend that they become an integrated part of routine postoperative assessment.},
  author       = {Franneby, Ulf and Sandblom, Gabriel and Nyren, Olof and Nordin, Par and Gunnarsson, Ulf},
  issn         = {1098-3015},
  keyword      = {factors,risk,questionnaire study,groin hernia,postoperative complications},
  language     = {eng},
  number       = {5},
  pages        = {927--932},
  publisher    = {Wiley-Blackwell},
  series       = {Value in Health},
  title        = {Self-reported adverse events after groin hernia repair, a study based on a national register},
  url          = {http://dx.doi.org/10.1111/j.1524-4733.2008.00330.x},
  volume       = {11},
  year         = {2008},
}