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A systematic review of outcome reporting in incisional hernia surgery

Harji, D. ; Thomas, C. LU ; Antoniou, S. A. ; Chandraratan, H. ; Griffiths, B. ; Henniford, B. T. ; Horgan, L. ; Köckerling, F. ; López-Cano, M. and Massey, L. , et al. (2021) In BJS Open 5(2).
Abstract

BACKGROUND: The incidence of incisional hernia is up to 20 per cent after abdominal surgery. The management of patients with incisional hernia can be complex with an array of techniques and meshes available. Ensuring consistency in reporting outcomes across studies on incisional hernia is important and will enable appropriate interpretation, comparison and data synthesis across a range of clinical and operative treatment strategies. METHODS: Literature searches were performed in MEDLINE and EMBASE (from 1 January 2010 to 31 December 2019) and the Cochrane Central Register of Controlled Trials. All studies documenting clinical and patient-reported outcomes for incisional hernia were included. RESULTS: In total, 1340 studies were... (More)

BACKGROUND: The incidence of incisional hernia is up to 20 per cent after abdominal surgery. The management of patients with incisional hernia can be complex with an array of techniques and meshes available. Ensuring consistency in reporting outcomes across studies on incisional hernia is important and will enable appropriate interpretation, comparison and data synthesis across a range of clinical and operative treatment strategies. METHODS: Literature searches were performed in MEDLINE and EMBASE (from 1 January 2010 to 31 December 2019) and the Cochrane Central Register of Controlled Trials. All studies documenting clinical and patient-reported outcomes for incisional hernia were included. RESULTS: In total, 1340 studies were screened, of which 92 were included, reporting outcomes on 12 292 patients undergoing incisional hernia repair. Eight broad-based outcome domains were identified, including patient and clinical demographics, hernia-related symptoms, hernia morphology, recurrent incisional hernia, operative variables, postoperative variables, follow-up and patient-reported outcomes. Clinical outcomes such as hernia recurrence rates were reported in 80 studies (87 per cent). A total of nine different definitions for detecting hernia recurrence were identified. Patient-reported outcomes were reported in 31 studies (34 per cent), with 18 different assessment measures used. CONCLUSIONS: This review demonstrates the significant heterogeneity in outcome reporting in incisional hernia studies, with significant variation in outcome assessment and definitions. This is coupled with significant under-reporting of patient-reported outcomes.

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type
Contribution to journal
publication status
published
subject
in
BJS Open
volume
5
issue
2
publisher
Wiley
external identifiers
  • pmid:33839746
  • scopus:85104162537
ISSN
2474-9842
DOI
10.1093/bjsopen/zrab006
language
English
LU publication?
yes
additional info
Publisher Copyright: © The Author(s) 2021. Published by Oxford University Press on behalf of BJS Society Ltd. Copyright: This record is sourced from MEDLINE/PubMed, a database of the U.S. National Library of Medicine
id
e76b8f44-f288-4210-a994-4964dc59960e
date added to LUP
2021-04-26 12:42:42
date last changed
2024-06-29 11:35:58
@article{e76b8f44-f288-4210-a994-4964dc59960e,
  abstract     = {{<p>BACKGROUND: The incidence of incisional hernia is up to 20 per cent after abdominal surgery. The management of patients with incisional hernia can be complex with an array of techniques and meshes available. Ensuring consistency in reporting outcomes across studies on incisional hernia is important and will enable appropriate interpretation, comparison and data synthesis across a range of clinical and operative treatment strategies. METHODS: Literature searches were performed in MEDLINE and EMBASE (from 1 January 2010 to 31 December 2019) and the Cochrane Central Register of Controlled Trials. All studies documenting clinical and patient-reported outcomes for incisional hernia were included. RESULTS: In total, 1340 studies were screened, of which 92 were included, reporting outcomes on 12 292 patients undergoing incisional hernia repair. Eight broad-based outcome domains were identified, including patient and clinical demographics, hernia-related symptoms, hernia morphology, recurrent incisional hernia, operative variables, postoperative variables, follow-up and patient-reported outcomes. Clinical outcomes such as hernia recurrence rates were reported in 80 studies (87 per cent). A total of nine different definitions for detecting hernia recurrence were identified. Patient-reported outcomes were reported in 31 studies (34 per cent), with 18 different assessment measures used. CONCLUSIONS: This review demonstrates the significant heterogeneity in outcome reporting in incisional hernia studies, with significant variation in outcome assessment and definitions. This is coupled with significant under-reporting of patient-reported outcomes.</p>}},
  author       = {{Harji, D. and Thomas, C. and Antoniou, S. A. and Chandraratan, H. and Griffiths, B. and Henniford, B. T. and Horgan, L. and Köckerling, F. and López-Cano, M. and Massey, L. and Miserez, M. and Montgomery, A. and Muysoms, F. and Poulose, B. K. and Reinpold, W. and Smart, N.}},
  issn         = {{2474-9842}},
  language     = {{eng}},
  number       = {{2}},
  publisher    = {{Wiley}},
  series       = {{BJS Open}},
  title        = {{A systematic review of outcome reporting in incisional hernia surgery}},
  url          = {{http://dx.doi.org/10.1093/bjsopen/zrab006}},
  doi          = {{10.1093/bjsopen/zrab006}},
  volume       = {{5}},
  year         = {{2021}},
}