切口疝修补术后患者报告的结局——建立腹疝复发量表

Patient reported outcomes after incisional hernia repair-establishing the ventral hernia recurrence inventory.

作者信息

Baucom Rebeccah B, Ousley Jenny, Feurer Irene D, Beveridge Gloria B, Pierce Richard A, Holzman Michael D, Sharp Kenneth W, Poulose Benjamin K

机构信息

Department of Surgery, Vanderbilt University Medical Center, Nashville, 1161 Medical Center Drive, D-5203 Medical Center North, TN 37232, USA.

出版信息

Am J Surg. 2016 Jul;212(1):81-8. doi: 10.1016/j.amjsurg.2015.06.007. Epub 2015 Jul 31.

DOI:10.1016/j.amjsurg.2015.06.007

PMID:26319337

Abstract

BACKGROUND

Assessing incisional hernia recurrence typically requires a clinical encounter. We sought to determine if patient-reported outcomes (PROs) could detect long-term recurrence.

METHODS

Adult patients 1 to 5 years after incisional hernia repair were prospectively asked about recurrence, bulge, and pain at the original repair site. Using dynamic abdominal sonography for hernia to detect recurrence, performance of each PRO was determined. Multivariable regression was used to evaluate PRO association with recurrence.

RESULTS

Fifty-two patients enrolled with follow-up time 46 ± 13 months. A patient-reported bulge was 85% sensitive, and 81% specific to detect recurrence. Patients reporting no bulge and no pain had 0% chance of recurrence. In multivariable analysis, patients reporting a bulge were 18 times more likely to have a recurrence than those without (95% confidence interval, 3.7 to 90.0; P < .001).

CONCLUSIONS

This preliminary study demonstrates that PROs offer a promising means of detecting long-term recurrence after incisional hernia repair, which can help facilitate quality improvement and research efforts.

摘要