Hernia Clinic, Department of Surgery, Diakonessenhuis Utrecht/Zeist, Room: Secretariaat Heelkunde, Professor Lorentzlaan 76, 3707 HL, Zeist, The Netherlands.
Hernia. 2019 Aug;23(4):685-691. doi: 10.1007/s10029-019-01909-9. Epub 2019 Feb 18.
The PINQ-PHONE is a 4-question telephone questionnaire designed and validated as a recurrence detection method after laparo-endoscopic inguinal hernia repair. The study aim was to evaluate the PINQ-PHONE by describing our experience with the questionnaire in a high-volume randomized-controlled trial.
The PINQ-PHONE was performed 5 years postoperatively after endoscopic totally extraperitoneal (TEP) repair. Positive PINQ-PHONE responses were compared with clinical assessments for a recurrence. An "experience with the PINQ-PHONE"-survey was conducted among the executing researchers. Furthermore, positive predictive values (PPV) for the separate questions and overall PINQ-PHONE were determined.
Fifty-two of 769 responding patients (6.8%) had positive PINQ-PHONE responses and were invited to visit the outpatient clinic, thus preventing follow-up visits in 93.2% of included patients. Two recurrences were detected (0.3%). The overall PPV of the PINQ-PHONE was low (0.057). The PPV of question 1 (0.040) and 2 (0.100) was lower than that of question 3 (0.222) and 4 (0.286). The PPV of only question 3 and 4 combined was 0.183, and no recurrence would have been missed. The researcher survey unanimously produced that the PINQ-PHONE was user-friendly and executed in < 5 min, and questions 3 and 4 were considered adequate for recurrence detection. The majority found questions 1 and 2 to be inadequate questions.
The PINQ-PHONE proved to be a valuable tool in TEP repair follow-up for recurrences. Enhancement of the PINQ-PHONE using only question 3 and 4 is recommended, since more patients refrain from outpatient clinic visits, and nevertheless, recurrences are safely detected.
PINQ-PHONE 是一个 4 个问题的电话问卷，设计和验证为腹腔镜腹股沟疝修补术后的复发检测方法。本研究的目的是通过描述我们在一项大样本随机对照试验中使用该问卷的经验来评估 PINQ-PHONE。
在经内镜完全腹膜外（TEP）修补术后 5 年进行 PINQ-PHONE。将阳性 PINQ-PHONE 反应与临床评估进行比较，以确定是否存在复发。对执行研究人员进行了“PINQ-PHONE 经验”调查。此外，还确定了单独问题和整体 PINQ-PHONE 的阳性预测值（PPV）。
52 名接受调查的 769 名患者中有 52 名（6.8%）出现阳性 PINQ-PHONE 反应，并被邀请到门诊就诊，从而避免了 93.2%的纳入患者的随访。发现 2 例复发（0.3%）。PINQ-PHONE 的整体 PPV 较低（0.057）。问题 1（0.040）和 2（0.100）的 PPV 低于问题 3（0.222）和 4（0.286）。仅问题 3 和 4 联合的 PPV 为 0.183，不会遗漏任何复发。研究人员调查一致认为，PINQ-PHONE 使用方便，执行时间不到 5 分钟，问题 3 和 4 被认为足以用于复发检测。大多数人认为问题 1 和 2 不够充分。
PINQ-PHONE 在 TEP 修复随访中对复发是一种有价值的工具。建议使用仅问题 3 和 4 增强 PINQ-PHONE，因为更多的患者避免了门诊就诊，而且仍然可以安全地检测到复发。
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