Incisional hernia repair surgery improves patient reported outcomes

Shiana Manoharan; Guiping Liu; R Trafford Crump; Ahmer A Karimuddin; Tracy M Scott; Jason M Sutherland

doi:10.1016/j.amjsurg.2020.03.027

Incisional hernia repair surgery improves patient reported outcomes

Am J Surg. 2020 May;219(5):874-878. doi: 10.1016/j.amjsurg.2020.03.027. Epub 2020 Mar 27.

Authors

Shiana Manoharan¹, Guiping Liu², R Trafford Crump³, Ahmer A Karimuddin⁴, Tracy M Scott⁴, Jason M Sutherland²

Affiliations

¹ Vancouver General Hospital, Department of Surgery, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada. Electronic address: shiana.manoharan@gmail.com.
² Centre for Health Services and Policy Research, School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada.
³ Department of Surgery, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
⁴ St. Paul's Hospital, Department of Surgery, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.

PMID: 32245611
DOI: 10.1016/j.amjsurg.2020.03.027

Abstract

Background: Incisional hernias are a frequent complication after abdominal surgeries. The aim of this study is to investigate the impact of incisional hernia repair on health related quality of life.

Methods: We prospectively recruited a sample of patients waiting for incisional hernia repairs in the Vancouver Coastal Health Authority, Canada. Study participants self-report their pain, depression and overall quality of life using patient reported outcome measures EQ-5D, PHQ-9 and PEG as they were placed on the waitlist and 6 months after surgery.

Results: There were 87 patients who responded to both the pre and post-operative survey. The average wait for surgery was 20.3 weeks. Patients with poor baseline health pre-operatively had significant improvement in pain, depression and quality of life.

Conclusions: Among patients with poorer baseline health who underwent surgery for incisional hernias, there was a significant benefit in depression, pain and overall quality of life.

Keywords: Hernia; Incisional; Patient-reported outcomes; Surgery; Waitlist.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Aged
British Columbia
Depression / psychology
Female
Herniorrhaphy*
Humans
Incisional Hernia / surgery*
Male
Middle Aged
Pain Measurement
Patient Reported Outcome Measures*
Prospective Studies
Quality of Life*
Surveys and Questionnaires
Waiting Lists*

Grants and funding

CIHR/Canada