Self-Reported Adverse Events after Groin Hernia Repair, A Study Based on a National Register

Sep 1, 2008, 00:00
10.1111/j.1524-4733.2008.00330.x
https://www.valueinhealthjournal.com/article/S1098-3015(10)60572-4/fulltext
Title : Self-Reported Adverse Events after Groin Hernia Repair, A Study Based on a National Register
Citation : https://www.valueinhealthjournal.com/action/showCitFormats?pii=S1098-3015(10)60572-4&doi=10.1111/j.1524-4733.2008.00330.x
First page :
Section Title :
Open access? : No
Section Order : 15

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.

Categories :
  • Adherence, Persistence, & Compliance
  • Health State Utilities
  • Patient-Centered Research
  • Stated Preference & Patient Satisfaction
Tags :
  • groin hernia
  • postoperative complications
  • questionnaire study
  • risk factors
Regions :
  • North America
ViH Article Tags :