Ralph Fabian Staerkle1,2, Raphael Nicolas Vuille-Dit-Bille3, Lukas Fink4, Christopher Soll3, Peter Villiger5. 1. Department of Visceral and Thoracic Surgery, Cantonal Hospital Winterthur, Brauerstrasse 15, 8401, Winterthur, Switzerland. ralph.staerkle@ksw.ch. 2. Department of Surgery, Cantonal Hospital Graubuenden, Loëstrasse 170, 7000, Chur, Switzerland. ralph.staerkle@ksw.ch. 3. Department of Visceral and Thoracic Surgery, Cantonal Hospital Winterthur, Brauerstrasse 15, 8401, Winterthur, Switzerland. 4. Mathematic Faculty, Cantonal School of Wil, Hubstrasse 75, 9501, Wil, Switzerland. 5. Department of Surgery, Cantonal Hospital Graubuenden, Loëstrasse 170, 7000, Chur, Switzerland.
Abstract
PURPOSE: The Core Outcome Measure Index (COMI) is a brief and multidimensional, patient-orientated outcome questionnaire that assesses chronic pain and quality of life after groin hernia repair. The primary aim of this study was to prospectively assess the COMI-hernia score, over an extended period of time in a single large cohort of patients. METHODS: Two hundred and twenty-eight male patients with inguinal hernia repair were included in the present study. Patients were recruited prospectively with an average follow-up of 3 years. RESULTS: COMI-hernia total and the COMI-hernia pain scores were significantly lower following surgery and remained unchanged over time. Young patients' age (p = 0.043), high preoperative COMI-hernia total score (p = 0.018), and bilateral hernias (p = 0.035) were identified as independent risk factors for adverse outcome after groin hernia repair. Both COMI-hernia total and the COMI-hernia pain scores significantly (p < 2.2*10-16 and p < 1.638*10-11) correlated with patient's satisfaction. CONCLUSIONS: The COMI score reflects a reliable tool to assess the outcome following groin hernia repair.
PURPOSE: The Core Outcome Measure Index (COMI) is a brief and multidimensional, patient-orientated outcome questionnaire that assesses chronic pain and quality of life after groin hernia repair. The primary aim of this study was to prospectively assess the COMI-hernia score, over an extended period of time in a single large cohort of patients. METHODS: Two hundred and twenty-eight male patients with inguinal hernia repair were included in the present study. Patients were recruited prospectively with an average follow-up of 3 years. RESULTS:COMI-hernia total and the COMI-hernia pain scores were significantly lower following surgery and remained unchanged over time. Young patients' age (p = 0.043), high preoperative COMI-hernia total score (p = 0.018), and bilateral hernias (p = 0.035) were identified as independent risk factors for adverse outcome after groin hernia repair. Both COMI-hernia total and the COMI-hernia pain scores significantly (p < 2.2*10-16 and p < 1.638*10-11) correlated with patient's satisfaction. CONCLUSIONS: The COMI score reflects a reliable tool to assess the outcome following groin hernia repair.
Entities:
Keywords:
Core Outcome Measure Index; Inguinal hernia repair; Patient satisfaction; Quality assessment; Quality of life
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