W J Bakker1, M M Roos2, T Kerkman2, J P J Burgmans2. 1. Hernia Clinic, Department of Surgery, Diakonessenhuis Utrecht/Zeist, Room: Secretariaat Heelkunde, Professor Lorentzlaan 76, 3707 HL, Zeist, The Netherlands. wbakker1@diakhuis.nl. 2. Hernia Clinic, Department of Surgery, Diakonessenhuis Utrecht/Zeist, Room: Secretariaat Heelkunde, Professor Lorentzlaan 76, 3707 HL, Zeist, The Netherlands.
Abstract
PURPOSE: 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. METHODS: 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. RESULTS: 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. CONCLUSIONS: 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.
PURPOSE: 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. METHODS: 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. RESULTS: 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. CONCLUSIONS: 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.
Entities:
Keywords:
Experience; Follow-up; Inguinal hernia; PINQ-PHONE; Recurrences; TEP
Authors: Marleen M Roos; Wouter J Bakker; Nelleke Schouten; Charlotte E H Voorbrood; Geert Jan Clevers; Egbert Jan Verleisdonk; Paul H Davids; Josephina P Burgmans Journal: Ann Surg Date: 2018-08 Impact factor: 12.969
Authors: Baukje van den Heuvel; J A van Jarwaarde; P Wichers; E S M de Lange de Klerk; H J Bonjer; B J Dwars Journal: Surg Endosc Date: 2015-01-29 Impact factor: 4.584
Authors: J P J Burgmans; C E H Voorbrood; N Schouten; N Smakman; S Elias; G J Clevers; P H P Davids; E J M M Verleisdonk; M E Hamaker; R K J Simmermacher; T van Dalen Journal: Surg Endosc Date: 2015-01-01 Impact factor: 4.584
Authors: Josephina P J Burgmans; Charlotte E H Voorbrood; Rogier K J Simmermacher; Nelleke Schouten; Niels Smakman; GeertJan Clevers; Paul H P Davids; EgbertJan M M Verleisdonk; Marije E Hamaker; Johan F Lange; Thijs van Dalen Journal: Ann Surg Date: 2016-05 Impact factor: 12.969