T N Grove1,2, L J Muirhead1, S G Parker3, D R L Brogden1,2, S C Mills1,2, C Kontovounisios4,5,6, A C J Windsor7, O J Warren1,2. 1. Abdominal Wall Reconstruction Unit, Department of Surgery, Chelsea and Westminster Hospital, London, UK. 2. Department of Surgery and Cancer, Imperial College London, Chelsea and Westminster and the Royal Marsden Campus, London, UK. 3. Abdominal Wall Reconstruction Unit, Department of Surgery, University College Hospital, London, UK. 4. Abdominal Wall Reconstruction Unit, Department of Surgery, Chelsea and Westminster Hospital, London, UK. c.kontovounisios@imperial.ac.uk. 5. Department of Surgery and Cancer, Imperial College London, Chelsea and Westminster and the Royal Marsden Campus, London, UK. c.kontovounisios@imperial.ac.uk. 6. Department of Surgery, Royal Marsden Hospital, London, UK. c.kontovounisios@imperial.ac.uk. 7. HCA Healthcare, London, UK.
Abstract
INTRODUCTION: Abdominal wall herniation (AWH) is an increasing problem for patients, surgeons, and healthcare providers. Surgical-site specific outcomes, such as infection, recurrence, and mesh explantation, are improving; however, successful repair still exposes the patient to what is often a complex major operation aimed at improving quality of life. Quality-of-life (QOL) outcomes, such as aesthetics, pain, and physical and emotional functioning, are less often and less well reported. We reviewed QOL tools currently available to evaluate their suitability. METHODS: A systematic review of the literature in compliance with PRISMA guidelines was performed between 1st January 1990 and 1st May 2019. English language studies using validated quality-of-life assessment tool, whereby outcomes using this tool could be assessed were included. RESULTS: Heterogeneity in the QOL tool used for reporting outcome was evident throughout the articles reviewed. AWH disease-specific tools, hernia-specific tools, and generic tools were used throughout the literature with no obviously preferred or dominant method identified. CONCLUSION: Despite increasing acknowledgement of the need to evaluate QOL in patients with AWH, no tool has become dominant in this field. Assessment, therefore, of the impact of certain interventions or techniques on quality of life remains difficult and will continue to do so until an adequate standardised outcome measurement tool is available.
INTRODUCTION: Abdominal wall herniation (AWH) is an increasing problem for patients, surgeons, and healthcare providers. Surgical-site specific outcomes, such as infection, recurrence, and mesh explantation, are improving; however, successful repair still exposes the patient to what is often a complex major operation aimed at improving quality of life. Quality-of-life (QOL) outcomes, such as aesthetics, pain, and physical and emotional functioning, are less often and less well reported. We reviewed QOL tools currently available to evaluate their suitability. METHODS: A systematic review of the literature in compliance with PRISMA guidelines was performed between 1st January 1990 and 1st May 2019. English language studies using validated quality-of-life assessment tool, whereby outcomes using this tool could be assessed were included. RESULTS: Heterogeneity in the QOL tool used for reporting outcome was evident throughout the articles reviewed. AWH disease-specific tools, hernia-specific tools, and generic tools were used throughout the literature with no obviously preferred or dominant method identified. CONCLUSION: Despite increasing acknowledgement of the need to evaluate QOL in patients with AWH, no tool has become dominant in this field. Assessment, therefore, of the impact of certain interventions or techniques on quality of life remains difficult and will continue to do so until an adequate standardised outcome measurement tool is available.
Entities:
Keywords:
Abdominal wall; Incisional hernia; Quality of life; Ventral hernia
Authors: Laurel J Blair; Tiffany C Cox; Ciara R Huntington; Steven A Groene; Tanushree Prasad; Amy E Lincourt; Kent W Kercher; B Todd Heniford; Vedra A Augenstein Journal: Surg Endosc Date: 2016-12-30 Impact factor: 4.584
Authors: Paul D Colavita; Victor B Tsirline; Igor Belyansky; Amanda L Walters; Amy E Lincourt; Ronald F Sing; B Todd Heniford Journal: Ann Surg Date: 2012-11 Impact factor: 12.969
Authors: Mary T Hawn; Christopher W Snyder; Laura A Graham; Stephen H Gray; Kelly R Finan; Catherine C Vick Journal: J Am Coll Surg Date: 2010-05 Impact factor: 6.113
Authors: B Todd Heniford; Amanda L Walters; Amy E Lincourt; Yuri W Novitsky; William W Hope; Kent W Kercher Journal: J Am Coll Surg Date: 2008-02-01 Impact factor: 6.113
Authors: B Todd Heniford; Amy E Lincourt; Amanda L Walters; Paul D Colavita; Igor Belyansky; Kent W Kercher; Ronald F Sing; Vedra A Augenstein Journal: Ann Surg Date: 2018-01 Impact factor: 12.969
Authors: Thomas Anthony; Joshua Long; Linda S Hynan; George A Sarosi; Fiemu Nwariaku; James Huth; Charlene Jones; Betty J N Parker; Robert Rege Journal: Surgery Date: 2003-08 Impact factor: 3.982
Authors: S G Parker; S Halligan; M Erotocritou; C P J Wood; R W Boulton; A A O Plumb; A C J Windsor; S Mallett Journal: Hernia Date: 2019-05-31 Impact factor: 4.739
Authors: N van Veenendaal; M M Poelman; B van den Heuvel; B J Dwars; W H Schreurs; J H M B Stoot; H J Bonjer Journal: Hernia Date: 2021-08-02 Impact factor: 4.739