Self-reported adverse events after groin hernia repair, a study based on a national register.
2008 (English)In: Value in Health, ISSN 1098-3015, E-ISSN 1524-4733, Vol. 11, no 5, 927-932 p.Article in journal (Refereed) Published
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.
Place, publisher, year, edition, pages
Wiley , 2008. Vol. 11, no 5, 927-932 p.
groin hernia, postoperative complications, questionnaire study, risk factors
Research subject Surgery
IdentifiersURN: urn:nbn:se:umu:diva-35764DOI: 10.1111/j.1524-4733.2008.00330.xPubMedID: 18489521OAI: oai:DiVA.org:umu-35764DiVA: diva2:346979