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Self-reported adverse events after groin hernia repair, a study based on a national register.
Department of Surgery, Södersjukhuset, Stockholm, Sweden.
Lund University Hospital, Lund, Sweden.
Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden.
Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences, Surgery.
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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
Abstract [en]

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.
Keyword [en]
groin hernia, postoperative complications, questionnaire study, risk factors
National Category
Surgery
Research subject
Surgery
Identifiers
URN: urn:nbn:se:umu:diva-35764DOI: 10.1111/j.1524-4733.2008.00330.xPubMedID: 18489521OAI: oai:DiVA.org:umu-35764DiVA: diva2:346979
Available from: 2010-09-02 Created: 2010-09-02 Last updated: 2014-08-15

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Gunnarsson, Ulf

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