Tags

Type your tag names separated by a space and hit enter

Patient-related risk factors for recurrence after inguinal hernia repair: a systematic review and meta-analysis of observational studies.
Surg Innov. 2015 Jun; 22(3):303-17.SI

Abstract

BACKGROUND

Several factors influence the risk of recurrence after inguinal hernia surgery; however, a systematic review and meta-analysis of patient-related risk factors for recurrence after inguinal hernia surgery has not been performed earlier.

METHODS

MEDLINE, Embase, and Cochrane databases were searched in June 2013 for studies evaluating patient-related risk factors for recurrence after inguinal hernia operation. Observational studies evaluating nontechnical patient-related risk factors for recurrence after inguinal hernia surgery were included. Outcome variables were grouped under patient demographics, hernia characteristics, connective tissue composition and degradation, habits and social relations, and conditions related to inguinal hernia recurrence.

RESULTS

From a total of 5061 records screened, we included 40 observational studies enrolling 720 651 inguinal hernia procedures in 714 917 patients in the systematic review. Of the 40 studies, 14 studies were included in 8 meta-analyses evaluating sex, hernia type, hernia size, re-recurrence, bilaterality, mode of admission, age, and smoking as risk factors for recurrence after inguinal hernia surgery in a total of 378 824 procedures in 375 620 patients.

CONCLUSIONS

We found that female sex, direct inguinal hernias at the primary procedure, operation for a recurrent inguinal hernia, and smoking were significant risk factors for recurrence after inguinal hernia surgery. This knowledge of patient-related risk factors for recurrence after inguinal hernia surgery could be implemented in clinical practice.

Authors+Show Affiliations

Herlev Hospital, University of Copenhagen, Herlev, Denmark jakobburcharth@gmail.com.Herlev Hospital, University of Copenhagen, Herlev, Denmark.Hvidovre Hospital, University of Copenhagen, Hvidovre, Denmark.Herlev Hospital, University of Copenhagen, Herlev, Denmark.

Pub Type(s)

Journal Article
Meta-Analysis
Review
Systematic Review

Language

eng

PubMed ID

25270082

Citation

Burcharth, Jakob, et al. "Patient-related Risk Factors for Recurrence After Inguinal Hernia Repair: a Systematic Review and Meta-analysis of Observational Studies." Surgical Innovation, vol. 22, no. 3, 2015, pp. 303-17.
Burcharth J, Pommergaard HC, Bisgaard T, et al. Patient-related risk factors for recurrence after inguinal hernia repair: a systematic review and meta-analysis of observational studies. Surg Innov. 2015;22(3):303-17.
Burcharth, J., Pommergaard, H. C., Bisgaard, T., & Rosenberg, J. (2015). Patient-related risk factors for recurrence after inguinal hernia repair: a systematic review and meta-analysis of observational studies. Surgical Innovation, 22(3), 303-17. https://doi.org/10.1177/1553350614552731
Burcharth J, et al. Patient-related Risk Factors for Recurrence After Inguinal Hernia Repair: a Systematic Review and Meta-analysis of Observational Studies. Surg Innov. 2015;22(3):303-17. PubMed PMID: 25270082.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Patient-related risk factors for recurrence after inguinal hernia repair: a systematic review and meta-analysis of observational studies. AU - Burcharth,Jakob, AU - Pommergaard,Hans-Christian, AU - Bisgaard,Thue, AU - Rosenberg,Jacob, Y1 - 2014/09/30/ PY - 2014/10/2/entrez PY - 2014/10/2/pubmed PY - 2016/2/11/medline KW - inguinal hernia KW - meta-analysis KW - recurrence KW - reoperation KW - risk factors KW - systematic review SP - 303 EP - 17 JF - Surgical innovation JO - Surg Innov VL - 22 IS - 3 N2 - BACKGROUND: Several factors influence the risk of recurrence after inguinal hernia surgery; however, a systematic review and meta-analysis of patient-related risk factors for recurrence after inguinal hernia surgery has not been performed earlier. METHODS: MEDLINE, Embase, and Cochrane databases were searched in June 2013 for studies evaluating patient-related risk factors for recurrence after inguinal hernia operation. Observational studies evaluating nontechnical patient-related risk factors for recurrence after inguinal hernia surgery were included. Outcome variables were grouped under patient demographics, hernia characteristics, connective tissue composition and degradation, habits and social relations, and conditions related to inguinal hernia recurrence. RESULTS: From a total of 5061 records screened, we included 40 observational studies enrolling 720 651 inguinal hernia procedures in 714 917 patients in the systematic review. Of the 40 studies, 14 studies were included in 8 meta-analyses evaluating sex, hernia type, hernia size, re-recurrence, bilaterality, mode of admission, age, and smoking as risk factors for recurrence after inguinal hernia surgery in a total of 378 824 procedures in 375 620 patients. CONCLUSIONS: We found that female sex, direct inguinal hernias at the primary procedure, operation for a recurrent inguinal hernia, and smoking were significant risk factors for recurrence after inguinal hernia surgery. This knowledge of patient-related risk factors for recurrence after inguinal hernia surgery could be implemented in clinical practice. SN - 1553-3514 UR - https://www.unboundmedicine.com/medline/citation/25270082/Patient_related_risk_factors_for_recurrence_after_inguinal_hernia_repair:_a_systematic_review_and_meta_analysis_of_observational_studies_ L2 - http://journals.sagepub.com/doi/full/10.1177/1553350614552731?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -