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| Title | Self-reported adverse events after groin hernia repair, a study based on a national register |
| Author/s | Ulf Franneby, Gabriel Sandblom, Olof Nyren, Par Nordin, Ulf Gunnarsson |
| Department/s |
Faculty of Medicine
|
| Full-text | Full text is not available in this archive |
| Alternative location (URL) | http://dx.doi.org/10.1111/j.15... Restricted Access (Alternative Location) |
| Publication/Series | VALUE IN HEALTH |
| Publishing year | 2008 |
| Volume | 11 |
| Issue | 5 |
| Pages | 927 - 932 |
| Document type | Journal article |
| Status | published |
| Quality controlled | yes |
| Language | English |
| Publisher | BLACKWELL PUBLISHING |
| Abstract English | 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. |
| Subject |
Medicine and Health Sciences |
| Keywords | risk, factors, questionnaire study, groin hernia, postoperative complications |
| ISBN/ISSN/Other |
ISSN: 1098-3015 |
