Revisiting HERQL, the hernia-specific quality-of-life assessment instrument, to extend the clinical applicability for abdominal wall hernias

Purpose In the past we have developed and validated the hernia-specific quality of life assessment instrument, HERQL, for groin hernias. In current study we evaluated the conceptual structure and validated HERQL for abdominal wall hernias. Methods Subjective quality-of-life perceptions from abdomina...

Full description

Saved in:
Bibliographic Details
Published in:Hernia : the journal of hernias and abdominal wall surgery 2020-08, Vol.24 (4), p.771-780
Main Authors: Huang, C.-C., Lien, H.-H., Wong, J.-U., Ho, T.-F., Chang, W.-P., Hunag, C.-S.
Format: Article
Language:English
Subjects:
Abdomen
Abdominal Surgery
Abdominal wall
Hernia
Hernias
Medicine
Medicine & Public Health
Morbidity
Original Article
Pain
Patients
Quality Control
Quality of life
Structural equation modeling
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Purpose In the past we have developed and validated the hernia-specific quality of life assessment instrument, HERQL, for groin hernias. In current study we evaluated the conceptual structure and validated HERQL for abdominal wall hernias. Methods Subjective quality-of-life perceptions from abdominal wall hernia patients were assessed. Clinical responsiveness was evaluated comparing treatment naïve with follow-up hernia patients. Measurement invariance between groin and abdominal wall hernias was approached with structural equation modeling (SEM). Subgroup comparisons were conducted between primary ventral and incisional hernias, as well as the presence of co-morbidity, hernia incarceration, surgical complications, and recurrent abdominal wall hernias. Results A total of 775 HERQL assessments, including 167 from abdominal wall hernias, were successfully performed. Cronbach’s alpha coefficients for the summative pain, worse symptoms for treatment-naïve patients, and improving summative pain scores across the pre-operative, immediately post-operative, and post-operative 3-month assessments indicating clinical responsiveness were observed and comparable between groin and abdominal wall hernias. Configural invariance was evidenced by that the same model held true for both types of hernias with multi-group SEM, while mean structure exploration showed that abdominal wall hernia patients reported less latent summative pain (− 0.535, p  
ISSN:1265-4906
1248-9204
DOI:10.1007/s10029-019-02066-9