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Inguinal hernia repairs performed for recurrence in Spain: population-based study of 16 years and 1,302,788 patients
Purpose The objective of this study was to assess data on inguinal hernia repairs (IHR) performed for recurrence over a 16 year period (2004—2019) in Spain. Methods A retrospective cohort study of 1,302,788 patients who underwent IHR from January 2004 to December 2019 was conducted. Data were extrac...
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| Published in: | Hernia : the journal of hernias and abdominal wall surgery 2022-08, Vol.26 (4), p.1023-1032 |
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| container_title | Hernia : the journal of hernias and abdominal wall surgery |
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| creator | Guillaumes, S. Juvany, M. |
| description | Purpose
The objective of this study was to assess data on inguinal hernia repairs (IHR) performed for recurrence over a 16 year period (2004—2019) in Spain.
Methods
A retrospective cohort study of 1,302,788 patients who underwent IHR from January 2004 to December 2019 was conducted. Data were extracted from the Spanish Minimum Basic Data Set (MBDS) of the Health Ministry database. The primary objective was to analyse the proportion of IHR performed by recurrence. As secondary objectives, we evaluated factors related to recurrent hernia (analysed by univariate analysis and multivariable logistic regression analysis) and trends in the recurrent case rate over the 16 year period.
Results
We identified 95,025 patients (7.3% of all IHR) who underwent surgery for recurrent inguinal hernia. Patients undergoing recurrent IHR were more likely to be male (OR 1.687, 95% CI 1.645–1.730), elderly (age > 74 years), and more complicated when they arrived in the operating room (gangrene OR 3.951, 95% CI 3.734–4.180; occlusion OR 1.905, 95% CI 1.853–1.960), and thus had more surgical site occurrences and related mortality. The proportion of IHR performed for recurrence has been dropping over the years (8.7% in 2004 vs. 6.5% in 2019,
p
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| doi_str_mv | 10.1007/s10029-022-02630-w |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2671275790</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2671275790</sourcerecordid><originalsourceid>FETCH-LOGICAL-c305t-18880c66b8fa82e71de44559f3f98e4c97b2ddae1d4ee544e22b9bcaa798c3253</originalsourceid><addsrcrecordid>eNp9kcFu3CAQhlHUKrtN8gI5VEi95BA3gAFDblWUtpFWyiHJGWE8Tr3yYgeMon2bPkufrDhOU6mHHmAQfPMjzYfQKSWfKSHVRcw70wVhLC9ZkuL5AK0p46rQjPB381mKgmsiV-hDjFtCiOJSHaJVKSTjVMk1Sjf-MXXe9vgHBN9ZHGC0XYh4hNAOYQcNziXfuhQCeAe48_guI_4Sj8OYejt1gy9qGzMZp9Ts8dBiKn_93IPNMdY3mJ6XhJ1XSuEx0-CneIzet7aPcPJaj9DD1-v7q-_F5vbbzdWXTeFKIqaCKqWIk7JWrVUMKtoA50Lotmy1Au50VbOmsUAbDiA4B8ZqXTtrK61cyUR5hM6W3DEMTwniZHZddND31sOQomGyoqwSlSYZ_fQPuh1SyIOZKS2k5IrOgWyhXBhiDNCaMXQ7G_aGEjNLMYsUk6WYFynmOTd9fI1OdR7oW8sfCxkoFyDmJ_8I4e_f_4n9DXjxl_4</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2695664815</pqid></control><display><type>article</type><title>Inguinal hernia repairs performed for recurrence in Spain: population-based study of 16 years and 1,302,788 patients</title><source>Springer Nature</source><creator>Guillaumes, S. ; Juvany, M.</creator><creatorcontrib>Guillaumes, S. ; Juvany, M.</creatorcontrib><description>Purpose
The objective of this study was to assess data on inguinal hernia repairs (IHR) performed for recurrence over a 16 year period (2004—2019) in Spain.
Methods
A retrospective cohort study of 1,302,788 patients who underwent IHR from January 2004 to December 2019 was conducted. Data were extracted from the Spanish Minimum Basic Data Set (MBDS) of the Health Ministry database. The primary objective was to analyse the proportion of IHR performed by recurrence. As secondary objectives, we evaluated factors related to recurrent hernia (analysed by univariate analysis and multivariable logistic regression analysis) and trends in the recurrent case rate over the 16 year period.
Results
We identified 95,025 patients (7.3% of all IHR) who underwent surgery for recurrent inguinal hernia. Patients undergoing recurrent IHR were more likely to be male (OR 1.687, 95% CI 1.645–1.730), elderly (age > 74 years), and more complicated when they arrived in the operating room (gangrene OR 3.951, 95% CI 3.734–4.180; occlusion OR 1.905, 95% CI 1.853–1.960), and thus had more surgical site occurrences and related mortality. The proportion of IHR performed for recurrence has been dropping over the years (8.7% in 2004 vs. 6.5% in 2019,
p
< 0.005).
Conclusion
The rate of recurrent IHR in Spain (2004–2019) is 7.3%. Recurrent IHR correlates to emergent and complicated surgery and thus to a worst outcome. The trend of this 16 year period is of decreasing operated recurrent inguinal hernia. This is good news even though the improvement is slight and certainly insufficient. Establishing and optimising the rate of hernia recurrence is important for patients and for the health-care system.</description><identifier>ISSN: 1265-4906</identifier><identifier>EISSN: 1248-9204</identifier><identifier>DOI: 10.1007/s10029-022-02630-w</identifier><identifier>PMID: 35624186</identifier><language>eng</language><publisher>Paris: Springer Paris</publisher><subject>Abdominal Surgery ; Gangrene ; Hernia ; Hernias ; Medicine ; Medicine & Public Health ; Occlusion ; Original Article ; Patients ; Population studies ; Population-based studies ; Surgery</subject><ispartof>Hernia : the journal of hernias and abdominal wall surgery, 2022-08, Vol.26 (4), p.1023-1032</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature 2022</rights><rights>2022. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature.</rights><rights>The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature 2022.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c305t-18880c66b8fa82e71de44559f3f98e4c97b2ddae1d4ee544e22b9bcaa798c3253</citedby><cites>FETCH-LOGICAL-c305t-18880c66b8fa82e71de44559f3f98e4c97b2ddae1d4ee544e22b9bcaa798c3253</cites><orcidid>0000-0001-8251-6171</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35624186$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Guillaumes, S.</creatorcontrib><creatorcontrib>Juvany, M.</creatorcontrib><title>Inguinal hernia repairs performed for recurrence in Spain: population-based study of 16 years and 1,302,788 patients</title><title>Hernia : the journal of hernias and abdominal wall surgery</title><addtitle>Hernia</addtitle><addtitle>Hernia</addtitle><description>Purpose
The objective of this study was to assess data on inguinal hernia repairs (IHR) performed for recurrence over a 16 year period (2004—2019) in Spain.
Methods
A retrospective cohort study of 1,302,788 patients who underwent IHR from January 2004 to December 2019 was conducted. Data were extracted from the Spanish Minimum Basic Data Set (MBDS) of the Health Ministry database. The primary objective was to analyse the proportion of IHR performed by recurrence. As secondary objectives, we evaluated factors related to recurrent hernia (analysed by univariate analysis and multivariable logistic regression analysis) and trends in the recurrent case rate over the 16 year period.
Results
We identified 95,025 patients (7.3% of all IHR) who underwent surgery for recurrent inguinal hernia. Patients undergoing recurrent IHR were more likely to be male (OR 1.687, 95% CI 1.645–1.730), elderly (age > 74 years), and more complicated when they arrived in the operating room (gangrene OR 3.951, 95% CI 3.734–4.180; occlusion OR 1.905, 95% CI 1.853–1.960), and thus had more surgical site occurrences and related mortality. The proportion of IHR performed for recurrence has been dropping over the years (8.7% in 2004 vs. 6.5% in 2019,
p
< 0.005).
Conclusion
The rate of recurrent IHR in Spain (2004–2019) is 7.3%. Recurrent IHR correlates to emergent and complicated surgery and thus to a worst outcome. The trend of this 16 year period is of decreasing operated recurrent inguinal hernia. This is good news even though the improvement is slight and certainly insufficient. Establishing and optimising the rate of hernia recurrence is important for patients and for the health-care system.</description><subject>Abdominal Surgery</subject><subject>Gangrene</subject><subject>Hernia</subject><subject>Hernias</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Occlusion</subject><subject>Original Article</subject><subject>Patients</subject><subject>Population studies</subject><subject>Population-based studies</subject><subject>Surgery</subject><issn>1265-4906</issn><issn>1248-9204</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp9kcFu3CAQhlHUKrtN8gI5VEi95BA3gAFDblWUtpFWyiHJGWE8Tr3yYgeMon2bPkufrDhOU6mHHmAQfPMjzYfQKSWfKSHVRcw70wVhLC9ZkuL5AK0p46rQjPB381mKgmsiV-hDjFtCiOJSHaJVKSTjVMk1Sjf-MXXe9vgHBN9ZHGC0XYh4hNAOYQcNziXfuhQCeAe48_guI_4Sj8OYejt1gy9qGzMZp9Ts8dBiKn_93IPNMdY3mJ6XhJ1XSuEx0-CneIzet7aPcPJaj9DD1-v7q-_F5vbbzdWXTeFKIqaCKqWIk7JWrVUMKtoA50Lotmy1Au50VbOmsUAbDiA4B8ZqXTtrK61cyUR5hM6W3DEMTwniZHZddND31sOQomGyoqwSlSYZ_fQPuh1SyIOZKS2k5IrOgWyhXBhiDNCaMXQ7G_aGEjNLMYsUk6WYFynmOTd9fI1OdR7oW8sfCxkoFyDmJ_8I4e_f_4n9DXjxl_4</recordid><startdate>20220801</startdate><enddate>20220801</enddate><creator>Guillaumes, S.</creator><creator>Juvany, M.</creator><general>Springer Paris</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-8251-6171</orcidid></search><sort><creationdate>20220801</creationdate><title>Inguinal hernia repairs performed for recurrence in Spain: population-based study of 16 years and 1,302,788 patients</title><author>Guillaumes, S. ; Juvany, M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c305t-18880c66b8fa82e71de44559f3f98e4c97b2ddae1d4ee544e22b9bcaa798c3253</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Abdominal Surgery</topic><topic>Gangrene</topic><topic>Hernia</topic><topic>Hernias</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Occlusion</topic><topic>Original Article</topic><topic>Patients</topic><topic>Population studies</topic><topic>Population-based studies</topic><topic>Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Guillaumes, S.</creatorcontrib><creatorcontrib>Juvany, M.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>ProQuest - Health & Medical Complete保健、医学与药学数据库</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Hernia : the journal of hernias and abdominal wall surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Guillaumes, S.</au><au>Juvany, M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Inguinal hernia repairs performed for recurrence in Spain: population-based study of 16 years and 1,302,788 patients</atitle><jtitle>Hernia : the journal of hernias and abdominal wall surgery</jtitle><stitle>Hernia</stitle><addtitle>Hernia</addtitle><date>2022-08-01</date><risdate>2022</risdate><volume>26</volume><issue>4</issue><spage>1023</spage><epage>1032</epage><pages>1023-1032</pages><issn>1265-4906</issn><eissn>1248-9204</eissn><abstract>Purpose
The objective of this study was to assess data on inguinal hernia repairs (IHR) performed for recurrence over a 16 year period (2004—2019) in Spain.
Methods
A retrospective cohort study of 1,302,788 patients who underwent IHR from January 2004 to December 2019 was conducted. Data were extracted from the Spanish Minimum Basic Data Set (MBDS) of the Health Ministry database. The primary objective was to analyse the proportion of IHR performed by recurrence. As secondary objectives, we evaluated factors related to recurrent hernia (analysed by univariate analysis and multivariable logistic regression analysis) and trends in the recurrent case rate over the 16 year period.
Results
We identified 95,025 patients (7.3% of all IHR) who underwent surgery for recurrent inguinal hernia. Patients undergoing recurrent IHR were more likely to be male (OR 1.687, 95% CI 1.645–1.730), elderly (age > 74 years), and more complicated when they arrived in the operating room (gangrene OR 3.951, 95% CI 3.734–4.180; occlusion OR 1.905, 95% CI 1.853–1.960), and thus had more surgical site occurrences and related mortality. The proportion of IHR performed for recurrence has been dropping over the years (8.7% in 2004 vs. 6.5% in 2019,
p
< 0.005).
Conclusion
The rate of recurrent IHR in Spain (2004–2019) is 7.3%. Recurrent IHR correlates to emergent and complicated surgery and thus to a worst outcome. The trend of this 16 year period is of decreasing operated recurrent inguinal hernia. This is good news even though the improvement is slight and certainly insufficient. Establishing and optimising the rate of hernia recurrence is important for patients and for the health-care system.</abstract><cop>Paris</cop><pub>Springer Paris</pub><pmid>35624186</pmid><doi>10.1007/s10029-022-02630-w</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0001-8251-6171</orcidid></addata></record> |
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| source | Springer Nature |
| subjects | Abdominal Surgery Gangrene Hernia Hernias Medicine Medicine & Public Health Occlusion Original Article Patients Population studies Population-based studies Surgery |
| title | Inguinal hernia repairs performed for recurrence in Spain: population-based study of 16 years and 1,302,788 patients |
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