Burlage, E. (2020) Patient Reported Outcomes (PROs) in inguinal hernia surgery: what matters to the patient. thesis, Medicine.
Full text available on request.Abstract
Introduction: Evaluation of outcomes after inguinal hernia repair is essential to improve clinical standards and provide patient-centered care. Although the conventional outcomes, such as recurrence and complications, are important, they do not always align with the patients’ experience. Knowledge on outcomes reported by the patient is warranted. The aim of this study was to evaluate patient-reported outcomes (PROs) in inguinal hernia surgery at three months of follow-up. Methods: A single-center, prospective cohort study in male patients undergoing elective inguinal hernia surgery. Numeric Rating scale (NRS), Douleur Neuropathique 4 (DN4), Patient-Reported Outcomes Measurement Information System Physical Function (PROMISPF), and Carolinas Comfort Scale (CCS) were collected as PROs preoperatively (baseline) and at two different time points after inguinal hernia repair. Results: 118 patients were included, with a median age of 63.2 years. Preoperative moderate (4–6) and severe (7–10) NRS scores were decreased at three months of follow-up, (5.0 ± 0.1 to 0.3 ± 0.2, p <.001) and (7.5 ± 0.1 to 1.2 ± 0.2, p = <.001). At baseline, 36 (30.8%) participants had features of neuropathic pain (DN4 ≥ 4), their DN4 scores improved three months postoperatively (5.0 ± 0.2 to 2.3 ± 0.3, p <.001). Severe (0–13) and moderate (14–27) PROMISPF scores improved from baseline to six weeks of follow-up, (12.0 ± 3.0 to 23.0 ± 4.3, p = 0.035) and (21.6 ± 0.6 to 31.7 ± 0.9, p = <.001). Conclusion: This study shows that inguinal hernia surgery is successful in the majority of cases, from the patient’s perspective. Inguinal hernia surgery results in significant improvement concerning (neuropathic) pain and physical functioning at three months of follow-up, regardless the intensity of pain or degree of physical impairment at baseline.
| Item Type: | Thesis (UNSPECIFIED) |
|---|---|
| Supervisor name: | Liem, Dr. M.S.L. and van Veenendaal, Dr. N. |
| Faculty: | Medical Sciences |
| Date Deposited: | 06 Sep 2023 13:00 |
| Last Modified: | 06 Sep 2023 13:00 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/3674 |
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