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Multicenter Study
. 2022 Feb;26(1):225-232.
doi: 10.1007/s10029-021-02498-2. Epub 2021 Nov 2.

Predictors of low quality of life after open inguinal hernia repair using the EuraHS-QoL score: prospective multicentric cohort study across 33 hospitals

PT Surg (Portuguese Collaborative Research Group)
Collaborators
Multicenter Study

Predictors of low quality of life after open inguinal hernia repair using the EuraHS-QoL score: prospective multicentric cohort study across 33 hospitals

PT Surg (Portuguese Collaborative Research Group). Hernia. 2022 Feb.

Erratum in

Abstract

Purpose: Evidence about factors influencing quality of life after inguinal hernia surgery is scarce. This study aimed to assess patient's Quality of Life (QoL) after open inguinal hernia repair and to identify predictors of low QoL at 3 months after surgery, to guide practice and inform patients at high risk.

Methods: Prospective multicentric cohort study including consecutive patients undergoing elective open inguinal hernia repair in Portuguese hospitals (October-December 2019). The primary outcome was Quality of Life at 3 months after surgery, using the EuraHS-QoL score (higher score correlates with lower QoL). Low QoL was defined as the higher EuraHS-QoL score tertile and multivariate logistic regression was used to identify predictors.

Results: 893 patients were included from 33 hospitals. The majority were men [89.9% (800/891)], had unilateral hernias 88.7% (774/872) and the most common surgical technique was Lichtenstein's repair [52.9% (472/893)]. The median QoL score was 24 (IQR 10-40) before surgery and 2 (IQR 0-10) at 3 months after surgery, showing significant improvement (p < 0.001). After adjustment, low QoL at 3 months was associated with low preoperative QoL (OR 1.76, 95% CI 1.21-2.57, p = 0.003), non-absorbable mesh fixation (OR 1.64, 95% CI 1.12-2.41, p = 0.011), severe immediate postoperative pain (OR 2.90, 95% CI 1.66-5.11, p < 0.001) and minor postoperative complications (OR 2.23, 95% CI 1.30-3.84, p = 0.004).

Conclusion: This study supports the use of the EuraHS-QoL score preoperatively to inform consent. Although significant improvement in QoL is expected after surgery, high scores before surgery are associated with low postoperative QoL. Caution should be taken with non-absorbable mesh fixation and immediate postoperative pain control should be optimised.

Keywords: Chronic postoperative inguinal pain; EuraHS-QoL; Groin hernia; Inguinal hernia; Quality of life; Surgery.

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References

    1. Charalambous MP, Charalambous CP (2018) Incidence of chronic groin pain following open mesh inguinal hernia repair, and effect of elective division of the ilioinguinal nerve: meta-analysis of randomized controlled trials. Hernia 22(3):401–409. https://doi.org/10.1007/s10029-018-1753-9 - DOI - PubMed
    1. Van Steensel S et al (2019) Meta-analysis of postoperative pain using non-sutured or sutured single-layer open mesh repair for inguinal hernia. BJS Open 3(3):260–273. https://doi.org/10.1002/bjs5.50139 - DOI - PubMed - PMC
    1. Vad MV, Frost P, Rosenberg J, Svendsen SW (2019) Persistent postoperative pain after inguinal hernia repair in relation to occupational lifting and standing/walking: a 6-month follow-up study. Occup Environ Med 76(10):712–717. https://doi.org/10.1136/oemed-2019-105919 - DOI - PubMed
    1. Scheuermann U, Niebisch S, Lyros O, Jansen-Winkeln B, Gockel I (2017) Transabdominal Preperitoneal (TAPP) versus Lichtenstein operation for primary inguinal hernia repair–a systematic review and meta-analysis of randomized controlled trials. BMC Surg 17(1):1–10. https://doi.org/10.1186/s12893-017-0253-7 - DOI
    1. Johansen N, Vyrdal CD, Bisgaard T (2020) Nationwide results on chronic pain after bilateral transabdominal preperitoneal inguinal hernia repair. Scand J Surg 109(4):289–294. https://doi.org/10.1177/1457496919874483 - DOI - PubMed

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