Greatest Quality of Life Improvement in Patients With Large Ventral Hernias: An Individual Assessment of Items in the HerQLes Survey. (Record no. 991)

MARC details
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fixed length control field 02867nam a22003377a 4500
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fixed length control field 211101s20212021 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 0022-4804
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 34496030
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Title Greatest Quality of Life Improvement in Patients With Large Ventral Hernias: An Individual Assessment of Items in the HerQLes Survey.
251 ## - Source
Source Journal of Surgical Research. 268:337-346, 2021 Aug 13.
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Abbreviated source J Surg Res. 268:337-346, 2021 Aug 13.
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Journal name The Journal of surgical research
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Year 2021
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Manufacturer FY2022
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Publication status aheadofprint
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Date added to catalog 2021-11-01
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Abstract BACKGROUND: Ventral hernia repair (VHR) has been shown to improve overall quality of life (QOL) by the validated 12-question Hernia-Related Quality-of-Life survey (HerQLes). However, which specific aspects of quality of life are most affected by VHR have not been formally investigated.
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Abstract CONCLUSIONS: VHR is associated with improvement in each of the 12 components of QOL measured in the HerQLes questionnaire, regardless of the size of their hernia. The amount of improvement, however, may be dependent on hernia size and approach. Copyright (c) 2021. Published by Elsevier Inc.
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Abstract METHODS: Through retrospective analysis of the Abdominal Core Health Quality Collaborative national database, we measured the change in each individual component of the HerQLes questionnaire from a pre-operative baseline assessment to one-year postoperatively in VHR patients.
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Abstract RESULTS: In total, 1,875 VHR patients had completed both pre- and post-operative questionnaires from 2014-2018. They were predominately Caucasian (92.3%), 57.9 +/- 12.4 Y old, and evenly gender split (50.5% male, 49.5% female, P = 0.31). Most operations were performed open (80.5%) with fewer laparoscopic (7.5%) or robotic cases (12.1%). For each of the 12 individual categories, improvement in QOL from baseline to 1-Y was found to be statistically significant (P < 0.0001). This held true with subgroup analysis of small (<2 cm), medium (2-6 cm), and large (>6 cm) hernias (P < 0.0001), though a larger improvement was seen in 8 of 12 components in hernias >6 cm (P < 0.001). Operative approach did not carry a significant effect except in medium hernias (2-6 cm), where an open approach saw a greater improvement in the "accomplish less at work" item (P = 0.02).
546 ## - LANGUAGE NOTE
Language note English
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Topical term or geographic name entry element IN PROCESS -- NOT YET INDEXED
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Institution MedStar Washington Hospital Center
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Department Surgery/Thoracic and Esophageal Surgery
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Medline publication type Journal Article
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Local Authors Vadlamudi, Chaitanya
790 ## - Authors
All authors Collins CE, Gupta A, Haisley KR, Poulose BK, Renshaw SM, Vadlamudi C
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DOI <a href="https://dx.doi.org/10.1016/j.jss.2021.06.075">https://dx.doi.org/10.1016/j.jss.2021.06.075</a>
Public note https://dx.doi.org/10.1016/j.jss.2021.06.075
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
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          MedStar Authors Catalog MedStar Authors Catalog 11/01/2021   34496030 34496030 11/01/2021 11/01/2021 Journal Article

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