Highlights
- •Incisional hernias cause symptoms of pain, depression and decreased quality of life.
- •Health related quality of life (HRQoL) can be measured by patient reported outcomes.
- •Patients with poor pre-operative health made significant gains in HRQoL.
- •Prolonged wait times did not affect incisional hernia repair HRQoL.
Abstract
Background
Incisional hernias are a frequent complication after abdominal surgeries. The aim
of this study is to investigate the impact of incisional hernia repair on health related
quality of life.
Methods
We prospectively recruited a sample of patients waiting for incisional hernia repairs
in the Vancouver Coastal Health Authority, Canada. Study participants self-report
their pain, depression and overall quality of life using patient reported outcome
measures EQ-5D, PHQ-9 and PEG as they were placed on the waitlist and 6 months after
surgery.
Results
There were 87 patients who responded to both the pre and post-operative survey. The
average wait for surgery was 20.3 weeks. Patients with poor baseline health pre-operatively
had significant improvement in pain, depression and quality of life.
Conclusions
Among patients with poorer baseline health who underwent surgery for incisional hernias,
there was a significant benefit in depression, pain and overall quality of life.
Keywords
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Article info
Publication history
Published online: March 27, 2020
Accepted:
March 21,
2020
Received in revised form:
February 8,
2020
Received:
October 25,
2019
Identification
Copyright
© 2020 Elsevier Inc. All rights reserved.
