Sistema de Salut de Catalunya
[López-Cano M] Abdominal Wall Surgery Unit, Department of General Surgery, Hospital Universitari Vall d'Hebron, Universitat Autónoma de Barcelona, Barcelona, Spain. [Rodrigues-Gonçalves V, Verdaguer-Tremolosa M, Petrola-Chacón C] Abdominal Wall Surgery Unit, Department of General Surgery, Hospital Universitari Vall d'Hebron, Universitat Autónoma de Barcelona, Barcelona, Spain. [Rosselló-Jiménez D] Servei de Geriatria, Consorci Sanitari de Terrassa, Hospital de Terrassa, Terrassa, Spain. [Saludes-Serra J] Service of Anesthesia and Resuscitation, Hospital Universitario de Tarragona Joan XXIII, Tarragona, Spain
Consorci Sanitari de Terrassa
2023-10-23T13:02:27Z
2023-10-23T13:02:27Z
2021-12
Elective herniorrhaphy; Incisional hernia; Inguinal hernia
Herniorrafia electiva; Hernia incisional; Hernia inguinal
Herniorràfia electiva; Hèrnia incisional; Hèrnia inguinal
Purpose: Long delays in waiting lists have a negative impact on the principles of equity and providing timely access to care. This study aimed to assess waiting lists for abdominal wall hernia repair (incisional ventral vs. inguinal hernia) to define explicit prioritization criteria. Methods: A cross-sectional single-center study was designed. Patients in the waiting list for incisional/ventral hernia (n = 42) and inguinal hernia (n = 50) repair were interviewed by phone and completed health-related quality of life (HRQoL) questionnaires (EQ-5D, COMI-hernia, HerQLes) as a measure of severity. Priority was measured as hernia complexity, patient frailty using the modified frailty index (mFI-11), and the consumption of analgesics for hernia. Results: The mean (SD) time on the waiting list was 5.5 (3.2) months (range 1-14). Complex hernia was present in 34.8% of the patients. HRQoL was moderately poor in patients with incisional/ventral hernia (mean HerQL score 66.1), whereas it was moderately good in patients with inguinal hernia (mean COMI-hernia score 3.40). The use of analgesics was higher in patients with incisional/ventral hernia as compared with those with inguinal hernia (1.48 [0.54] vs. 1.31 [0.51], P = 0.021). Worst values of mFI were associated with inguinal hernia as compared with incisional/ventral hernia (0.21 [0.14] vs. 0.12 [0.11]; P = 0.010). Conclusion: Explicit criteria for prioritization in the waiting lists may be the consumption of analgesics for patients with incisional/ventral hernia and frailty for patients with inguinal hernia. A reasonable approach seems to establish separate waiting lists for incisional/ventral hernia and inguinal hernia repair.
Article
Published version
English
Hèrnia inguinal; Hospitals - Llistes d'espera; DISEASES::Pathological Conditions, Signs and Symptoms::Pathological Conditions, Anatomical::Hernia::Hernia, Abdominal::Hernia, Inguinal; ANALYTICAL, DIAGNOSTIC AND THERAPEUTIC TECHNIQUES, AND EQUIPMENT::Surgical Procedures, Operative::Reconstructive Surgical Procedures::Herniorrhaphy; HEALTH CARE::Health Services Administration::Organization and Administration::Appointments and Schedules::Waiting Lists; ENFERMEDADES::afecciones patológicas, signos y síntomas::afecciones patológicas anatómicas::hernia::hernia abdominal::hernia inguinal; TÉCNICAS Y EQUIPOS ANALÍTICOS, DIAGNÓSTICOS Y TERAPÉUTICOS::intervenciones quirúrgicas::procedimientos quirúrgicos reparadores::herniorrafia; ATENCIÓN DE SALUD::administración de los servicios de salud::organización y administración::citas y programación::listas de espera
Springer
Hernia;25
https://doi.org/10.1007/s10029-021-02378-9
Attribution-NonCommercial 4.0 International
http://creativecommons.org/licenses/by-nc/4.0/
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