EP.TH.375Inguinal hernia repair: A systematic analysis of online patient information using the modified Ensuring Quality Information for Patients tool

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Siobhan Chien ◽  
Danielle Cunningham ◽  
Khurram Khan

Abstract Aims Online resources are a fundamental source of healthcare information due to the increasing popularity of the Internet, therefore ensuring accuracy and reliability of websites is crucial to improving patient education and enhancing patient outcomes. Inguinal hernia repair is the most commonly performed general surgical procedure worldwide. This study aims to analyse the quality of online patient information on inguinal hernia repair using the modified Ensuring Quality Information for Patents (EQIP) tool. Method A systematic review of online information on inguinal hernia repair was conducted using 4 search terms: “inguinal hernia”, “groin hernia”, “inguinal hernia repair” and “inguinoscrotal hernia”. The top 100 websites for each term identified using Google were assessed using the modified EQIP tool (score 0-36). Websites for the paediatric population or intended for medical professional use were excluded from analysis. Results 142 websites were eligible for analysis. 52.8% of websites originated from the UK. The median EQIP score for all websites was 17/36 (IQR 14-21). The median EQIP scores for Content, Identification and Structure were 8/18, 2/8, and 8/12, respectively. Complications of inguinal hernia repair were included in 46.5% of websites, with 9.2% providing complication rates and 14.1% providing information on how complications are handled. Conclusions This study highlights that the current quality of online patient information on inguinal hernia repair is poor, with minimal information available on complications, hindering patients’ ability to make informed decisions regarding their healthcare. To improve patient education, there is an immediate need for improved quality online resources to meet international standards.

2021 ◽  
Vol 108 (Supplement_9) ◽  
Author(s):  
Gillian Miller ◽  
Siobhan Chien ◽  
Ivory Huang ◽  
Danielle Cunningham ◽  
Daniel Carson ◽  
...  

Abstract Background Online resources are rapidly becoming patients’ primary source of healthcare information due to the Internet’s ease of access. The availability of high-quality online information is paramount to improving patient education and clinical outcomes. Upper gastrointestinal (UGI) endoscopy is the gold standard investigation for UGI symptoms, yet little is known regarding the quality of patient oriented websites. This study aims to analyse the quality of online patient information on UGI endoscopy using the modified Ensuring Quality Information for Patients (EQIP) tool. Methods A systematic review was conducted using 10 search terms. The top 100 websites for each term identified using Google search were assessed using the modified EQIP tool (score 0-36). Sub-analysis was performed on high-scoring websites. Websites for medical professional use or containing video and marketing content were excluded. Results 378 websites were eligible for analysis. The median modified EQIP score for UGI endoscopy was 18/36 (IQR 14-21). Median EQIP scores for the content, identification and structure domains were 8/18, 1/6 and 9/12, respectively. Websites produced by government health departments and NHS hospitals had a higher modified EQIP score (p = 0.007). Complication rates were included in only 20.4% of websites. High-scoring websites were significantly more likely to provide balanced information on risks and benefits (94.6% vs. 34.4%; p < 0.001). Conclusions The current quality of online patient information on UGI endoscopy is limited, with minimal information available on risks of the procedure, potentially hindering patients’ ability to make informed healthcare decisions. There is an immediate need for high-quality online resources to improve patient education.


Author(s):  
Vinod Nigam ◽  
Dr. SIIDDHARTH NIGAM

Abstract: Inguinodynia is persistence of pain for more than 3 months after inguinal hernia operation. Chronic pain may be associated with hyperesthesia or hypoesthesia. This pain may be mild, moderate or severe. Inguinodynia may even effect quality of life. Pain may resolve on its own or after conservative treatment. Sometimes it persists and conservative methods fail then various other modalities of treatment are considered including re-exploration and neurectomy. We performed all 396 inguinal hernia repair by a modified Lichtenstein tension-free procedure. In our series of 396 cases inguinodynia happened only in 3 cases, a real low incidence. Some researchers have reported the incidence of inguinodynia as high as 19 percent 1 year after operation. No case required re-exploration, removal of mesh or neurectomy in our series. Keywords Chronic pain, Inguinal hernia, Inguinodynia, inguinal hernia repair


2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Joana Simoes ◽  

Abstract Aim Evidence about factors influencing quality of life after inguinal hernia surgery is scarce. This study aimed to identify predictors of low Quality of Life (QoL) after open inguinal hernia repair, to guide practice and inform patients at high risk. Material and 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). Conclusions 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.


2010 ◽  
Vol 34 (12) ◽  
pp. 3059-3064 ◽  
Author(s):  
Eddie Myers ◽  
Katherine M. Browne ◽  
Dara O. Kavanagh ◽  
Michael Hurley

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