Skip to main content
Erschienen in: Langenbeck's Archives of Surgery 6/2017

13.06.2017 | ORIGINAL ARTICLE

Chronic pain and quality of life after inguinal hernia repair using the COMI-hernia score

verfasst von: Ralph Fabian Staerkle, Raphael Nicolas Vuille-dit-Bille, Lukas Fink, Christopher Soll, Peter Villiger

Erschienen in: Langenbeck's Archives of Surgery | Ausgabe 6/2017

Einloggen, um Zugang zu erhalten

Abstract

Purpose

The Core Outcome Measure Index (COMI) is a brief and multidimensional, patient-orientated outcome questionnaire that assesses chronic pain and quality of life after groin hernia repair. The primary aim of this study was to prospectively assess the COMI-hernia score, over an extended period of time in a single large cohort of patients.

Methods

Two hundred and twenty-eight male patients with inguinal hernia repair were included in the present study. Patients were recruited prospectively with an average follow-up of 3 years.

Results

COMI-hernia total and the COMI-hernia pain scores were significantly lower following surgery and remained unchanged over time. Young patients’ age (p = 0.043), high preoperative COMI-hernia total score (p = 0.018), and bilateral hernias (p = 0.035) were identified as independent risk factors for adverse outcome after groin hernia repair. Both COMI-hernia total and the COMI-hernia pain scores significantly (p < 2.2*10−16 and p < 1.638*10−11) correlated with patient’s satisfaction.

Conclusions

The COMI score reflects a reliable tool to assess the outcome following groin hernia repair.
Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
Zurück zum Zitat Bay-Nielsen M, Kehlet H, Strand L, Malmstrom J, Andersen FH, Wara P, Juul P, Callesen T, Danish Hernia Database C (2001) Quality assessment of 26,304 herniorrhaphies in Denmark: a prospective nationwide study. Lancet 358(9288):1124–1128. doi:10.1016/S0140-6736(01)06251-1 CrossRefPubMed Bay-Nielsen M, Kehlet H, Strand L, Malmstrom J, Andersen FH, Wara P, Juul P, Callesen T, Danish Hernia Database C (2001) Quality assessment of 26,304 herniorrhaphies in Denmark: a prospective nationwide study. Lancet 358(9288):1124–1128. doi:10.​1016/​S0140-6736(01)06251-1 CrossRefPubMed
2.
Zurück zum Zitat Kurzer M, Kark AE, Hussain T (2008) Hernia repair: outcomes other than recurrence should be analysed. BMJ 336 (7652):1033. Doi:336/7652/1033 [pii] Kurzer M, Kark AE, Hussain T (2008) Hernia repair: outcomes other than recurrence should be analysed. BMJ 336 (7652):1033. Doi:336/7652/1033 [pii]
3.
Zurück zum Zitat Bay-Nielsen M, Nilsson E, Nordin P, Kehlet H (2004) Chronic pain after open mesh and sutured repair of indirect inguinal hernia in young males. Br J Surg 91(10):1372–1376. doi:10.1002/bjs.4502 CrossRefPubMed Bay-Nielsen M, Nilsson E, Nordin P, Kehlet H (2004) Chronic pain after open mesh and sutured repair of indirect inguinal hernia in young males. Br J Surg 91(10):1372–1376. doi:10.​1002/​bjs.​4502 CrossRefPubMed
5.
Zurück zum Zitat Poobalan AS, Bruce J, King PM, Chambers WA, Krukowski ZH, Smith WC (2001) Chronic pain and quality of life following open inguinal hernia repair. Br J Surg 88(8):1122–1126CrossRefPubMed Poobalan AS, Bruce J, King PM, Chambers WA, Krukowski ZH, Smith WC (2001) Chronic pain and quality of life following open inguinal hernia repair. Br J Surg 88(8):1122–1126CrossRefPubMed
6.
Zurück zum Zitat Vironen J, Nieminen J, Eklund A, Paavolainen P (2006) Randomized clinical trial of Lichtenstein patch or Prolene Hernia System for inguinal hernia repair. Br J Surg 93(1):33–39. doi:10.1002/bjs.5235 CrossRefPubMed Vironen J, Nieminen J, Eklund A, Paavolainen P (2006) Randomized clinical trial of Lichtenstein patch or Prolene Hernia System for inguinal hernia repair. Br J Surg 93(1):33–39. doi:10.​1002/​bjs.​5235 CrossRefPubMed
8.
Zurück zum Zitat Classification of chronic pain. Descriptions of chronic pain syndromes and definitions of pain terms. Prepared by the International Association for the Study of Pain, Subcommittee on Taxonomy (1986). Pain Suppl 3:S1–226 Classification of chronic pain. Descriptions of chronic pain syndromes and definitions of pain terms. Prepared by the International Association for the Study of Pain, Subcommittee on Taxonomy (1986). Pain Suppl 3:S1–226
10.
Zurück zum Zitat Muysoms FE, Deerenberg EB, Peeters E, Agresta F, Berrevoet F, Campanelli G, Ceelen W, Champault GG, Corcione F, Cuccurullo D, DeBeaux AC, Dietz UA, Fitzgibbons RJ Jr, Gillion JF, Hilgers RD, Jeekel J, Kyle-Leinhase I, Kockerling F, Mandala V, Montgomery A, Morales-Conde S, Simmermacher RK, Schumpelick V, Smietanski M, Walgenbach M, Miserez M (2013) Recommendations for reporting outcome results in abdominal wall repair: results of a consensus meeting in Palermo, Italy, 28-30 June 2012. Hernia 17(4):423–433. doi:10.1007/s10029-013-1108-5 CrossRefPubMed Muysoms FE, Deerenberg EB, Peeters E, Agresta F, Berrevoet F, Campanelli G, Ceelen W, Champault GG, Corcione F, Cuccurullo D, DeBeaux AC, Dietz UA, Fitzgibbons RJ Jr, Gillion JF, Hilgers RD, Jeekel J, Kyle-Leinhase I, Kockerling F, Mandala V, Montgomery A, Morales-Conde S, Simmermacher RK, Schumpelick V, Smietanski M, Walgenbach M, Miserez M (2013) Recommendations for reporting outcome results in abdominal wall repair: results of a consensus meeting in Palermo, Italy, 28-30 June 2012. Hernia 17(4):423–433. doi:10.​1007/​s10029-013-1108-5 CrossRefPubMed
11.
Zurück zum Zitat Ujiki MB, Gitelis ME, Carbray J, Lapin B, Linn J, Haggerty S, Wang C, Tanaka R, Barrera E, Butt Z, Denham W (2015) Patient-centered outcomes following laparoscopic inguinal hernia repair. Surg Endosc 29(9):2512–2519. doi:10.1007/s00464-014-4011-y CrossRefPubMed Ujiki MB, Gitelis ME, Carbray J, Lapin B, Linn J, Haggerty S, Wang C, Tanaka R, Barrera E, Butt Z, Denham W (2015) Patient-centered outcomes following laparoscopic inguinal hernia repair. Surg Endosc 29(9):2512–2519. doi:10.​1007/​s00464-014-4011-y CrossRefPubMed
12.
Zurück zum Zitat Franneby U, Gunnarsson U, Andersson M, Heuman R, Nordin P, Nyren O, Sandblom G (2008) Validation of an inguinal pain questionnaire for assessment of chronic pain after groin hernia repair. Br J Surg 95(4):488–493. doi:10.1002/bjs.6014 CrossRefPubMed Franneby U, Gunnarsson U, Andersson M, Heuman R, Nordin P, Nyren O, Sandblom G (2008) Validation of an inguinal pain questionnaire for assessment of chronic pain after groin hernia repair. Br J Surg 95(4):488–493. doi:10.​1002/​bjs.​6014 CrossRefPubMed
13.
Zurück zum Zitat Pellise F, Vidal X, Hernandez A, Cedraschi C, Bago J, Villanueva C (2005) Reliability of retrospective clinical data to evaluate the effectiveness of lumbar fusion in chronic low back pain. Spine (Phila pa 1976) 30(3):365–368 doi:00007632-200502010-00019 [pii] CrossRef Pellise F, Vidal X, Hernandez A, Cedraschi C, Bago J, Villanueva C (2005) Reliability of retrospective clinical data to evaluate the effectiveness of lumbar fusion in chronic low back pain. Spine (Phila pa 1976) 30(3):365–368 doi:00007632-200502010-00019 [pii] CrossRef
14.
Zurück zum Zitat Muysoms FE, Vanlander A, Ceulemans R, Kyle-Leinhase I, Michiels M, Jacobs I, Pletinckx P, Berrevoet F (2016) A prospective, multicenter, observational study on quality of life after laparoscopic inguinal hernia repair with ProGrip laparoscopic, self-fixating mesh according to the European Registry for Abdominal Wall Hernias Quality of Life Instrument. Surgery. doi:10.1016/j.surg.2016.04.026 Muysoms FE, Vanlander A, Ceulemans R, Kyle-Leinhase I, Michiels M, Jacobs I, Pletinckx P, Berrevoet F (2016) A prospective, multicenter, observational study on quality of life after laparoscopic inguinal hernia repair with ProGrip laparoscopic, self-fixating mesh according to the European Registry for Abdominal Wall Hernias Quality of Life Instrument. Surgery. doi:10.​1016/​j.​surg.​2016.​04.​026
15.
Zurück zum Zitat van Hanswijck de Jonge P, Lloyd A, Horsfall L, Tan R, O'Dwyer PJ (2008) The measurement of chronic pain and health-related quality of life following inguinal hernia repair: a review of the literature. Hernia 12(6):561–569. doi:10.1007/s10029-008-0412-y CrossRefPubMed van Hanswijck de Jonge P, Lloyd A, Horsfall L, Tan R, O'Dwyer PJ (2008) The measurement of chronic pain and health-related quality of life following inguinal hernia repair: a review of the literature. Hernia 12(6):561–569. doi:10.​1007/​s10029-008-0412-y CrossRefPubMed
17.
Zurück zum Zitat Simons MP, Aufenacker T, Bay-Nielsen M, Bouillot JL, Campanelli G, Conze J, de Lange D, Fortelny R, Heikkinen T, Kingsnorth A, Kukleta J, Morales-Conde S, Nordin P, Schumpelick V, Smedberg S, Smietanski M, Weber G, Miserez M (2009) European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia 13(4):343–403. doi:10.1007/s10029-009-0529-7 CrossRefPubMedPubMedCentral Simons MP, Aufenacker T, Bay-Nielsen M, Bouillot JL, Campanelli G, Conze J, de Lange D, Fortelny R, Heikkinen T, Kingsnorth A, Kukleta J, Morales-Conde S, Nordin P, Schumpelick V, Smedberg S, Smietanski M, Weber G, Miserez M (2009) European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia 13(4):343–403. doi:10.​1007/​s10029-009-0529-7 CrossRefPubMedPubMedCentral
18.
19.
Zurück zum Zitat Miserez M, Peeters E, Aufenacker T, Bouillot JL, Campanelli G, Conze J, Fortelny R, Heikkinen T, Jorgensen LN, Kukleta J, Morales-Conde S, Nordin P, Schumpelick V, Smedberg S, Smietanski M, Weber G, Simons MP (2014) Update with level 1 studies of the European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia 18(2):151–163. doi:10.1007/s10029-014-1236-6 CrossRefPubMed Miserez M, Peeters E, Aufenacker T, Bouillot JL, Campanelli G, Conze J, Fortelny R, Heikkinen T, Jorgensen LN, Kukleta J, Morales-Conde S, Nordin P, Schumpelick V, Smedberg S, Smietanski M, Weber G, Simons MP (2014) Update with level 1 studies of the European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia 18(2):151–163. doi:10.​1007/​s10029-014-1236-6 CrossRefPubMed
20.
21.
Zurück zum Zitat Mommers EH, Hunen DR, van Hout JC, Guit M, Wegdam JA, Nienhuijs SW, de Vries Reilingh TS (2017) Patient-reported outcomes (PROs) after total extraperitoneal hernia repair (TEP). Hernia 21(1):45–50. doi:10.1007/s10029-016-1554-y CrossRefPubMed Mommers EH, Hunen DR, van Hout JC, Guit M, Wegdam JA, Nienhuijs SW, de Vries Reilingh TS (2017) Patient-reported outcomes (PROs) after total extraperitoneal hernia repair (TEP). Hernia 21(1):45–50. doi:10.​1007/​s10029-016-1554-y CrossRefPubMed
23.
24.
Zurück zum Zitat Kim J, Lonner JH, Nelson CL, Lotke PA (2004) Response bias: effect on outcomes evaluation by mail surveys after total knee arthroplasty. J Bone Joint Surg am 86-A(1):15–21CrossRefPubMed Kim J, Lonner JH, Nelson CL, Lotke PA (2004) Response bias: effect on outcomes evaluation by mail surveys after total knee arthroplasty. J Bone Joint Surg am 86-A(1):15–21CrossRefPubMed
25.
Zurück zum Zitat Ludemann R, Watson DI, Jamieson GG (2003) Influence of follow-up methodology and completeness on apparent clinical outcome of fundoplication. Am J Surg 186(2):143–147CrossRefPubMed Ludemann R, Watson DI, Jamieson GG (2003) Influence of follow-up methodology and completeness on apparent clinical outcome of fundoplication. Am J Surg 186(2):143–147CrossRefPubMed
26.
Zurück zum Zitat Deyo RA, Battie M, Beurskens AJ, Bombardier C, Croft P, Koes B, Malmivaara A, Roland M, Von Korff M, Waddell G (1998) Outcome measures for low back pain research. A proposal for standardized use. Spine (Phila pa 1976) 23(18):2003–2013CrossRef Deyo RA, Battie M, Beurskens AJ, Bombardier C, Croft P, Koes B, Malmivaara A, Roland M, Von Korff M, Waddell G (1998) Outcome measures for low back pain research. A proposal for standardized use. Spine (Phila pa 1976) 23(18):2003–2013CrossRef
27.
Zurück zum Zitat Dindo D, Demartines N, Clavien PA (2004) Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 240(2):205–213CrossRefPubMedPubMedCentral Dindo D, Demartines N, Clavien PA (2004) Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 240(2):205–213CrossRefPubMedPubMedCentral
29.
Zurück zum Zitat Bay-Nielsen M, Perkins FM, Kehlet H, Danish Hernia D (2001) Pain and functional impairment 1 year after inguinal herniorrhaphy: a nationwide questionnaire study. Ann Surg 233(1):1–7CrossRefPubMedPubMedCentral Bay-Nielsen M, Perkins FM, Kehlet H, Danish Hernia D (2001) Pain and functional impairment 1 year after inguinal herniorrhaphy: a nationwide questionnaire study. Ann Surg 233(1):1–7CrossRefPubMedPubMedCentral
31.
Zurück zum Zitat de Goede B, Klitsie PJ, van Kempen BJ, Timmermans L, Jeekel J, Kazemier G, Lange JF (2013) Meta-analysis of glue versus sutured mesh fixation for Lichtenstein inguinal hernia repair. Br J Surg 100(6):735–742. doi:10.1002/bjs.9072 CrossRefPubMed de Goede B, Klitsie PJ, van Kempen BJ, Timmermans L, Jeekel J, Kazemier G, Lange JF (2013) Meta-analysis of glue versus sutured mesh fixation for Lichtenstein inguinal hernia repair. Br J Surg 100(6):735–742. doi:10.​1002/​bjs.​9072 CrossRefPubMed
33.
Zurück zum Zitat Gustavsson A, Bjorkman J, Ljungcrantz C, Rhodin A, Rivano-Fischer M, Sjolund KF, Mannheimer C (2012) Socio-economic burden of patients with a diagnosis related to chronic pain—register data of 840,000 Swedish patients. Eur J Pain 16(2):289–299. doi:10.1016/j.ejpain.2011.07.006 CrossRefPubMed Gustavsson A, Bjorkman J, Ljungcrantz C, Rhodin A, Rivano-Fischer M, Sjolund KF, Mannheimer C (2012) Socio-economic burden of patients with a diagnosis related to chronic pain—register data of 840,000 Swedish patients. Eur J Pain 16(2):289–299. doi:10.​1016/​j.​ejpain.​2011.​07.​006 CrossRefPubMed
Metadaten
Titel
Chronic pain and quality of life after inguinal hernia repair using the COMI-hernia score
verfasst von
Ralph Fabian Staerkle
Raphael Nicolas Vuille-dit-Bille
Lukas Fink
Christopher Soll
Peter Villiger
Publikationsdatum
13.06.2017
Verlag
Springer Berlin Heidelberg
Erschienen in
Langenbeck's Archives of Surgery / Ausgabe 6/2017
Print ISSN: 1435-2443
Elektronische ISSN: 1435-2451
DOI
https://doi.org/10.1007/s00423-017-1592-7

Weitere Artikel der Ausgabe 6/2017

Langenbeck's Archives of Surgery 6/2017 Zur Ausgabe

Update Chirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

S3-Leitlinie „Diagnostik und Therapie des Karpaltunnelsyndroms“

CME: 2 Punkte

Prof. Dr. med. Gregor Antoniadis Das Karpaltunnelsyndrom ist die häufigste Kompressionsneuropathie peripherer Nerven. Obwohl die Anamnese mit dem nächtlichen Einschlafen der Hand (Brachialgia parästhetica nocturna) sehr typisch ist, ist eine klinisch-neurologische Untersuchung und Elektroneurografie in manchen Fällen auch eine Neurosonografie erforderlich. Im Anfangsstadium sind konservative Maßnahmen (Handgelenksschiene, Ergotherapie) empfehlenswert. Bei nicht Ansprechen der konservativen Therapie oder Auftreten von neurologischen Ausfällen ist eine Dekompression des N. medianus am Karpaltunnel indiziert.

Prof. Dr. med. Gregor Antoniadis
Berufsverband der Deutschen Chirurgie e.V.

S2e-Leitlinie „Distale Radiusfraktur“

CME: 2 Punkte

Dr. med. Benjamin Meyknecht, PD Dr. med. Oliver Pieske Das Webinar S2e-Leitlinie „Distale Radiusfraktur“ beschäftigt sich mit Fragen und Antworten zu Diagnostik und Klassifikation sowie Möglichkeiten des Ausschlusses von Zusatzverletzungen. Die Referenten erläutern, welche Frakturen konservativ behandelt werden können und wie. Das Webinar beantwortet die Frage nach aktuellen operativen Therapiekonzepten: Welcher Zugang, welches Osteosynthesematerial? Auf was muss bei der Nachbehandlung der distalen Radiusfraktur geachtet werden?

PD Dr. med. Oliver Pieske
Dr. med. Benjamin Meyknecht
Berufsverband der Deutschen Chirurgie e.V.

S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“

CME: 2 Punkte

Dr. med. Mihailo Andric
Inhalte des Webinars zur S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“ sind die Darstellung des Projektes und des Erstellungswegs zur S1-Leitlinie, die Erläuterung der klinischen Relevanz der Klassifikation EAES 2015, die wissenschaftliche Begründung der wichtigsten Empfehlungen und die Darstellung stadiengerechter Therapieoptionen.

Dr. med. Mihailo Andric
Berufsverband der Deutschen Chirurgie e.V.