Adequate Reporting Among Ventral Hernia Repair Operative Reports: A Cross-Sectional Study of Prevalence of Details and Association With Clinical Outcomes
Objective:. We aimed to evaluate the prevalence of highly detailed ventral hernia repair (VHR) operative reports and associations between operative report detail and postoperative outcomes in a medico-legal dataset. Background:. VHR are one of the most common surgical procedures performed in the Uni...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Health
2024-06-01
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| Series: | Annals of Surgery Open |
| Online Access: | http://journals.lww.com/10.1097/AS9.0000000000000425 |
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| author | Said Maldonado, BS Nicole B. Lyons, MD Jonathan S. Lall, BS J. Scott Zimmerle, MBA Brendan Rosamond, BS Ashlynn Mills, BS Yoolim Alex Seo, BS Angelica Calderon Rodriguez, BS Rainna Coelho, MD Natalia Cavagnaro, MD Zuhair Ali, MD Mike K. Liang, MD |
| author_facet | Said Maldonado, BS Nicole B. Lyons, MD Jonathan S. Lall, BS J. Scott Zimmerle, MBA Brendan Rosamond, BS Ashlynn Mills, BS Yoolim Alex Seo, BS Angelica Calderon Rodriguez, BS Rainna Coelho, MD Natalia Cavagnaro, MD Zuhair Ali, MD Mike K. Liang, MD |
| author_sort | Said Maldonado, BS |
| collection | DOAJ |
| description | Objective:. We aimed to evaluate the prevalence of highly detailed ventral hernia repair (VHR) operative reports and associations between operative report detail and postoperative outcomes in a medico-legal dataset.
Background:. VHR are one of the most common surgical procedures performed in the United States. Previous work has shown that VHR operative reports are poorly detailed, however, the relationship between operative report detail and patient outcomes is unknown.
Methods:. This is a retrospective cross-sectional observational study. Operative reports describing VHR were obtained from a medical-legal database. Medical records were screened and data was extracted including clinical outcomes, such as surgical site infection (SSI), hernia recurrence, and reoperation and the presence of key details in each report. Highly detailed operative reports were defined as having 70% of recommended details. The primary outcome was the prevalence of highly detailed VHR operative reports.
Results:. A total of 1011 VHR operative reports dictated by 693 surgeons across 517 facilities in 50 states were included. Median duration of follow-up was 4.6 years after initial surgery. Only 35.7% of operative reports were highly detailed. More recent operative reports, cases with resident involvement, and contaminated procedures were more likely to be highly detailed (all P < 0.05). Compared to poorly detailed operative reports, cases with highly detailed reports had fewer SSIs (13.2% vs 7.5%, P = 0.006), hernia recurrence (65.8% vs 55.4%, P = 0.002), and reoperation (78.9% vs 62.6%, P = 0.001).
Conclusions:. In this medico-legal dataset, most VHR operative reports are poorly detailed while highly detailed operative reports were associated with lower rates of complications. Future studies should examine a nationally representative dataset to validate our findings. |
| format | Article |
| id | doaj-art-cf166c27114a44f09098819f78e4f9ef |
| institution | Kabale University |
| issn | 2691-3593 |
| language | English |
| publishDate | 2024-06-01 |
| publisher | Wolters Kluwer Health |
| record_format | Article |
| series | Annals of Surgery Open |
| spelling | doaj-art-cf166c27114a44f09098819f78e4f9ef2025-01-24T09:18:39ZengWolters Kluwer HealthAnnals of Surgery Open2691-35932024-06-0152e42510.1097/AS9.0000000000000425202406000-00021Adequate Reporting Among Ventral Hernia Repair Operative Reports: A Cross-Sectional Study of Prevalence of Details and Association With Clinical OutcomesSaid Maldonado, BS0Nicole B. Lyons, MD1Jonathan S. Lall, BS2J. Scott Zimmerle, MBA3Brendan Rosamond, BS4Ashlynn Mills, BS5Yoolim Alex Seo, BS6Angelica Calderon Rodriguez, BS7Rainna Coelho, MD8Natalia Cavagnaro, MD9Zuhair Ali, MD10Mike K. Liang, MD11* From the Department of Clinical Sciences, Tillman J. Fertitta Family College of Medicine, University of Houston, Houston, TX† Department of Surgery, University of Miami Miller School of Medicine, Miami, FL* From the Department of Clinical Sciences, Tillman J. Fertitta Family College of Medicine, University of Houston, Houston, TX* From the Department of Clinical Sciences, Tillman J. Fertitta Family College of Medicine, University of Houston, Houston, TX* From the Department of Clinical Sciences, Tillman J. Fertitta Family College of Medicine, University of Houston, Houston, TX* From the Department of Clinical Sciences, Tillman J. Fertitta Family College of Medicine, University of Houston, Houston, TX* From the Department of Clinical Sciences, Tillman J. Fertitta Family College of Medicine, University of Houston, Houston, TX* From the Department of Clinical Sciences, Tillman J. Fertitta Family College of Medicine, University of Houston, Houston, TX‡ Department of Surgery, Graduate Medical Education, HCA Healthcare Kingwood, Kingwood, TX.‡ Department of Surgery, Graduate Medical Education, HCA Healthcare Kingwood, Kingwood, TX.‡ Department of Surgery, Graduate Medical Education, HCA Healthcare Kingwood, Kingwood, TX.‡ Department of Surgery, Graduate Medical Education, HCA Healthcare Kingwood, Kingwood, TX.Objective:. We aimed to evaluate the prevalence of highly detailed ventral hernia repair (VHR) operative reports and associations between operative report detail and postoperative outcomes in a medico-legal dataset. Background:. VHR are one of the most common surgical procedures performed in the United States. Previous work has shown that VHR operative reports are poorly detailed, however, the relationship between operative report detail and patient outcomes is unknown. Methods:. This is a retrospective cross-sectional observational study. Operative reports describing VHR were obtained from a medical-legal database. Medical records were screened and data was extracted including clinical outcomes, such as surgical site infection (SSI), hernia recurrence, and reoperation and the presence of key details in each report. Highly detailed operative reports were defined as having 70% of recommended details. The primary outcome was the prevalence of highly detailed VHR operative reports. Results:. A total of 1011 VHR operative reports dictated by 693 surgeons across 517 facilities in 50 states were included. Median duration of follow-up was 4.6 years after initial surgery. Only 35.7% of operative reports were highly detailed. More recent operative reports, cases with resident involvement, and contaminated procedures were more likely to be highly detailed (all P < 0.05). Compared to poorly detailed operative reports, cases with highly detailed reports had fewer SSIs (13.2% vs 7.5%, P = 0.006), hernia recurrence (65.8% vs 55.4%, P = 0.002), and reoperation (78.9% vs 62.6%, P = 0.001). Conclusions:. In this medico-legal dataset, most VHR operative reports are poorly detailed while highly detailed operative reports were associated with lower rates of complications. Future studies should examine a nationally representative dataset to validate our findings.http://journals.lww.com/10.1097/AS9.0000000000000425 |
| spellingShingle | Said Maldonado, BS Nicole B. Lyons, MD Jonathan S. Lall, BS J. Scott Zimmerle, MBA Brendan Rosamond, BS Ashlynn Mills, BS Yoolim Alex Seo, BS Angelica Calderon Rodriguez, BS Rainna Coelho, MD Natalia Cavagnaro, MD Zuhair Ali, MD Mike K. Liang, MD Adequate Reporting Among Ventral Hernia Repair Operative Reports: A Cross-Sectional Study of Prevalence of Details and Association With Clinical Outcomes Annals of Surgery Open |
| title | Adequate Reporting Among Ventral Hernia Repair Operative Reports: A Cross-Sectional Study of Prevalence of Details and Association With Clinical Outcomes |
| title_full | Adequate Reporting Among Ventral Hernia Repair Operative Reports: A Cross-Sectional Study of Prevalence of Details and Association With Clinical Outcomes |
| title_fullStr | Adequate Reporting Among Ventral Hernia Repair Operative Reports: A Cross-Sectional Study of Prevalence of Details and Association With Clinical Outcomes |
| title_full_unstemmed | Adequate Reporting Among Ventral Hernia Repair Operative Reports: A Cross-Sectional Study of Prevalence of Details and Association With Clinical Outcomes |
| title_short | Adequate Reporting Among Ventral Hernia Repair Operative Reports: A Cross-Sectional Study of Prevalence of Details and Association With Clinical Outcomes |
| title_sort | adequate reporting among ventral hernia repair operative reports a cross sectional study of prevalence of details and association with clinical outcomes |
| url | http://journals.lww.com/10.1097/AS9.0000000000000425 |
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