PMID- 34256930
OWN - NLM
STAT- MEDLINE
DCOM- 20220414
LR  - 20220414
IS  - 1879-1883 (Electronic)
IS  - 0002-9610 (Linking)
VI  - 223
IP  - 2
DP  - 2022 Feb
TI  - Establishing the minimal clinically important difference for the Hernia-Related 
      Quality of Life Survey (HerQLes).
PG  - 245-249
LID - S0002-9610(21)00349-4 [pii]
LID - 10.1016/j.amjsurg.2021.06.018 [doi]
AB  - BACKGROUND: Hernia-Related Quality of Life Survey (HerQLes) assesses quality of 
      life (QoL) after hernia repair, but the minimal clinically important difference 
      (MCID) is unknown. METHODS: Using 2013-2019 data from the Abdominal Core Health 
      Quality Collaborative, HerQLes summary scores were calculated for VHR patients at 
      baseline and 1-year. MCID was calculated using distribution-based method. 
      Multivariate regression identified factors associated with exceeding MCID at 1 
      year. RESULTS: 1817 patients met criteria. MCID was identified as a change in 
      HerQLes of at least 15.6 points. Mean 1-year post-op score was 74.9 (SD +/- 26.2), 
      which exceeded the MCID threshold (p < 0.001). Patients with increasing hernia 
      width had higher odds of exceeding MCID at 1 year post-op (OR 1.04, p < 0.01), as 
      did patients with greater ASA class (OR 8.9, p < 0.01). CONCLUSION: Using MCID 
      can help identify patients who may significantly improve QoL after VHR, as well 
      as power clinical trials with QoL as primary outcome.
CI  - Copyright (c) 2021 Elsevier Inc. All rights reserved.
FAU - Renshaw, Savannah M
AU  - Renshaw SM
AD  - Center for Abdominal Core Health, Department of Surgery, Ohio State University 
      Wexner Medical Center, 410 W 10th Ave, Columbus, OH, 43210, USA. Electronic 
      address: savannah.renshaw@osumc.edu.
FAU - Gupta, Anand
AU  - Gupta A
AD  - Center for Abdominal Core Health, Department of Surgery, Ohio State University 
      Wexner Medical Center, 410 W 10th Ave, Columbus, OH, 43210, USA.
FAU - Poulose, Benjamin K
AU  - Poulose BK
AD  - Center for Abdominal Core Health, Department of Surgery, Ohio State University 
      Wexner Medical Center, 410 W 10th Ave, Columbus, OH, 43210, USA.
LA  - eng
PT  - Journal Article
DEP - 20210702
PL  - United States
TA  - Am J Surg
JT  - American journal of surgery
JID - 0370473
SB  - IM
CIN - Am J Surg. 2022 Feb;223(2):243-244. PMID: 34330522
MH  - *Hernia, Ventral/surgery
MH  - Herniorrhaphy
MH  - Humans
MH  - Minimal Clinically Important Difference
MH  - *Quality of Life
MH  - Treatment Outcome
OTO - NOTNLM
OT  - Hernia
OT  - MCID
OT  - Quality of life
EDAT- 2021/07/15 06:00
MHDA- 2022/04/15 06:00
CRDT- 2021/07/14 05:45
PHST- 2021/04/23 00:00 [received]
PHST- 2021/06/15 00:00 [revised]
PHST- 2021/06/28 00:00 [accepted]
PHST- 2021/07/15 06:00 [pubmed]
PHST- 2022/04/15 06:00 [medline]
PHST- 2021/07/14 05:45 [entrez]
AID - S0002-9610(21)00349-4 [pii]
AID - 10.1016/j.amjsurg.2021.06.018 [doi]
PST - ppublish
SO  - Am J Surg. 2022 Feb;223(2):245-249. doi: 10.1016/j.amjsurg.2021.06.018. Epub 2021 
      Jul 2.