Surgical trends of groin hernia repairs performed for recurrence in medicare patients

Background The recurrence rate after groin hernia repair (GHR) has been estimated to be between 1–10% in adult patients. Neither national rates nor trends in recurrence over time have been reliably established for Medicare patients in the USA. Materials We evaluated patients undergoing GHR (inguinal...

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Bibliographic Details
Published in:Hernia : the journal of hernias and abdominal wall surgery 2019-08, Vol.23 (4), p.677-683
Main Authors: Murphy, B. L., Zhang, J., Ubl, D. S., Habermann, E. B., Farley, D. R., Paley, K.
Format: Article
Language:English
Subjects:
Abdominal Surgery
Adult
Aged
Databases, Factual
Female
Females
Femur
Groin - surgery
Hernia
Hernia, Inguinal - epidemiology
Hernia, Inguinal - surgery
Hernias
Herniorrhaphy - methods
Herniorrhaphy - statistics & numerical data
Humans
Male
Males
Medicare
Medicine
Medicine & Public Health
Middle Aged
Original Article
Recurrence
Reoperation
Retrospective Studies
Trends
United States
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Summary:Background The recurrence rate after groin hernia repair (GHR) has been estimated to be between 1–10% in adult patients. Neither national rates nor trends in recurrence over time have been reliably established for Medicare patients in the USA. Materials We evaluated patients undergoing GHR (inguinal = IHR; femoral = FHR) from 2011 to 2014 from the Medicare Provider Analysis and Review database. Patients were identified using ICD-9 diagnosis and ICD-9 and CPT procedure codes, stratified both by primary vs. recurrent hernia repair and by sex. One-tailed Cochran–Armitage tests evaluated trends over time and a generalized estimating equation model estimated factors associated with recurrent IHR or FHR. Results We identified 407,717 patients (87.0%, ≥ 65 years) who underwent an IHR and 11,578 (91.0%, ≥ 65 years) who underwent a FHR. The proportion of IHRs for recurrence decreased statistically from 14.3% in 2011 to 13.9% in 2014 ( p  
ISSN:1265-4906
1248-9204
DOI:10.1007/s10029-018-1852-7