Lessons learnt from the construction and implementation of a prospective ventral hernia database

Purpose The New England VA Hernia Registry was created in 2011 to prospectively collect relevant details of ventral hernia repairs, with the intention to assess and improve long term outcomes. The goal of this study is to assess registry compliance. Methods All ventral hernia operations performed in...

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Bibliographic Details
Published in:Hernia : the journal of hernias and abdominal wall surgery 2024-08, Vol.28 (4), p.1121-1128
Main Authors: Sadaka, A. H., O’Brien, W. J., Rosenthal, R., Itani, K. M. F.
Format: Article
Language:English
Subjects:
Abdominal Surgery
Accuracy
Collaboration
Compliance
Demographics
Electronic health records
Hernia
Hernias
Hospitals
Medical records
Medicine
Medicine & Public Health
Nurses
Original Article
Patients
Quality improvement
Surgeons
Surgery
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Summary:Purpose The New England VA Hernia Registry was created in 2011 to prospectively collect relevant details of ventral hernia repairs, with the intention to assess and improve long term outcomes. The goal of this study is to assess registry compliance. Methods All ventral hernia operations performed in five VA hospitals between 2011–2022 were obtained. We assessed compliance at the hospital and surgeon level. Results 3,516 cases were performed. Overall compliance with registry entry was 37.5%, ranging from 10.8% to 67.2% across hospitals. At the hospital level, there was a negative correlation between average yearly hernia volume per surgeon and registry compliance ( r 2  = 0.53). Surgeon compliance varied within hospitals and over time. Conclusion Registry compliance was low and highly variable. Lack of interest, incentives, oversight, and surgeon turnover are possible factors for noncompliance. Building a registry with these factors in mind, providing timely feedback, and conducting frequent audits may improve compliance.
ISSN:1248-9204
1265-4906
1248-9204
DOI:10.1007/s10029-024-02986-1