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- Title
Impact of disclosure of radiographic test results on quality of life among patients with hernias: a randomized controlled trial.
- Authors
Olavarria, O. A.; Lyons, N. B.; Bernardi, K.; Dhanani, N. H.; Neela, N.; Arakelians, A.; Cohen, B. L.; Mohebzad, K.; Coelho, R.; Holihan, J. L.; Liang, M. K.
- Abstract
Purpose: Hernias noted on radiographic imaging are common. We aimed to determine if informing patients of the presence of a clinically apparent or occult hernia on imaging would change their abdominal wall quality of life (AW-QOL). Methods: This study was registered on clinicaltrials.gov (NCT04355819) in April 2020. Patients with a ventral hernia on elective CT abdomen/pelvis were enrolled. Patients underwent standardized abdominal examination by surgeons, and completed the modified Activities Assessment Scale, a validated, hernia-specific AW-QOL survey. On this scale, 1 is poor AW-QOL, 100 is perfect, and the minimally clinically important difference is five for a minor change. Patients were randomized to complete the one-year follow-up survey before or after being informed of the presence of a hernia on their imaging results. Primary outcome was follow-up AW-QOL adjusted for baseline AW-QOL. Results: Of 169 patients randomized, 126 (75%) completed follow up at one-year. Among patients with occult hernias, those who completed the follow-up survey after being informed of having a hernia had a lower follow-up AW-QOL (mean difference − 7.6, 95% CI = − 20.8 to 5.7, p = 0.261) compared to those who completed the survey before being informed. Conversely, for patients with clinical hernias, those who completed the survey after being informed had higher adjusted follow-up AW-QOL (mean difference 10.3, 95% CI = − 3.0 to 23.6, p = 0.126) than those that completed it after. Conclusion: Conveying findings of hernias found on CT imaging can influence patients' AW-QOL. Future research should focus on identifying and addressing patients' concerns after disclosure of CT results.
- Subjects
RANDOMIZED controlled trials; HERNIA; VENTRAL hernia; QUALITY of life; ABDOMINAL wall
- Publication
Hernia, 2024, Vol 28, Issue 2, p411
- ISSN
1265-4906
- Publication type
Article
- DOI
10.1007/s10029-023-02824-w