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Recommendations for reporting outcome results in abdominal wall repair |
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| Authors: | F. E. Muysoms E. B. Deerenberg E. Peeters F. Agresta F. Berrevoet G. Campanelli W. Ceelen G. G. Champault F. Corcione D. Cuccurullo A. C. DeBeaux U. A. Dietz R. J. Fitzgibbons Jr J. F. Gillion R.-D. Hilgers J. Jeekel I. Kyle-Leinhase F. Köckerling V. Mandala A. Montgomery S. Morales-Conde R. K. J. Simmermacher V. Schumpelick M. Śmietański M. Walgenbach M. Miserez |
| Affiliation: | 1. Department of Surgery, AZ Maria Middelares, Kortrijksesteenweg 1026, 9000, Ghent, Belgium 2. Department of Surgery, Erasmus MC University Medical Center, Rotterdam, The Netherlands 3. Department of Abdominal Surgery, University Hospitals, KU Leuven, Leuven, Belgium 4. Department of General Surgery, ULSS19 del Veneto, Adria (RO), Italy 5. Liver Transplantation Service, Department of General and Hepatobiliary Surgery, University Hospital Ghent, Ghent, Belgium 6. General and Day Surgery, Istituto Clinico Sant’ Ambrogio, University of Insubria, Milan, Italy 7. Department of Surgery, University Hospital Ghent, Ghent, Belgium 8. Chef du Service de Chirurgie, Centre Hospitalo-Universitaire Jean Verdier Digestive, Université Paris XIII, Bondy, France 9. Department of General and Laparoscopic Surgery, A.O. Monaldi-Napoli, Naples, Italy 10. Department of General and Laparoscopic Surgery, Monaldi Hospital, Naples, Italy 11. Department of General Surgery, The Royal Infirmary of Edinburgh, Edinburgh, EH16 4SA, UK 12. Department of General, Visceral, Vascular and Pediatric Surgery (Department of Surgery I), University of Wuerzburg, Wuerzburg, Germany 13. Division of General Surgery, Department of Surgery, Creighton University School of Medicine, Omaha, NE, USA 14. Unité de Chirurgie Viscérale et Digestive, H?pital Privé d’Antony, Antony, France 15. Department of Medical Statistics, RWTH Aachen University, Aachen, Germany 16. Department of Neurosciences, Erasmus MC, Rotterdam, The Netherlands 18. Department of Surgery, AZ Maria Middelares Ghent, Ghent, Belgium 17. Department of Surgery, Vivantes Hospital Spandau, Berlin, Germany 19. Department of Surgery, Buccheri La Ferla Hospital Palermo, Palermo, Italy 20. Department of Clinical Sciences, Sk?ne University Hospital Malm?, Lund University, Malm?, Sweden 22. Unit of Innovation in Minimally Invasive Surgery, University Hospital Virgen del Rocío, Seville, Spain 23. Department of Surgery, University Hospital, Utrecht, The Netherlands 24. Hamburg, Germany 25. Department of General and Vascular Surgery, Ceynowa Hospital in Wejherowo, Wejherowo, Poland 26. Institute for Research in Operative Medicine (IFOM), Witten/Herdecke University, Cologne, Germany |
| Abstract: | BackgroundThe literature dealing with abdominal wall surgery is often flawed due to lack of adherence to accepted reporting standards and statistical methodology.Materials and methodsThe EuraHS Working Group (European Registry of Abdominal Wall Hernias) organised a consensus meeting of surgical experts and researchers with an interest in abdominal wall surgery, including a statistician, the editors of the journal Hernia and scientists experienced in meta-analysis. Detailed discussions took place to identify the basic ground rules necessary to improve the quality of research reports related to abdominal wall reconstruction.ResultsA list of recommendations was formulated including more general issues on the scientific methodology and statistical approach. Standards and statements are available, each depending on the type of study that is being reported: the CONSORT statement for the Randomised Controlled Trials, the TREND statement for non randomised interventional studies, the STROBE statement for observational studies, the STARLITE statement for literature searches, the MOOSE statement for metaanalyses of observational studies and the PRISMA statement for systematic reviews and meta-analyses. A number of recommendations were made, including the use of previously published standard definitions and classifications relating to hernia variables and treatment; the use of the validated Clavien-Dindo classification to report complications in hernia surgery; the use of “time-to-event analysis” to report data on “freedom-of-recurrence” rather than the use of recurrence rates, because it is more sensitive and accounts for the patients that are lost to follow-up compared with other reporting methods.ConclusionA set of recommendations for reporting outcome results of abdominal wall surgery was formulated as guidance for researchers. It is anticipated that the use of these recommendations will increase the quality and meaning of abdominal wall surgery research. |
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