Measurement issues when assessing quality of life ...
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Measurement issues when assessing quality of life outcomes for different types of hernia mesh repair Andras Zaborszky,1 Rita Gyanti,1 John A Barry,1 Brian K Saxby,2 Panchanan Bhattacharya,1 Fazal A Hasan1 Department of General Surgery, Benenden Hospital, Cranbrook, UK Institute for Ageing and Health, Newcastle University, Newcastle upon Tyne, UK
1 2
abstract introduction The NHS is required to collect data from patient reported outcome measures (PROMs) for inguinal hernia
surgery. We explored the use of one such measure, the Carolinas Comfort Scale® (CCS), to compare long-term outcomes for patients who received two different types of mesh. The CCS questionnaire asks about mesh sensation, pain and movement limitations, and combines the answers into a total score. Patients and methods A total of 684 patients were treated between January 2007 and August 2008 and were followed up in November 2009. RESULTS Data on 215 patients who met the inclusion criteria were available (96 patients who received Surgipro™ mesh and 119 who received Parietene™ Progrip™ mesh). Recurrence rates were similar in the Surgipro™ group (2/96, 2.1%) and Progrip™ group (3/118, 2.5%) (Fisher’s exact test = 1.0). Chronic pain occurred less frequently in the Surgipro™ group (11/95, 11.6%) than in the Progrip™ group (22/118, 18.6%) (p
