Pain and its effects on physical activity and quality of life before operation in patients undergoing elective inguinal and ventral hernia repair

Abstract Background Pain is the most common symptom associated with hernias. The aim was to assess the frequency of pain and its effects on physical activity and quality of life in patients with inguinal and ventral hernias. Methods All patients undergoing elective inguinal or ventral hernia repair...

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Veröffentlicht in:The American journal of surgery 2014-09, Vol.208 (3), p.406-411
Hauptverfasser: Chung, Lucia, M.B.Ch.B, O'Dwyer, Patrick J., M.D
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container_title The American journal of surgery
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creator Chung, Lucia, M.B.Ch.B
O'Dwyer, Patrick J., M.D
description Abstract Background Pain is the most common symptom associated with hernias. The aim was to assess the frequency of pain and its effects on physical activity and quality of life in patients with inguinal and ventral hernias. Methods All patients undergoing elective inguinal or ventral hernia repair over a 16-month period were asked to complete a questionnaire including a 4-point Verbal Rating Scale, Visual Analog Scale, and Brief Pain Inventory (BPI) to assess pain severity and interference. Results One hundred twenty-four patients (72 inguinal, 52 ventral) completed the questionnaire and 75% registered pain on the BPI. There was good correlation between scoring systems (correlation coefficient >.8). Ventral hernia patients had more pain ( P = .037), interference with mood ( P = .027), sleep ( P = .004), relation with other people ( P = .019), and enjoyment of life ( P = .029) than their inguinal hernia counterparts. Conclusions The BPI is an easy and effective way of assessing pain and its impact on physical activity and quality of life in patients with an inguinal or ventral hernia with most experiencing mild to moderate chronic pain and disability.
doi_str_mv 10.1016/j.amjsurg.2014.02.011
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The aim was to assess the frequency of pain and its effects on physical activity and quality of life in patients with inguinal and ventral hernias. Methods All patients undergoing elective inguinal or ventral hernia repair over a 16-month period were asked to complete a questionnaire including a 4-point Verbal Rating Scale, Visual Analog Scale, and Brief Pain Inventory (BPI) to assess pain severity and interference. Results One hundred twenty-four patients (72 inguinal, 52 ventral) completed the questionnaire and 75% registered pain on the BPI. There was good correlation between scoring systems (correlation coefficient &gt;.8). Ventral hernia patients had more pain ( P = .037), interference with mood ( P = .027), sleep ( P = .004), relation with other people ( P = .019), and enjoyment of life ( P = .029) than their inguinal hernia counterparts. Conclusions The BPI is an easy and effective way of assessing pain and its impact on physical activity and quality of life in patients with an inguinal or ventral hernia with most experiencing mild to moderate chronic pain and disability.</description><identifier>ISSN: 0002-9610</identifier><identifier>EISSN: 1879-1883</identifier><identifier>DOI: 10.1016/j.amjsurg.2014.02.011</identifier><identifier>PMID: 24997490</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Abdominal Pain - diagnosis ; Abdominal Pain - etiology ; Adult ; Aged ; Aged, 80 and over ; Confidence intervals ; Elective Surgical Procedures ; Female ; Hernia ; Hernia, Inguinal - complications ; Hernia, Inguinal - psychology ; Hernia, Inguinal - surgery ; Hernia, Ventral - complications ; Hernia, Ventral - psychology ; Hernia, Ventral - surgery ; Hernias ; Herniorrhaphy ; Humans ; Inguinal ; Inventory ; Male ; Middle Aged ; Motor Activity ; Pain ; Pain Measurement - methods ; Preoperative Period ; Prospective Studies ; Quality of Life ; Questionnaires ; Severity of Illness Index ; Sleep ; Studies ; Surgery ; Surveys and Questionnaires ; Ventral</subject><ispartof>The American journal of surgery, 2014-09, Vol.208 (3), p.406-411</ispartof><rights>Elsevier Inc.</rights><rights>2014 Elsevier Inc.</rights><rights>Copyright © 2014 Elsevier Inc. 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The aim was to assess the frequency of pain and its effects on physical activity and quality of life in patients with inguinal and ventral hernias. Methods All patients undergoing elective inguinal or ventral hernia repair over a 16-month period were asked to complete a questionnaire including a 4-point Verbal Rating Scale, Visual Analog Scale, and Brief Pain Inventory (BPI) to assess pain severity and interference. Results One hundred twenty-four patients (72 inguinal, 52 ventral) completed the questionnaire and 75% registered pain on the BPI. There was good correlation between scoring systems (correlation coefficient &gt;.8). Ventral hernia patients had more pain ( P = .037), interference with mood ( P = .027), sleep ( P = .004), relation with other people ( P = .019), and enjoyment of life ( P = .029) than their inguinal hernia counterparts. 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The aim was to assess the frequency of pain and its effects on physical activity and quality of life in patients with inguinal and ventral hernias. Methods All patients undergoing elective inguinal or ventral hernia repair over a 16-month period were asked to complete a questionnaire including a 4-point Verbal Rating Scale, Visual Analog Scale, and Brief Pain Inventory (BPI) to assess pain severity and interference. Results One hundred twenty-four patients (72 inguinal, 52 ventral) completed the questionnaire and 75% registered pain on the BPI. There was good correlation between scoring systems (correlation coefficient &gt;.8). Ventral hernia patients had more pain ( P = .037), interference with mood ( P = .027), sleep ( P = .004), relation with other people ( P = .019), and enjoyment of life ( P = .029) than their inguinal hernia counterparts. 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subjects Abdominal Pain - diagnosis
Abdominal Pain - etiology
Adult
Aged
Aged, 80 and over
Confidence intervals
Elective Surgical Procedures
Female
Hernia
Hernia, Inguinal - complications
Hernia, Inguinal - psychology
Hernia, Inguinal - surgery
Hernia, Ventral - complications
Hernia, Ventral - psychology
Hernia, Ventral - surgery
Hernias
Herniorrhaphy
Humans
Inguinal
Inventory
Male
Middle Aged
Motor Activity
Pain
Pain Measurement - methods
Preoperative Period
Prospective Studies
Quality of Life
Questionnaires
Severity of Illness Index
Sleep
Studies
Surgery
Surveys and Questionnaires
Ventral
title Pain and its effects on physical activity and quality of life before operation in patients undergoing elective inguinal and ventral hernia repair
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