The measurement of chronic pain and health-related quality of life following inguinal hernia repair: a review of the literature

Hanswijck de Jonge, P., Lloyd, A., Horsfall, L., Tan, R. and O'Dwyer, P. J. (2008) The measurement of chronic pain and health-related quality of life following inguinal hernia repair: a review of the literature. Hernia, 12(6), pp. 561-569. (doi: 10.1007/s10029-008-0412-y)

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Publisher's URL: http://dx.doi.org/10.1007/s10029-008-0412-y

Abstract

Background and methods This study reviews the existing literature examining chronic pain and health-related quality of life (HRQL) outcomes in hernia repair Studies. A PubMed/Medline and Embase search was carried out to identify relevant papers. Studies meeting pre-specified inclusion/exclusion criteria were included and fully reviewed. Reference lists were scanned for additional studies. Only studies examining chronic (greater than 3 months) postoperative inguinal hernia repair (IHR)-related pain were included in this review. Results and conclusions Twenty-three studies were identified. The majority of Studies used the visual analogue scale (VAS) for pain measurement and the Medical Outcomes Study Short-Form 36 (SF-36) for the measurement of HRQL. A reasonably consistent picture emerged from the literature, with the HRQL domains most often affected by pain (social functioning/mental health). Estimates of the prevalence of chronic pain and discomfort following IHR vary widely between Studies. This is probably a reflection of the range of methods used for measuring pain, many of which do not have established psychometric properties. Our review suggests that a proportion of patients experience chronic pain and discomfort, which has a significant impact on HRQL. However, the current instruments used in the evaluation of chronic pain after IHR are not comparable and standardisation is required.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:O'Dwyer, Professor Patrick
Authors: Hanswijck de Jonge, P., Lloyd, A., Horsfall, L., Tan, R., and O'Dwyer, P. J.
College/School:College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing > Clinical Specialities
College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing
Journal Name:Hernia
Publisher:Springer
ISSN:1265-4906

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