Skip to main content
Top
Published in: Langenbeck's Archives of Surgery 6/2017

01-09-2017 | ORIGINAL ARTICLE

Chronic pain and quality of life after inguinal hernia repair using the COMI-hernia score

Authors: Ralph Fabian Staerkle, Raphael Nicolas Vuille-dit-Bille, Lukas Fink, Christopher Soll, Peter Villiger

Published in: Langenbeck's Archives of Surgery | Issue 6/2017

Login to get access

Abstract

Purpose

The Core Outcome Measure Index (COMI) is a brief and multidimensional, patient-orientated outcome questionnaire that assesses chronic pain and quality of life after groin hernia repair. The primary aim of this study was to prospectively assess the COMI-hernia score, over an extended period of time in a single large cohort of patients.

Methods

Two hundred and twenty-eight male patients with inguinal hernia repair were included in the present study. Patients were recruited prospectively with an average follow-up of 3 years.

Results

COMI-hernia total and the COMI-hernia pain scores were significantly lower following surgery and remained unchanged over time. Young patients’ age (p = 0.043), high preoperative COMI-hernia total score (p = 0.018), and bilateral hernias (p = 0.035) were identified as independent risk factors for adverse outcome after groin hernia repair. Both COMI-hernia total and the COMI-hernia pain scores significantly (p < 2.2*10−16 and p < 1.638*10−11) correlated with patient’s satisfaction.

Conclusions

The COMI score reflects a reliable tool to assess the outcome following groin hernia repair.
Appendix
Available only for authorised users
Literature
1.
go back to reference Bay-Nielsen M, Kehlet H, Strand L, Malmstrom J, Andersen FH, Wara P, Juul P, Callesen T, Danish Hernia Database C (2001) Quality assessment of 26,304 herniorrhaphies in Denmark: a prospective nationwide study. Lancet 358(9288):1124–1128. doi:10.1016/S0140-6736(01)06251-1 CrossRefPubMed Bay-Nielsen M, Kehlet H, Strand L, Malmstrom J, Andersen FH, Wara P, Juul P, Callesen T, Danish Hernia Database C (2001) Quality assessment of 26,304 herniorrhaphies in Denmark: a prospective nationwide study. Lancet 358(9288):1124–1128. doi:10.​1016/​S0140-6736(01)06251-1 CrossRefPubMed
2.
go back to reference Kurzer M, Kark AE, Hussain T (2008) Hernia repair: outcomes other than recurrence should be analysed. BMJ 336 (7652):1033. Doi:336/7652/1033 [pii] Kurzer M, Kark AE, Hussain T (2008) Hernia repair: outcomes other than recurrence should be analysed. BMJ 336 (7652):1033. Doi:336/7652/1033 [pii]
3.
5.
go back to reference Poobalan AS, Bruce J, King PM, Chambers WA, Krukowski ZH, Smith WC (2001) Chronic pain and quality of life following open inguinal hernia repair. Br J Surg 88(8):1122–1126CrossRefPubMed Poobalan AS, Bruce J, King PM, Chambers WA, Krukowski ZH, Smith WC (2001) Chronic pain and quality of life following open inguinal hernia repair. Br J Surg 88(8):1122–1126CrossRefPubMed
6.
go back to reference Vironen J, Nieminen J, Eklund A, Paavolainen P (2006) Randomized clinical trial of Lichtenstein patch or Prolene Hernia System for inguinal hernia repair. Br J Surg 93(1):33–39. doi:10.1002/bjs.5235 CrossRefPubMed Vironen J, Nieminen J, Eklund A, Paavolainen P (2006) Randomized clinical trial of Lichtenstein patch or Prolene Hernia System for inguinal hernia repair. Br J Surg 93(1):33–39. doi:10.​1002/​bjs.​5235 CrossRefPubMed
8.
go back to reference Classification of chronic pain. Descriptions of chronic pain syndromes and definitions of pain terms. Prepared by the International Association for the Study of Pain, Subcommittee on Taxonomy (1986). Pain Suppl 3:S1–226 Classification of chronic pain. Descriptions of chronic pain syndromes and definitions of pain terms. Prepared by the International Association for the Study of Pain, Subcommittee on Taxonomy (1986). Pain Suppl 3:S1–226
10.
go back to reference Muysoms FE, Deerenberg EB, Peeters E, Agresta F, Berrevoet F, Campanelli G, Ceelen W, Champault GG, Corcione F, Cuccurullo D, DeBeaux AC, Dietz UA, Fitzgibbons RJ Jr, Gillion JF, Hilgers RD, Jeekel J, Kyle-Leinhase I, Kockerling F, Mandala V, Montgomery A, Morales-Conde S, Simmermacher RK, Schumpelick V, Smietanski M, Walgenbach M, Miserez M (2013) Recommendations for reporting outcome results in abdominal wall repair: results of a consensus meeting in Palermo, Italy, 28-30 June 2012. Hernia 17(4):423–433. doi:10.1007/s10029-013-1108-5 CrossRefPubMed Muysoms FE, Deerenberg EB, Peeters E, Agresta F, Berrevoet F, Campanelli G, Ceelen W, Champault GG, Corcione F, Cuccurullo D, DeBeaux AC, Dietz UA, Fitzgibbons RJ Jr, Gillion JF, Hilgers RD, Jeekel J, Kyle-Leinhase I, Kockerling F, Mandala V, Montgomery A, Morales-Conde S, Simmermacher RK, Schumpelick V, Smietanski M, Walgenbach M, Miserez M (2013) Recommendations for reporting outcome results in abdominal wall repair: results of a consensus meeting in Palermo, Italy, 28-30 June 2012. Hernia 17(4):423–433. doi:10.​1007/​s10029-013-1108-5 CrossRefPubMed
11.
go back to reference Ujiki MB, Gitelis ME, Carbray J, Lapin B, Linn J, Haggerty S, Wang C, Tanaka R, Barrera E, Butt Z, Denham W (2015) Patient-centered outcomes following laparoscopic inguinal hernia repair. Surg Endosc 29(9):2512–2519. doi:10.1007/s00464-014-4011-y CrossRefPubMed Ujiki MB, Gitelis ME, Carbray J, Lapin B, Linn J, Haggerty S, Wang C, Tanaka R, Barrera E, Butt Z, Denham W (2015) Patient-centered outcomes following laparoscopic inguinal hernia repair. Surg Endosc 29(9):2512–2519. doi:10.​1007/​s00464-014-4011-y CrossRefPubMed
12.
go back to reference Franneby U, Gunnarsson U, Andersson M, Heuman R, Nordin P, Nyren O, Sandblom G (2008) Validation of an inguinal pain questionnaire for assessment of chronic pain after groin hernia repair. Br J Surg 95(4):488–493. doi:10.1002/bjs.6014 CrossRefPubMed Franneby U, Gunnarsson U, Andersson M, Heuman R, Nordin P, Nyren O, Sandblom G (2008) Validation of an inguinal pain questionnaire for assessment of chronic pain after groin hernia repair. Br J Surg 95(4):488–493. doi:10.​1002/​bjs.​6014 CrossRefPubMed
13.
go back to reference Pellise F, Vidal X, Hernandez A, Cedraschi C, Bago J, Villanueva C (2005) Reliability of retrospective clinical data to evaluate the effectiveness of lumbar fusion in chronic low back pain. Spine (Phila pa 1976) 30(3):365–368 doi:00007632-200502010-00019 [pii] CrossRef Pellise F, Vidal X, Hernandez A, Cedraschi C, Bago J, Villanueva C (2005) Reliability of retrospective clinical data to evaluate the effectiveness of lumbar fusion in chronic low back pain. Spine (Phila pa 1976) 30(3):365–368 doi:00007632-200502010-00019 [pii] CrossRef
14.
go back to reference Muysoms FE, Vanlander A, Ceulemans R, Kyle-Leinhase I, Michiels M, Jacobs I, Pletinckx P, Berrevoet F (2016) A prospective, multicenter, observational study on quality of life after laparoscopic inguinal hernia repair with ProGrip laparoscopic, self-fixating mesh according to the European Registry for Abdominal Wall Hernias Quality of Life Instrument. Surgery. doi:10.1016/j.surg.2016.04.026 Muysoms FE, Vanlander A, Ceulemans R, Kyle-Leinhase I, Michiels M, Jacobs I, Pletinckx P, Berrevoet F (2016) A prospective, multicenter, observational study on quality of life after laparoscopic inguinal hernia repair with ProGrip laparoscopic, self-fixating mesh according to the European Registry for Abdominal Wall Hernias Quality of Life Instrument. Surgery. doi:10.​1016/​j.​surg.​2016.​04.​026
15.
go back to reference van Hanswijck de Jonge P, Lloyd A, Horsfall L, Tan R, O'Dwyer PJ (2008) The measurement of chronic pain and health-related quality of life following inguinal hernia repair: a review of the literature. Hernia 12(6):561–569. doi:10.1007/s10029-008-0412-y CrossRefPubMed van Hanswijck de Jonge P, Lloyd A, Horsfall L, Tan R, O'Dwyer PJ (2008) The measurement of chronic pain and health-related quality of life following inguinal hernia repair: a review of the literature. Hernia 12(6):561–569. doi:10.​1007/​s10029-008-0412-y CrossRefPubMed
17.
go back to reference Simons MP, Aufenacker T, Bay-Nielsen M, Bouillot JL, Campanelli G, Conze J, de Lange D, Fortelny R, Heikkinen T, Kingsnorth A, Kukleta J, Morales-Conde S, Nordin P, Schumpelick V, Smedberg S, Smietanski M, Weber G, Miserez M (2009) European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia 13(4):343–403. doi:10.1007/s10029-009-0529-7 CrossRefPubMedPubMedCentral Simons MP, Aufenacker T, Bay-Nielsen M, Bouillot JL, Campanelli G, Conze J, de Lange D, Fortelny R, Heikkinen T, Kingsnorth A, Kukleta J, Morales-Conde S, Nordin P, Schumpelick V, Smedberg S, Smietanski M, Weber G, Miserez M (2009) European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia 13(4):343–403. doi:10.​1007/​s10029-009-0529-7 CrossRefPubMedPubMedCentral
18.
19.
go back to reference Miserez M, Peeters E, Aufenacker T, Bouillot JL, Campanelli G, Conze J, Fortelny R, Heikkinen T, Jorgensen LN, Kukleta J, Morales-Conde S, Nordin P, Schumpelick V, Smedberg S, Smietanski M, Weber G, Simons MP (2014) Update with level 1 studies of the European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia 18(2):151–163. doi:10.1007/s10029-014-1236-6 CrossRefPubMed Miserez M, Peeters E, Aufenacker T, Bouillot JL, Campanelli G, Conze J, Fortelny R, Heikkinen T, Jorgensen LN, Kukleta J, Morales-Conde S, Nordin P, Schumpelick V, Smedberg S, Smietanski M, Weber G, Simons MP (2014) Update with level 1 studies of the European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia 18(2):151–163. doi:10.​1007/​s10029-014-1236-6 CrossRefPubMed
21.
23.
24.
go back to reference Kim J, Lonner JH, Nelson CL, Lotke PA (2004) Response bias: effect on outcomes evaluation by mail surveys after total knee arthroplasty. J Bone Joint Surg am 86-A(1):15–21CrossRefPubMed Kim J, Lonner JH, Nelson CL, Lotke PA (2004) Response bias: effect on outcomes evaluation by mail surveys after total knee arthroplasty. J Bone Joint Surg am 86-A(1):15–21CrossRefPubMed
25.
go back to reference Ludemann R, Watson DI, Jamieson GG (2003) Influence of follow-up methodology and completeness on apparent clinical outcome of fundoplication. Am J Surg 186(2):143–147CrossRefPubMed Ludemann R, Watson DI, Jamieson GG (2003) Influence of follow-up methodology and completeness on apparent clinical outcome of fundoplication. Am J Surg 186(2):143–147CrossRefPubMed
26.
go back to reference Deyo RA, Battie M, Beurskens AJ, Bombardier C, Croft P, Koes B, Malmivaara A, Roland M, Von Korff M, Waddell G (1998) Outcome measures for low back pain research. A proposal for standardized use. Spine (Phila pa 1976) 23(18):2003–2013CrossRef Deyo RA, Battie M, Beurskens AJ, Bombardier C, Croft P, Koes B, Malmivaara A, Roland M, Von Korff M, Waddell G (1998) Outcome measures for low back pain research. A proposal for standardized use. Spine (Phila pa 1976) 23(18):2003–2013CrossRef
27.
go back to reference Dindo D, Demartines N, Clavien PA (2004) Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 240(2):205–213CrossRefPubMedPubMedCentral Dindo D, Demartines N, Clavien PA (2004) Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 240(2):205–213CrossRefPubMedPubMedCentral
29.
go back to reference Bay-Nielsen M, Perkins FM, Kehlet H, Danish Hernia D (2001) Pain and functional impairment 1 year after inguinal herniorrhaphy: a nationwide questionnaire study. Ann Surg 233(1):1–7CrossRefPubMedPubMedCentral Bay-Nielsen M, Perkins FM, Kehlet H, Danish Hernia D (2001) Pain and functional impairment 1 year after inguinal herniorrhaphy: a nationwide questionnaire study. Ann Surg 233(1):1–7CrossRefPubMedPubMedCentral
31.
go back to reference de Goede B, Klitsie PJ, van Kempen BJ, Timmermans L, Jeekel J, Kazemier G, Lange JF (2013) Meta-analysis of glue versus sutured mesh fixation for Lichtenstein inguinal hernia repair. Br J Surg 100(6):735–742. doi:10.1002/bjs.9072 CrossRefPubMed de Goede B, Klitsie PJ, van Kempen BJ, Timmermans L, Jeekel J, Kazemier G, Lange JF (2013) Meta-analysis of glue versus sutured mesh fixation for Lichtenstein inguinal hernia repair. Br J Surg 100(6):735–742. doi:10.​1002/​bjs.​9072 CrossRefPubMed
33.
go back to reference Gustavsson A, Bjorkman J, Ljungcrantz C, Rhodin A, Rivano-Fischer M, Sjolund KF, Mannheimer C (2012) Socio-economic burden of patients with a diagnosis related to chronic pain—register data of 840,000 Swedish patients. Eur J Pain 16(2):289–299. doi:10.1016/j.ejpain.2011.07.006 CrossRefPubMed Gustavsson A, Bjorkman J, Ljungcrantz C, Rhodin A, Rivano-Fischer M, Sjolund KF, Mannheimer C (2012) Socio-economic burden of patients with a diagnosis related to chronic pain—register data of 840,000 Swedish patients. Eur J Pain 16(2):289–299. doi:10.​1016/​j.​ejpain.​2011.​07.​006 CrossRefPubMed
Metadata
Title
Chronic pain and quality of life after inguinal hernia repair using the COMI-hernia score
Authors
Ralph Fabian Staerkle
Raphael Nicolas Vuille-dit-Bille
Lukas Fink
Christopher Soll
Peter Villiger
Publication date
01-09-2017
Publisher
Springer Berlin Heidelberg
Published in
Langenbeck's Archives of Surgery / Issue 6/2017
Print ISSN: 1435-2443
Electronic ISSN: 1435-2451
DOI
https://doi.org/10.1007/s00423-017-1592-7

Other articles of this Issue 6/2017

Langenbeck's Archives of Surgery 6/2017 Go to the issue