ArticleHernia : the journal of hernias and abdominal wall surgery2025
Could preoperative physical activity level predict serious complications after incisional hernia repair?
Article in Hernia : the journal of hernias and abdominal wall surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatients with incisional hernia (IH) frequently present severe comorbidities and require complex preoperative strategies before incisional hernia repair (IHR). To date, no study has evaluated the relationship between preoperative physical activity level and the occurrence of serious complications after IHR. Therefore, the aim of this study was to investigate the influence of preoperative physical activity level on serious complication incidence.
methodsA single-center prospective cohort pilot study was conducted, including all patients who underwent IHR between January 2021 and October 2024. The ACTI-MET® tool was used to assess preoperative physical activity. Preoperative functional activity assessments included the Six-Minute Walking Test (6MWT), HandGrip Strength Test (HGST), and Timed Up and Go Tests (UGT). Postoperative complications were graded using the comprehensive complication index (CCI) and Dindo-Clavien (DC) classifications. A serious complication was defined as CCI ≥ 42.4%.
resultsA total of 127 patients were included. The distance covered by patients during the 6MWT was, on average, 225 m shorter than the expected standard (6MWTev). There was a significant correlation between patients with postoperative serious complications and low preoperative physical activity as evaluated with the ACTI-MET® tool. Only the UGT was correlated with preoperative physical activity, but standard functional tests such as 6MWT, UGT, and HGST failed to predict serious complications. The presence of a serious complication significantly increased the mean length of hospital stay by a 2.69 ratio (15 vs. 5.56 days; p < 0.01).
conclusionPreoperative physical activity evaluated with the ACTI-MET® tool could help to predict serious complication occurrence. Further studies are needed to explore the potential benefits of preoperative activity optimization programs and prehabilitation on hernia surgery outcomes.
Indexed as
Identifiers
41420772What Socratic holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.