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IRIS
Importance Postoperative urinary retention (POUR) is a well-recognized complication of inguinal hernia repair (IHR). A variable incidence of POUR has previously been reported in this context, and contradictory evidence surrounds potential risk factors.Objective To ascertain the incidence of, explore risk factors for, and determine the health service outcomes of POUR following elective IHR.Design, Setting, and Participants The Retention of Urine After Inguinal Hernia Elective Repair (RETAINER I) study, an international, prospective cohort study, recruited participants between March 1 and October 31, 2021. This study was conducted across 209 centers in 32 countries in a consecutive sample of adult patients undergoing elective IHR.Exposure Open or minimally invasive IHR by any surgical technique, under local, neuraxial regional, or general anesthesia.Main Outcomes and Measures The primary outcome was the incidence of POUR following elective IHR. Secondary outcomes were perioperative risk factors, management, clinical consequences, and health service outcomes of POUR. A preoperative International Prostate Symptom Score was measured in male patients.Results In total, 4151 patients (3882 male and 269 female; median [IQR] age, 56 [43-68] years) were studied. Inguinal hernia repair was commenced via an open surgical approach in 82.2% of patients (n = 3414) and minimally invasive surgery in 17.8% (n = 737). The primary form of anesthesia was general in 40.9% of patients (n = 1696), neuraxial regional in 45.8% (n = 1902), and local in 10.7% (n = 446). Postoperative urinary retention occurred in 5.8% of male patients (n = 224), 2.97% of female patients (n = 8), and 9.5% (119 of 1252) of male patients aged 65 years or older. Risk factors for POUR after adjusted analyses included increasing age, anticholinergic medication, history of urinary retention, constipation, out-of-hours surgery, involvement of urinary bladder within the hernia, temporary intraoperative urethral catheterization, and increasing operative duration. Postoperative urinary retention was the primary reason for 27.8% of unplanned day-case surgery admissions (n = 74) and 51.8% of 30-day readmissions (n = 72).Conclusions The findings of this cohort study suggest that 1 in 17 male patients, 1 in 11 male patients aged 65 years or older, and 1 in 34 female patients may develop POUR following IHR. These findings could inform preoperative patient counseling. In addition, awareness of modifiable risk factors may help to identify patients at increased risk of POUR who may benefit from perioperative risk mitigation strategies.
Global Incidence and Risk Factors Associated With Postoperative Urinary Retention Following Elective Inguinal Hernia Repair
Croghan S. M.;Mohan H. M.;Breen K. J.;McGovern R.;Bennett K. E.;Boland M. R.;Elhadi M.;Elliott J. A.;Fullard A. C.;Lonergan P. E.;McDermott F.;Mehraj A.;Pata F.;Quinlan D. M.;Winter D. C.;Bolger J. C.;Fleming C. A.;Farinelli P. A.;Alday M. J. A.;Avellaneda N. L.;Goya M. M.;Clementé G. A.;Lopez J. C.;Proud D.;Shulman N.;Huang D.;Jamel W.;Gill S.;Arthur T.;Swindon D.;Frank A.;Teng R.;Chua I.;Chong N.;Hannigan A.;Srinivasan M.;Bastaki A. A.;Ahmad S.;Juma I.;Yang W.;Wang H.;Jiang S.;Naranjo L. E. P.;Dominguez C. M.;Huilca L. F.;Negrete Ocampo J. R.;Nafea A.;Awad A. K.;Elbadawy M. A.;Abdulmonem A. A.;Abdelgalil M. S.;Helmy S. T.;El-Razik S. A. A.;Mabrouk L. R.;Rady A. H. A.;Shaheen A.;Ewedah M.;Farag M.;Tanas Y.;Dean Y.;Ghanem M.;Asla A. F.;Ghatwary A. M.;Elsadek M. A.;Saad A.;Hassan R. A.;Herdan M. O.;Nassar M. A.;Alaa S.;Khamis A. A.;Youssef H. M. S.;El Sherpiny M. A.;Shehata E. S. A. M.;Taha S. A.;Zahran A. A. A. A.;Al-Nagdy M.;Sayed Hafez S. Z. E.;Abo Ghanima S. M.;Farahat S.;Morgan F. M.;Mahfouz S. M.;Elfeki H.;Elghadban H.;Shalaby M.;Shetiwy M.;Mostafa M.;Sakr A.;Elsayed A.;Sadek K.;Eldeghedi M.;Nader M.;Elsaadany R.;Hesham Y.;Attiya O.;Shaaban A.;Sakr Y.;Alharazin M.;Omar M. A.;Alansary M. N.;Ebada M. A.;Abdelfattah M. S.;El-Taher A. K.;Ghaith H. S.;Abdelhaleem I. A.;Fayed N. M.;Fayed L.;Mahmoud M. K.;Mohamed E. E.;El-Deeb A. M.;Mohamed I. M.;El kady A. E. S.;Al-Fattah M. A.;Hassaan M.;Hegazy M. G.;Fradelos E.;Korkolis D.;Kavalieratos G.;Manatakis D. K.;Tasis N.;Ioannidis A.;Konstantinidis M.;Konstantinidou S.;Koukoulis G.;Kalfountzos C.;Bouliaris K.;Schizas D.;Machairas N.;Kykalos S.;Vailas M.;Syllaios A.;Dorovinis P.;Kozadinos A.;Bouchagier K.;Mulita F.;Skroubis G.;Maroulis I.;Chatzimavroudis G.;Kotoreni G.;Sountoulides P.;Agalianos C.;Antonopoulou M. I.;Ladoukakis A.;Nikolouzakis T. K.;Lasithiotakis K.;Chrysos E.;Xenaki S.;Baili E.;Liakakos T.;Charalabopoulos A.;Al-Juaifari M. A.;Zwain Y. A.;Himi A. A.;Aldawoody H. I. R.;Balasubramanian I.;Hill A. D. K.;Robb W. B.;Aketch M. S.;Brady A. M. J.;O'Leary P. D.;Davis N. F.;Creavin B.;Ridgway P. F.;Barry K.;Kelly O.;Raftery N.;Davey M. G.;McLaughlin R. P.;Joyce W. P.;Meldon A.;Nugent E.;Dhannoon A.;Carroll P.;O'Brien S. J.;Andrews E.;Foley N. M.;Killeen S.;Hechtl D.;O'Riordain M.;Conneely J. B.;Hardy N. P.;McInerney N. J.;Kearns E. C.;Shanahan B.;Kennedy C.;Toomey D.;Mansoor S.;Ryan E.;Johnston S. M.;Lim S. T.;Ahonkhai I. I.;Eltagani E.;Ryan O. K.;Earley H.;Garvin J.;Iruthayanathar A. N.;Clancy C.;Fahey B.;Rashid H.;McCormick P.;Reynolds I. S.;Garrahy D.;Bean O.;Conlon E.;Molony E.;Martin S. T.;Hoti E.;Stafford A. T.;Hanly A.;Maguire D.;Ng K. C.;Wong B. N. X.;McCormack T.;Chan K. Y.;Peirce C.;Coffey C.;Nabi N.;Jacob P. T.;Dillon P.;Ahmad A.;Neary P.;Ryan J. M.;Connelly T. M.;Cooke F.;McCullough P. W.;Pellino G.;Selvaggi L.;Selvaggi F.;Gallo G.;Riboni C.;De Luca M.;Lionetti R.;Danzi M.;Grimaldi L.;Corcione F.;Manigrasso M.;Milone M.;De Palma G. D.;Biancafarina A.;Mariottini V.;De Prizio M.;Solaini L.;Cavaliere D.;Vigutto G.;Castaldi A.;Palumbo A.;Antropoli C.;Ripetti V.;Luffarelli P.;Capolupo G. T.;Caricato M.;Carannante F.;Grassia M.;Lucchi A.;Schimera A.;Palomba G.;Aprea G.;Feo C. V.;Fabbri N.;Torchiaro M.;Mazza M.;De Marco P.;Bagaglini G.;Grande M.;Lapolla P.;Mingoli A.;Brachini G.;Federico N. S. P.;Calabrò M.;Murgese A.;Aiolfi A.;Mini E.;Bona D.;Patrone R.;Nasto A.;Pertile D.;Scabini S.;Soriero D.;Massobrio A.;Deiana S.;Carganico G.;Montuori M.;Pinotti E.;Carrara G.;Lisi G.;Spoletini D.;Menditto R.;Pace M.;Petrucciani N.;Nigri G.;Sasia D.;Girardi M.;Giraudo G.;Andreuccetti J.;Rossi S.;Scorsi A.;Puccioni C.;Picardi B.;Anastasi A.;Borreca R.;Adinolfi E.;Canonico G.;Nelli T.;Carmignani F.;Baldini E.;Boccia O.;Kersik A.;Fleres F.;Clarizia G.;Longhini A.;Mariani N.;Balla A.;Lepiane P.;Petrocca S.;Ranucci M. C.;Morelli L.;Di Franco G.;Porcelli F.;Guadagni S.;Furbetta N.;Romanzi A.;Milanesi M.;Vignati B.;Vannelli A.;Scolaro R.;Putortì A.;Khamees A.;Almasarweh S. A.;Guboug A.;Abu-Ismail L.;Al-Shami K.;Awadi S.;Haij M. Z. M.;Alrayes B. M. H.;Al-Kubaisy M.;Rashdan M.;Abufaraj M.;Mansour H.;Toubasi A. A.;Azzam M.;Al-Aydi T.;Bsisu I.;Khrais O.;Hani M. B.;Daradkeh H.;Jamous H.;Dardour M.;Msameh R.;Alasawdeh H.;Shumrakh S. K.;Oqdeh Y. F.;AL Hamoud M. A.;Abuleil A.;Ababneh H. S. M.;Hasan W. A.;Ali E. M.;Khalil E. S. F.;Abaidalla A. F.;Haddad H. I.;Amnaina M. G.;Alabd H. M.;Bahroun S. G.;Younes E.;Sagheir E. A.;Ali A.;Khamaj M.;Ashfersh M.;Ekhmaj R.;Abuzeid I. A.;Albaraesi M. N.;Taktuk S. S.;Aldressi W.;Eltaeb K. F.;Gomaty J. M.;Bakeer H. B.;Alkaseek A. M.;Alarabi R.;Gjam F. Z.;Elhajdawe F. A. D.;Shuayb A. M.;Egdeer A.;Almugaddami A.;Abdulwahed E. A.;Ghmagh R.;Alshareea E.;Gidiem D.;Askar A.;Aljamal S.;Deeknah A.;Biala M.;Barka S.;Kamour K.;Alameen H.;Abozid A.;Alsori M.;Kanna S.;Elgadi T.;Naana R.;Marwan A.;Omar O.;Teoh J. Y. C.;Fathil I. N. A.;Adwin Z. Z.;Elshami M.;Alvarez-Lozada L. A.;Durán-Castro D. G.;de la O-Escamilla M. E.;Arrambide-Garza F. J.;Muñoz-Maldonado G. E.;Quiroga-Garza A.;Azzazi H. E.;Assaad Y. E.;Mrissa Y.;Koukou M.;Varghese C.;Alqassab M. K.;Barnes T.;Thompson-Fawcett M. W.;McGuinness M.;Mitchell J.;Grinlinton M.;Auchterlonie R.;Hasiata V.;Harmston C.;Allen-Brough C.;Siggins L.;Weeratunga G.;Lin A.;Xu W.;Cook H.;Ghamri N.;Joseph N.;Zheng H.;Ratnayake M. V. B.;Bissett I. P.;Adeyeye A. A.;Olayinka M. T.;Alfa Y.;Daniyan M.;Tolani M. A.;Bashir M.;Musa K. M.;Omon H. E.;Balogun S. A.;Anele C. O.;Adesunkanmi A. H. O.;Ajekwu S. C.;Afeikhena E.;Egbuchulem I. K.;Constantine E.;Olagunju N.;Ikechukwu U. B.;Fakoya A.;Ogundoyin O. O.;Waqar U.;Ukrani R. D.;Mansoor M.;Asghar T.;Jamaluddin M.;Zahid M.;Ali F.;Chawla T.;Aamir F. B.;Tahir I.;Farhan E.;Dar K. H.;Saeed A. B.;Shahbaz U.;Alozai M. I.;Akram M. U.;Haider S.;Hai A.;Ahmed S.;Hussain A.;Durrani A. M.;Arbi F. M.;Khaliq F.;Abubakr M.;Khalid N.;Khalid R.;Iqbal A.;Javed A.;Akhtar H.;Malik B. M.;Khan H.;Butt A. U. A.;Malik A. R.;Malick D. S.;Asif A.;Khan M. S.;Anwar M. I.;Yaqoob S.;Jarullah F. A.;Umer F.;Jamil S.;Zarin M.;Khan A.;Alam M.;Shafi M.;Fakhar S.;Ali A. A.;Dal N. A.;Shams M.;Laghari S.;Kumar Y.;ul Haq S. A.;Abdullah A.;Rehman S. U.;Javed F.;Ali W.;Ahmad S.;Sarwar M. Z.;Naqi S. A.;Daula M. I. H.;Ijaz M. T.;Fazal T. B.;Javaid A.;Rajput A.;Masroor L.;Shahab T.;Yaqub A.;Zahid S. M.;Jabbar N.;Javeed M. H.;Karim M. Q.;Jamal M. A.;Fazal M.;Hameed F. M.;Bakhtiar M.;Akhtar A.;Khan Z. A.;Rehman K.;Khan R. A.;Farooqui F.;Aimon S.;Marjan I.;Al-Saba'a Y. K.;Alkahlout D. M.;Amer F. M.;Mostafa O.;Naim D. S.;Manasra M.;Giacaman Y.;Zawahra A.;Erman M. N.;Abu Reyash T. K.;Shami S. M.;Awwad A. H.;Abu-Arish H.;Aljabarein O. Y.;Alkomi S.;Dweik R.;Atatra K. O.;Yasin F. H.;Saad R. J.;Khader A.;Hussein R. A.;Helles A. A.;Ismail R. S.;Abu Jayyab M. A.;Hasson M.;Povo A.;Silva C.;Ginestal M.;Negoi I.;Negoita V. M.;Talpai T.;Pîrvu C. -A.;Pantea S.;Menzulin R.;Yanishev A.;Bazaev A.;Chubukova N.;Bagrjancev M.;Ryabkov M.;Abelevich A.;Novikova A.;Saeed R. J. M.;El-Mansoury T. M.;Khogaly A. M. A.;Galun D.;Zivanovic M.;Serrano-Navidad M.;Landaluce-Olavarria A.;Estraviz-Mateos B.;Sainz-Lete A.;Miguel M. G. -D.;Zevallos-Quiroz J.;Vázquez-Melero A.;Sánchez-Rubio M.;López I. H.;de Goicoechea D. G. L.;González M. C.;Martínez P. H.;Alba M. B.;Vázquez P. P.;Seminario I. S.;Moreno F. M.;Matías-García B.;Alvarado-Hurtado R.;Soto-Schütte S.;Prats M. A.;González Z. M.;Borao J. L.;Gil A. S.;Santos S. M.;Barrionuevo M. G.;Rodriguez-Leon G.;Fernandez J. V.;Rodriguez C. O.;Falú R. H.;Gomez V. G.;Arrufat A. B.;Páramo A. A.;Rubia E. A.;Rodríguez Cano M. A.;Frías P. R.;de las Casas S. G.;Del Castillo Díez F.;Martínez J. G.;La Noire F. P.;Torija N. C.;Gonzalez S. V.;Garceau M. H.;de Pablos J. O.;Bonilla A. R.;Enjuto Martínez D. T.;Gómez L. R.;Peña P. D.;Guerreiro J. G.;Celdrán I. C.;Ortega E. C.;Domínguez A. G.;Cuiñas A. A.;Soldevila-Verdeguer C.;Fernández-Vega L.;Pagès-Valle N.;Coello-González A.;Colás-Ruiz E.;Alwis W. M. C.;Karunarathne R. M. D.;Bandara G. B. K. D.;Rodrigo V. S. D.;Jayarajah U.;Abdulhamid S. M.;Almokdad F. Kh.;Senhuri A. E.;Abdullah W. M.;Abdelwahid E. H.;Idris A. O.;Galal-Eldin S.;Hamid H. K. S.;Mohammed A. M. E.;Ibrahim A. M.;Ahmed S. G.;Osman O. S.;El Tahier Abdalla Omer M.;Toum F. M.;Sabir F. M.;Ali A. Y.;Abdelmageed A. A.;Khalafalla A.;Hassan L. S. A.;Mahmoud M. D.;Salih M. A.;Hamdan A.;Mohammad M.;Shareeda M. A.;Otaky M. B.;Nashed A.;Zayat H.;Aloulou M.;Alsmail M. H.;Sawas F.;Alghareeb R.;Danial A. K.;Abdullah M. A.;Krad K.;Masri R.;Alannaz O.;Halwani M. Y.;Ghannam M. M.;Kazzaz R.;Tammo S.;Ghazal A.;Alabad M.;Alhasan H.;Alhaj A.;Aljaber A.;Jarkas B. T.;Olaisheh H.;Hassan B.;Kayali A. A. H.;Nasani M.;Kayali H. F.;Alahmad Z.;Arnaout K.;Laila A. A. N.;Zalf K.;Hasson H.;Apelian S. N.;Makhluf H. A.;Ibraheem F. F.;Arnaout A. Y.;Ibrahim H.;Sharifa M.;Nastah S.;Zayat M. A.;Alhashash A. T.;Konaizeh D. S.;Rostum Z.;Ahmad H. Y.;Aliskander F.;Saad A.;Isik A.;Memis U.;Salih S.;Saracoglu K. T.;Hokenek U. D.;Tatar O. C.;Shah S. F. A.;Cantürk N. Z.;Şahin E.;Güler S. A.;Şimşek T.;Guldogan C. E.;Gundogdu E.;Ozmen M. M.;Uprak T. K.;Şahin M. Z. C.;Atici S. D.;Teker K.;Aktas A.;Latif J.;Lederhuber H.;Kantola V.;Muse S.;Jaralla N.;Roy D.;McCoubrey A.;Botes A.;Booth A.;Edgerton C.;Al-Eryani F.;Al-Naggar H.;Al-Eryani S.;AL-Wajeeh G.;Abotaleb K.;Al-Shehari M.;Shream S.;Alsayadi R.;Alemad S.;Alshaikh B. H.;Al-Dhaheri M. J.;Al-Hajj Al-Fakih W. A.;Telha K. A.;AlQatta W. M.;Telha G. K.;Güner A.
2023
Abstract
Importance Postoperative urinary retention (POUR) is a well-recognized complication of inguinal hernia repair (IHR). A variable incidence of POUR has previously been reported in this context, and contradictory evidence surrounds potential risk factors.Objective To ascertain the incidence of, explore risk factors for, and determine the health service outcomes of POUR following elective IHR.Design, Setting, and Participants The Retention of Urine After Inguinal Hernia Elective Repair (RETAINER I) study, an international, prospective cohort study, recruited participants between March 1 and October 31, 2021. This study was conducted across 209 centers in 32 countries in a consecutive sample of adult patients undergoing elective IHR.Exposure Open or minimally invasive IHR by any surgical technique, under local, neuraxial regional, or general anesthesia.Main Outcomes and Measures The primary outcome was the incidence of POUR following elective IHR. Secondary outcomes were perioperative risk factors, management, clinical consequences, and health service outcomes of POUR. A preoperative International Prostate Symptom Score was measured in male patients.Results In total, 4151 patients (3882 male and 269 female; median [IQR] age, 56 [43-68] years) were studied. Inguinal hernia repair was commenced via an open surgical approach in 82.2% of patients (n = 3414) and minimally invasive surgery in 17.8% (n = 737). The primary form of anesthesia was general in 40.9% of patients (n = 1696), neuraxial regional in 45.8% (n = 1902), and local in 10.7% (n = 446). Postoperative urinary retention occurred in 5.8% of male patients (n = 224), 2.97% of female patients (n = 8), and 9.5% (119 of 1252) of male patients aged 65 years or older. Risk factors for POUR after adjusted analyses included increasing age, anticholinergic medication, history of urinary retention, constipation, out-of-hours surgery, involvement of urinary bladder within the hernia, temporary intraoperative urethral catheterization, and increasing operative duration. Postoperative urinary retention was the primary reason for 27.8% of unplanned day-case surgery admissions (n = 74) and 51.8% of 30-day readmissions (n = 72).Conclusions The findings of this cohort study suggest that 1 in 17 male patients, 1 in 11 male patients aged 65 years or older, and 1 in 34 female patients may develop POUR following IHR. These findings could inform preoperative patient counseling. In addition, awareness of modifiable risk factors may help to identify patients at increased risk of POUR who may benefit from perioperative risk mitigation strategies.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11591/546228
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simulazione ASN
Il report seguente simula gli indicatori relativi alla propria produzione scientifica in relazione alle soglie ASN 2023-2025 del proprio SC/SSD. Si ricorda che il superamento dei valori soglia (almeno 2 su 3) è requisito necessario ma non sufficiente al conseguimento dell'abilitazione. La simulazione si basa sui dati IRIS e sugli indicatori bibliometrici alla data indicata e non tiene conto di eventuali periodi di congedo obbligatorio, che in sede di domanda ASN danno diritto a incrementi percentuali dei valori. La simulazione può differire dall'esito di un’eventuale domanda ASN sia per errori di catalogazione e/o dati mancanti in IRIS, sia per la variabilità dei dati bibliometrici nel tempo. Si consideri che Anvur calcola i valori degli indicatori all'ultima data utile per la presentazione delle domande.
La presente simulazione è stata realizzata sulla base delle specifiche raccolte sul tavolo ER del Focus Group IRIS coordinato dall’Università di Modena e Reggio Emilia e delle regole riportate nel DM 589/2018 e allegata Tabella A. Cineca, l’Università di Modena e Reggio Emilia e il Focus Group IRIS non si assumono alcuna responsabilità in merito all’uso che il diretto interessato o terzi faranno della simulazione. Si specifica inoltre che la simulazione contiene calcoli effettuati con dati e algoritmi di pubblico dominio e deve quindi essere considerata come un mero ausilio al calcolo svolgibile manualmente o con strumenti equivalenti.
