Results Primary intention-to-treat outcomes were similar at 2 years for watchful waiting vs surgical repair: pain limiting activities (5.1% vs 2.2%, respectively P = .52) PCS (improvement over baseline, 0.29 points vs 0.13 points P = .79). Secondary outcomes were complications, patient-reported pain, functional status, activity levels, and satisfaction with care.
Main Outcome Measures Pain and discomfort interfering with usual activities at 2 years and change in PCS from baseline to 2 years. Interventions Watchful-waiting patients were followed up at 6 months and annually and watched for hernia symptoms repair patients received standard open tension-free repair and were followed up at 3 and 6 months and annually.
#Free clinical trials for hurnia near dallas tx trial
Objective To compare pain and the physical component score (PCS) of the Short Form-36 Version 2 survey at 2 years in men with minimally symptomatic inguinal hernias treated with watchful waiting or surgical repair.ĭesign, Setting, and Participants Randomized trial conducted January 1, 1999, through December 31, 2004, at 5 North American centers and enrolling 720 men (364 watchful waiting, 356 surgical repair) followed up for 2 to 4.5 years. Whether deferring surgical repair is a safe and acceptable option has not been assessed. Shared Decision Making and CommunicationĪuthor Affiliations: Department of Surgery, Creighton University, Omaha, Neb (Dr Fitzgibbons) Department of Surgery, Omaha VA Medical Center, Omaha (Drs Fitzgibbons and Thompson) VA Cooperative Studies Program Coordinating Center, Hines, Ill (Dr Reda and Mss Giobbie-Hurder and Wang) Department of Preventive Medicine (Dr McCarthy) and Institute for Healthcare Studies (Drs Dunlop and Gibbs), Northwestern University, Chicago, Ill Salt Lake City VA Health Care System and Department of Surgery, University of Utah, Salt Lake City (Dr Neumayer) Department of Surgery, McGill University, Montreal, Quebec (Dr Barkun) Marshfield Clinic Department of Surgery, Marshfield, Wis (Dr Hoehn) University of Texas Southwestern Medical Center at Dallas and Department of Surgery, Dallas VA Medical Center, Dallas, Tex (Drs Murphy and Sarosi) Lovelace Clinic Department of Surgery, Albuquerque, NM (Dr Syme) Department of Surgery, University of Nebraska, Omaha (Dr Thompson) and Department of Surgery, University of Illinois, Chicago (Dr Jonasson).Ĭontext Many men with inguinal hernia have minimal symptoms.Scientific Discovery and the Future of Medicine.
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