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Characterizing hernia centers in the United States: what defines a hernia center?

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Abstract

Purpose

A universal definition for what constitutes a hernia center does not exist. The purpose of this study was to characterize hernia centers in the United States by analyzing hernia centers and their non-hernia center counterparts.

Methods

A web-based search was conducted to identify defining features of hernia centers including faculty demographics and composition, research output, research funding, clinical trials, and website content. Hernia centers and non-hernia centers were compared.

Results

Most hernia centers (n = 36) are in urban areas (89%) and distributed evenly across regions of the United States. Hernia centers are associated with University program types (p = 0.001) while non-hernia centers are associated with University-Affiliate (p = 0.001) and Community (p = 0.02) program types. Hernia centers are associated with Abdominal Core Health Quality Collaborative participation (p = 0.01) and Center of Excellence by the Surgical Review Corporation certification (p = 0.005). Hernia centers are associated with presence of active clinical trials (p < 0.001) and number of clinical trials (p < 0.001). Hernia centers are associated with industry-sponsored trials (p < 0.001) but are not associated with NIH-sponsored trials. Fifty percent of hernia centers have PRS faculty. The vast majority of hernia center websites describe hernias treated (92%) and repair techniques (89%). The majority of hernia center mission statements emphasize an individualized care plan (61%) and multidisciplinary care (57%). Only 39% of websites and 17% of mission statements mention research.

Conclusion

In the United States, hernia centers are clinically oriented, multidisciplinary surgical teams at predominantly urban, University programs that may use this title to attract patient referrals and industry sponsorship of clinical trials.

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References

  1. Poulose BK, Shelton J, Phillips S et al (2012) Epidemiology and cost of ventral hernia repair: making the case for hernia research. Hernia J Hernias Abdom Wall Surg 16(2):179–183. https://doi.org/10.1007/s10029-011-0879-9

    Article  CAS  Google Scholar 

  2. Holihan JL, Alawadi Z, Martindale RG et al (2015) Adverse events after ventral hernia repair: the vicious cycle of complications. J Am Coll Surg 221(2):478–485. https://doi.org/10.1016/j.jamcollsurg.2015.04.026

    Article  PubMed  Google Scholar 

  3. Slater NJ, Montgomery A, Berrevoet F et al (2014) Criteria for definition of a complex abdominal wall hernia. Hernia J Hernias Abdom Wall Surg 18(1):7–17. https://doi.org/10.1007/s10029-013-1168-6

    Article  CAS  Google Scholar 

  4. Shao J, Elhage S, Deerenberg E, Augenstein V, Heniford BT (2020) Establishing a center of excellence in abdominal wall reconstruction. Plast Aesthetic Res. https://doi.org/10.20517/2347-9264.2020.04

    Article  Google Scholar 

  5. Raigani S, De Silva GS, Criss CN, Novitsky YW, Rosen MJ (2014) The impact of developing a comprehensive hernia center on the referral patterns and complexity of hernia care. Hernia J Hernias Abdom Wall Surg 18(5):625–630. https://doi.org/10.1007/s10029-014-1279-8

    Article  CAS  Google Scholar 

  6. ACHQC. Accessed December 26, 2020. https://www.achqc.org/

  7. Home—SRC—Surgical Review Corporation. Accessed January 24, 2021. https://www.surgicalreview.org/

  8. Americas Hernia Society—advancing the science and treatment of hernia. Accessed January 24, 2021. https://americasherniasociety.org/

  9. Hernia. Springer. Accessed January 24, 2021. https://www.springer.com/journal/10029

  10. Query Form - NIH RePORTER - NIH Research Portfolio Online Reporting Tools Expenditures and Results. Accessed January 24, 2021. https://projectreporter.nih.gov/

  11. Doximity. Accessed January 24, 2021. https://www.doximity.com

  12. Healthgrades | Find a doctor—doctor reviews—online doctor appointments. Accessed January 24, 2021. https://www.healthgrades.com/

  13. WebMD—Better information. Better health. WebMD. Accessed January 24, 2021. https://www.webmd.com/default.htm

  14. Iles JD (1965) Specialisation in elective herniorrhaphy. Lancet Lond Engl 1(7388):751–755. https://doi.org/10.1016/s0140-6736(65)92109-4

    Article  CAS  Google Scholar 

  15. Reid CM, Brandel MG, Gosman AA (2017) Comparison of surgeon specialty in open ventral hernia repair. Ann Plast Surg 78(5 Suppl 4):S212–S216. https://doi.org/10.1097/SAP.0000000000000971

    Article  CAS  PubMed  Google Scholar 

  16. Williams KB, Belyansky I, Dacey KT et al (2014) Impact of the establishment of a specialty hernia referral center. Surg Innov 21(6):572–579. https://doi.org/10.1177/1553350614528579

    Article  PubMed  Google Scholar 

  17. Patsopoulos NA, Ioannidis JPA, Analatos AA (2006) Origin and funding of the most frequently cited papers in medicine: database analysis. BMJ 332(7549):1061–1064. https://doi.org/10.1136/bmj.38768.420139.80

    Article  PubMed  PubMed Central  Google Scholar 

  18. Ehrhardt S, Appel LJ, Meinert CL (2015) Trends in national institutes of health funding for clinical trials registered in ClinicalTrials.gov. JAMA 314(23):2566–2567. https://doi.org/10.1001/jama.2015.12206

    Article  PubMed  PubMed Central  Google Scholar 

  19. Köckerling F, Sheen AJ, Berrevoet F et al (2019) Accreditation and certification requirements for hernia centers and surgeons: the ACCESS project. Hernia 23(2):185–203. https://doi.org/10.1007/s10029-018-1873-2

    Article  PubMed  PubMed Central  Google Scholar 

  20. Köckerling F, Berger D, Jost JO (2014) What is a certified hernia center? The example of the German hernia society and german society of general and visceral surgery. Front Surg. https://doi.org/10.3389/fsurg.2014.00026

    Article  PubMed  PubMed Central  Google Scholar 

  21. Köckerling F, Sheen AJ, Berrevoet F et al (2019) The reality of general surgery training and increased complexity of abdominal wall hernia surgery. Hernia J Hernias Abdom Wall Surg 23(6):1081–1091. https://doi.org/10.1007/s10029-019-02062-z

    Article  Google Scholar 

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Authors and Affiliations

  1. Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA

    J. M. Shulkin, V. Patel & H. I. Naga

  2. Division of Plastic Surgery, Department of Surgery, University of Pennsylvania Health System, 51 North 39th Street, Wright Saunders Building, Philadelphia, PA, 19104, USA

    J. M. Shulkin, J. A. Mellia, V. Patel, H. I. Naga, M. P. Morris, A. Christopher & J. P. Fischer

  3. Division of Gastrointestinal and Minimally Invasive Surgery, Department of Surgery, Atrium Health Carolinas Medical Center, Charlotte, NC, USA

    B. T. Heniford

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  1. J. M. Shulkin
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  2. J. A. Mellia
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  3. V. Patel
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  4. H. I. Naga
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Correspondence to J. P. Fischer.

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Conflict of interest

J. P. Fischer has received payments as a consultant from Baxter, Becton–Dickinson, Gore, and Integra LifeSciences. B. T. Heniford receives surgical research/education grants as well as honoraria for speaking from Allergan and W. L. Gore. The remaining authors do not have any financial disclosures.

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Shulkin, J.M., Mellia, J.A., Patel, V. et al. Characterizing hernia centers in the United States: what defines a hernia center?. Hernia 26, 251–257 (2022). https://doi.org/10.1007/s10029-021-02411-x

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  • DOI: https://doi.org/10.1007/s10029-021-02411-x

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