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Cited by 28

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Prospective Assessment of the Abdominal Hernia‐Q (AHQ)‐Patient Burden, Reliability, and Longitudinal Assessment of Quality of Life in Hernia Repair

Patel, Viren, Cunning, Jessica R., Rios-Diaz, Arturo J., Mauch, Jaclyn T., Nathan, Shelby L., Messa, Charles A., Whitely, Cutler B., Kozak, Geoffrey M., Broach, Robyn B., Fischer, John P.·2022·Annals of Surgery
DOI 10.1097/sla.0000000000004713
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Abstract

Objective: This study assesses the user burden, reliability, and longitudinal validity of the AHQ, a novel VH patient-reported outcomes measure (PROM). Background: We developed and psychometrically validated the AHQ as the first VH-specific, stakeholder-informed PROM. Yet, there remains a need to assess the AHQ's clinical applicability and further validate its psychometric properties. Methods: To assess patient burden, pre- and postoperative patients were timed while completing the corresponding AHQ form. To measure test-retest reliability, a subset of patients completed the AHQ within a week of initial completion, and consecutive responses were correlated. Lastly, patients undergoing VH repair were prospectively administered the pre- and postoperative AHQ forms, the Hernia-Related Quality of Life Survey and the Short Form-12 both preoperatively and at postoperative intervals, up to over a year after surgery. Quality-of-Life scores were correlated from the 3 PROMs and effect sizes were compared using analysis of normal variance. Results: Median response times for the pre- and postoperative AHQ were 1.1 and 2.7 minutes, respectively. The AHQ demonstrates high test-retest reliability coefficients for pre- and postoperative instruments (r = 0.91, 0.89). The AHQ appropriately and proportionally measures expected changes following surgery and significantly correlates with all times points of the Hernia-Related Quality of Life Survey and Short Form-12 MS and 4/5 (80%) SF12-PS. Conclusion: The AHQ is a patient-informed, psychometrically-validated, clinical instrument for measuring, quantifying, and tracking PROMs in VH patients. The AHQ exhibits low response burden, excellent reliability, and effectively measures hernia-specific changes in quality-of-Life following ventral hernia repair.

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Metadata

Authors
Patel, V., Cunning, J. R., Rios-Diaz, A. J., Mauch, J. T., Nathan, S. L., Messa, C. A., Whitely, C. B., Kozak, G. M., Broach, R. B., & Fischer, J. P.
Affiliations
Division of Plastic Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, Pennsylvania
Venue
Annals of Surgery
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2020-12-29
Volume
276
Issue
6
Pages
1039-1046
ISSN
0003-4932
DOI
10.1097/sla.0000000000004713
Cited by
28
References
3
Language
en
Licence
creativecommons.org/licenses/by-nc-nd/4.0/%20http://creativecommons.org/licenses/by-nc-nd/4.0/ (unspecified)

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CoChat. (2026). Citation check: Prospective Assessment of the Abdominal Hernia‐Q (AHQ)‐Patient Burden, Reliability, and Longitudinal Assessment of Quality of Life in Hernia Repair. https://app.cochat.ai/papers/10.1097/sla.0000000000004713
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Patel, V., Cunning, J. R., Rios-Diaz, A. J., Mauch, J. T., Nathan, S. L., Messa, C. A., Whitely, C. B., Kozak, G. M., Broach, R. B., & Fischer, J. P. (2022). Prospective Assessment of the Abdominal Hernia‐Q (AHQ)‐Patient Burden, Reliability, and Longitudinal Assessment of Quality of Life in Hernia Repair. Annals of Surgery. https://doi.org/10.1097/sla.0000000000004713

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