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RETention of urine After INguinal hernia Elective Repair (RETAINER study I and II)

PURPOSE: Post-operative urinary retention (POUR) is a well-recognised complication of inguinal hernia repair (IHR). The magnitude of the problem is unclear, and contradictory evidence surrounds postulated risk factors. POUR risks patient distress, catheter-complications and a financial and logistica...

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Autores principales: Croghan, Stefanie M., Fleming, Christina A., Mohan, Helen M., Harji, Deena, Bolger, Jarlath C., Elliott, Jessie A., Boland, Michael, Lonergan, Peter E., Dillon, Patrick, Quinlan, David M., Winter, Des C.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: IJS Publishing Group 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8114841/
https://www.ncbi.nlm.nih.gov/pubmed/34013144
http://dx.doi.org/10.29337/ijsp.137
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author Croghan, Stefanie M.
Fleming, Christina A.
Mohan, Helen M.
Harji, Deena
Bolger, Jarlath C.
Elliott, Jessie A.
Boland, Michael
Lonergan, Peter E.
Dillon, Patrick
Quinlan, David M.
Winter, Des C.
author_facet Croghan, Stefanie M.
Fleming, Christina A.
Mohan, Helen M.
Harji, Deena
Bolger, Jarlath C.
Elliott, Jessie A.
Boland, Michael
Lonergan, Peter E.
Dillon, Patrick
Quinlan, David M.
Winter, Des C.
collection PubMed
description PURPOSE: Post-operative urinary retention (POUR) is a well-recognised complication of inguinal hernia repair (IHR). The magnitude of the problem is unclear, and contradictory evidence surrounds postulated risk factors. POUR risks patient distress, catheter-complications and a financial and logistical burden to services. Separately, in the field of IHR, there has been a lack of research into patients’ perceptions of surgical ‘success’. Our aim is to perform a two-phase, multi-centre prospective study to: 1. Assess the rate, risk factors and impact related to POUR post IH repair. 2. Develop and validate a patient reported outcome measure (PROM) for inguinal hernia repair. METHODS: RETAINER I: We propose a 24-week prospective study with voluntary international participation in 4 week blocks. All patients undergoing elective IH repair (minimally-invasive/open) will be eligible. Standardised data collection will include patient and perioperative factors. Primary outcome will be development of POUR, defined as the need for insertion of a urinary catheter as determined by the treating clinician. Secondary outcomes will be identification of factors predisposing to POUR and the impact of POUR. RETAINER II: A patient reported outcome measure will be developed using representative patient focus groups for item generation, from which an initial questionnaire will be developed and piloted. Validity, reliability, sensitivity and reproducibility will be assessed using the QQ-10 and standard psychometric methodology. CONCLUSIONS: Using an international multicentre collaborative approach will produce the necessary volume of patients, whilst capturing inter-centre variability, to accurately reflect POUR rates and allow analysis of risk factors. This patient pool will provide an excellent opportunity to develop a PROM using appropriate qualitative methodology. HIGHLIGHTS: RETAINER I & II PROTOCOLS: RETAINER (RETention of urine After INguinal hernia Elective Repair) I is a prospective, multicentre, international observational study. RETAINER I aims to explore the incidence of and risk factors for urinary retention following elective inguinal hernia repair. Urinary retention following inguinal hernia repair has a marked impact on patients and creates a significant financial and logistical burden for hospital services. RETAINER II is a prospective, qualitative study, recruiting patients to guide the creation of a patient-reported outcome measure (PROM) for elective inguinal hernia repair.
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spelling pubmed-81148412021-05-18 RETention of urine After INguinal hernia Elective Repair (RETAINER study I and II) Croghan, Stefanie M. Fleming, Christina A. Mohan, Helen M. Harji, Deena Bolger, Jarlath C. Elliott, Jessie A. Boland, Michael Lonergan, Peter E. Dillon, Patrick Quinlan, David M. Winter, Des C. Int J Surg Protoc Protocol PURPOSE: Post-operative urinary retention (POUR) is a well-recognised complication of inguinal hernia repair (IHR). The magnitude of the problem is unclear, and contradictory evidence surrounds postulated risk factors. POUR risks patient distress, catheter-complications and a financial and logistical burden to services. Separately, in the field of IHR, there has been a lack of research into patients’ perceptions of surgical ‘success’. Our aim is to perform a two-phase, multi-centre prospective study to: 1. Assess the rate, risk factors and impact related to POUR post IH repair. 2. Develop and validate a patient reported outcome measure (PROM) for inguinal hernia repair. METHODS: RETAINER I: We propose a 24-week prospective study with voluntary international participation in 4 week blocks. All patients undergoing elective IH repair (minimally-invasive/open) will be eligible. Standardised data collection will include patient and perioperative factors. Primary outcome will be development of POUR, defined as the need for insertion of a urinary catheter as determined by the treating clinician. Secondary outcomes will be identification of factors predisposing to POUR and the impact of POUR. RETAINER II: A patient reported outcome measure will be developed using representative patient focus groups for item generation, from which an initial questionnaire will be developed and piloted. Validity, reliability, sensitivity and reproducibility will be assessed using the QQ-10 and standard psychometric methodology. CONCLUSIONS: Using an international multicentre collaborative approach will produce the necessary volume of patients, whilst capturing inter-centre variability, to accurately reflect POUR rates and allow analysis of risk factors. This patient pool will provide an excellent opportunity to develop a PROM using appropriate qualitative methodology. HIGHLIGHTS: RETAINER I & II PROTOCOLS: RETAINER (RETention of urine After INguinal hernia Elective Repair) I is a prospective, multicentre, international observational study. RETAINER I aims to explore the incidence of and risk factors for urinary retention following elective inguinal hernia repair. Urinary retention following inguinal hernia repair has a marked impact on patients and creates a significant financial and logistical burden for hospital services. RETAINER II is a prospective, qualitative study, recruiting patients to guide the creation of a patient-reported outcome measure (PROM) for elective inguinal hernia repair. IJS Publishing Group 2021-04-23 /pmc/articles/PMC8114841/ /pubmed/34013144 http://dx.doi.org/10.29337/ijsp.137 Text en Copyright: © 2021 The Author(s) https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/licenses/by/4.0/.
spellingShingle Protocol
Croghan, Stefanie M.
Fleming, Christina A.
Mohan, Helen M.
Harji, Deena
Bolger, Jarlath C.
Elliott, Jessie A.
Boland, Michael
Lonergan, Peter E.
Dillon, Patrick
Quinlan, David M.
Winter, Des C.
RETention of urine After INguinal hernia Elective Repair (RETAINER study I and II)
title RETention of urine After INguinal hernia Elective Repair (RETAINER study I and II)
title_full RETention of urine After INguinal hernia Elective Repair (RETAINER study I and II)
title_fullStr RETention of urine After INguinal hernia Elective Repair (RETAINER study I and II)
title_full_unstemmed RETention of urine After INguinal hernia Elective Repair (RETAINER study I and II)
title_short RETention of urine After INguinal hernia Elective Repair (RETAINER study I and II)
title_sort retention of urine after inguinal hernia elective repair (retainer study i and ii)
topic Protocol
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8114841/
https://www.ncbi.nlm.nih.gov/pubmed/34013144
http://dx.doi.org/10.29337/ijsp.137
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