Welcome to the AHS 2020 ePoster Session. Please scroll down to view all of the submitted posters or press Control-F to search. To view the poster and its abstract, click on the poster image. Many posters also have a brief audio introduction which can be played by going to the bottom of the poster screen.
P012: TARGETED LITERATURE REVIEW OF ECONOMIC OUTCOMES ASSOCIATED WITH PROPHYLACTIC MESH FOR THE PREVENTION OF INCISIONAL AND PARASTOMAL HERNIA
Mia Weiss; Smeet Gala; Ishani Mathur; Ramsey Samy; Erik Erdal; Debbie Tripodi; David Dawson; BD
Background: Patients undergoing abdominal surgeries are at risk for incisional hernias (IH), including parastomal hernias (PSH) and other complications associated with significant costs. Prophylactic mesh use may prevent hernias, avoiding additional costs. However, a comprehensive review of economic outcomes associated with prophylactic mesh is lacking.
Objectives: To evaluate economic outcomes associated with prophylactic mesh usage in abdominal surgeries.
Methods: We performed a literature search using PubMed, Embase, and Cochrane Central Register of Controlled Trials (CENTRAL) (2008 – 2018).
Results: Seven studies assessed economic outcomes associated with prophylactic mesh. Five studies focused on stoma creation and 2 on other laparotomies. One study found that utilizing a decision algorithm to identify prophylactic mesh candidates among patients at high IH-risk was associated with significantly lower IH-rates [10.0% vs. 43.9% (p = 0.0001)] and fewer costs [$12,038 vs. $13,072] vs. no-algorithm use. In another study, a cost-utility analysis determined that mesh closure in patients at high IH-risk was cost-effective vs. no-mesh. Two more studies assessed economic outcomes associated with prophylactic mesh usage during stoma creation and showed no significant effect on overall costs, and cost-effectiveness given specific parastomal hernia rates. Furthermore, three economic models demonstrated that mesh use during stoma creation was cost-effective within specific parameters vs. no-mesh.
Conclusion: Utilizing prophylactic mesh to prevent IH and PSH may be cost-effective within certain parameters. This knowledge could be helpful to healthcare decision-makers in determining treatment.
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