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External Validation of the COMI-Hernia Score and Establishing Minimal Important Difference for Assessing Postoperative Quality of Life Following Inguinal Hernia Repair.


ABSTRACT:

Background

Inguinal hernia repair significantly affects patient quality of life and healthcare costs. The systematic assessment of patient-reported outcomes (PROs) emphasizes the importance of valid and responsive measurement tools.

Objective

To externally validate the Core Outcome Measure Index for hernia surgery (COMI-Hernia) and determine its Minimal Important Difference (MID) using an anchor-based approach.

Methods

Data from 240 patients who underwent inguinal hernia repair between 2018 and 2020 were analyzed (Asklepios Klinik Langen, Germany). The patients completed the COMI-Hernia questionnaire preoperatively and at multiple postoperative intervals (up to 24 months). Reliability, construct validity, and responsiveness were assessed, and MID values were calculate

SUBMITTER: Nazemi F 

PROVIDER: S-EPMC12727379 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature