학술논문
META Score: An International Consensus Scoring System on Mesh-Tissue Adhesions.
Document Type
Article
Author
van den Hil, L. C. L.; Mommers, E. H. H.; Bosmans, J. W. A. M.; Morales-Conde, S.; Gómez-Gil, V.; LeBlanc, K.; Vanlander, A.; Reynvoet, E.; Berrevoet, F.; Gruber-Blum, S.; Altinli, E.; Deeken, C. R.; Fortelny, R. H.; Greve, J. W.; Chiers, K.; Kaufmann, R.; Lange, J. F.; Klinge, U.; Miserez, M.; Petter-Puchner, A. H.
Source
Subject
*ADHESION
*TISSUE adhesions
*DELPHI method
*HERNIA surgery
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Language
ISSN
0364-2313
Abstract
Background: Currently, the lack of consensus on postoperative mesh-tissue adhesion scoring leads to incomparable scientific results. The aim of this study was to develop an adhesion score recognized by experts in the field of hernia surgery. Methods: Authors of three or more previously published articles on both mesh-tissue adhesion scores and postoperative adhesions were marked as experts. They were queried on seven items using a modified Delphi method. The items concerned the utility of adhesion scoring models, the appropriateness of macroscopic and microscopic variables, the range and use of composite scores or subscores, adhesion-related complications and follow-up length. This study comprised two questionnaire-based rounds and one consensus meeting. Results: The first round was completed by 23 experts (82%), the second round by 18 experts (64%). Of those 18 experts, ten were able to participate in the final consensus meeting and all approved the final proposal. From a total of 158 items, consensus was reached on 90 items. The amount of mesh surface covered with adhesions, tenacity and thickness of adhesions and organ involvement was concluded to be a minimal set of variables to be communicated separately in each future study on mesh adhesions. Conclusion: The MEsh Tissue Adhesion scoring system is the first consensus-based scoring system with a wide backing of renowned experts and can be used to assess mesh-related adhesions. By including this minimal set of variables in future research interstudy comparability and objectivity can be increased and eventually linked to clinically relevant outcomes. [ABSTRACT FROM AUTHOR]