Surgical Outcomes: The Importance of Surgeon-Kept Data in Hernia Care

  • Nicholas H. Carter
  • Richard A. PierceEmail author


Wide variation in inguinal hernia management remains the rule. Recent decades have seen increased diversity of techniques and materials for hernia repair. The need for data-driven evaluation of various strategies for hernia management has never been greater. Historically, landmark studies of hernia care have relied on surgeon-researchers to collect their own prospective data using federally supported research infrastructure. Modern databases such as the American College of Surgeons National Surgical Quality Improvement Database (ACS NSQIP) and Veteran Affairs Surgical Quality Improvement Database (VASQIP) do not capture hernia-specific outcomes such as recurrence or chronic pain and report postoperative complications only within a 30-day interval. National and international databases in Europe have demonstrated success in collecting hernia-specific data to drive quality improvement. The Americas Hernia Society Quality Collaborative (AHSQC) promises to help shift long-term data collection away from overburdened individual providers and to promote standardized, detailed metrics relevant to hernia patients to expand our knowledge regarding best practices in hernia management.


Americas Hernia Society Quality Collaborative (AHSQC) American College of Surgeons National Surgical Quality Improvement Database (ACS NSQIP) EuraHS Herniamed Veteran Affairs Surgical Quality Improvement Database (VASQIP) 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of SurgeryVanderbilt University Medical CenterNashvilleUSA

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