title: Increased rate of day surgery use for inguinal and femoral hernia repair in a decade of hospital admissions in the Veneto Region (north-east Italy): a record linkage study.
abstract: BACKGROUND
  Worldwide, there has been a marked increase in the number of inguinal and femoral hernia repairs performed as day surgery procedures. This study aimed to outline the epidemiology of the procedures for repairing unilateral inguinal and femoral hernia in the Veneto Region, and to analyze the time trends and organizational appropriateness of these procedures.
  
  
  METHODS
  Drawing from the anonymous computerized database of hospital discharge records for the Veneto Region, we identified all unilateral groin hernia repair procedures completed in Veneto residents between 2000 and 2009 at both public and accredited private hospitals.
  
  
  RESULTS
  A total 141,329 hernias were repaired in the Veneto Region during the decade considered, with an annual rate of 291.2 per 100,000 population for inguinal hernia (IH) repairs and 11.2 per 100,000 population for femoral hernia (FH) repairs. Day surgery was used more for inguinal than for femoral hernia repairs, accounting for 76% and 43% (p< 0.05), respectively, of all hernia repair procedures completed during the period. The % of other than surgery hospital ordinary admissions (day surgery or ambulatory surgery) during the decade considered rose from 61.7% to 86.7% for IH and from 33.0% to 61.8% for FH.
  
  
  CONCLUSIONS
  In the last decade, the Veneto Region has reduced the rate of ordinary hospital admissions for groin hernia repair with a view to improving the efficiency of the hospital network.
authors.affiliation: Department of Molecular Medicine, Laboratory of Public Health and Population Studies, University of Padova, Padova, Via Loredan 18 35127 Italy. alessandra.buja@unipd.it.
authors.forename: Mario
authors.initials: M
authors.lastname: Saia
authors.forename: Domenico
authors.initials: D
authors.lastname: Mantoan
authors.forename: Alessandra
authors.initials: A
authors.lastname: Buja
authors.forename: Chiara
authors.initials: C
authors.lastname: Bertoncello
authors.forename: Tatjana
authors.initials: T
authors.lastname: Baldovin
authors.forename: Chiara
authors.initials: C
authors.lastname: Zanardo
authors.forename: Giampietro
authors.initials: G
authors.lastname: Callegaro
authors.forename: Vincenzo
authors.initials: V
authors.lastname: Baldo
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D000556:Ambulatory Surgical Procedures / Q000706:statistics & numerical data*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006550:Hernia, Femoral / Q000601:surgery*; D006552:Hernia, Inguinal / Q000601:surgery*; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007558:Italy / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D012737:Sex Factors; D055815:Young Adult
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