{"id":"https://openalex.org/W2508529705","doi":null,"title":"The Effect of an Individualized Education Intervention versus Usual Care on Pain following Ambulatory Inguinal Hernia Repair","display_name":"The Effect of an Individualized Education Intervention versus Usual Care on Pain following Ambulatory Inguinal Hernia Repair","publication_year":2012,"publication_date":"2012-12-19","ids":{"openalex":"https://openalex.org/W2508529705","mag":"2508529705"},"language":"en","primary_location":{"id":"pmh:oai:utoronto.scholaris.ca:1807/34877","doi":null,"is_oa":true,"landing_page_url":"http://hdl.handle.net/1807/34877","pdf_url":"https://utoronto.scholaris.ca/bitstreams/393607c3-e378-4577-9ef5-31d7a11bb132/download","source":{"id":"https://openalex.org/S4306400261","display_name":"TSpace (University of Toronto)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I185261750","host_organization_name":"University of Toronto","host_organization_lineage":["https://openalex.org/I185261750"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Thesis"},"volume":null,"type":"dissertation","is_traditional":true,"indexed_in":[],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://utoronto.scholaris.ca/bitstreams/393607c3-e378-4577-9ef5-31d7a11bb132/download","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5071665398","display_name":"Monakshi Sawhney","orcid":"https://orcid.org/0000-0001-5399-1715","observed_orcids":["https://orcid.org/0000-0001-5399-1715"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Monakshi Sawhney","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5071665398"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10961","display_name":"Hernia repair and management","score":0.4507000148296356,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10961","display_name":"Hernia repair and management","score":0.4507000148296356,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10189","display_name":"Anesthesia and Pain Management","score":0.4390000104904175,"subfield":{"id":"https://openalex.org/subfields/2703","display_name":"Anesthesiology and Pain Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11292","display_name":"Pediatric Pain Management Techniques","score":0.0560000017285347,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/inguinal-hernia-repair","display_name":"inguinal hernia repair","score":0.9950000047683716},{"id":"https://openalex.org/keywords/postoperative-pain","display_name":"postoperative pain","score":0.8450000286102295},{"id":"https://openalex.org/keywords/outpatient-surgery","display_name":"outpatient surgery","score":0.8199999928474426},{"id":"https://openalex.org/keywords/patient-education","display_name":"patient education","score":0.7149999737739563},{"id":"https://openalex.org/keywords/pain-management","display_name":"pain management","score":0.5879999995231628},{"id":"https://openalex.org/keywords/opioid-use","display_name":"opioid use","score":0.7870000004768372},{"id":"https://openalex.org/keywords/telephone-support","display_name":"telephone support","score":0.7310000061988831},{"id":"https://openalex.org/keywords/pain-interference","display_name":"pain interference","score":0.7049999833106995},{"id":"https://openalex.org/keywords/constipation","display_name":"constipation","score":0.8859999775886536},{"id":"https://openalex.org/keywords/pre-admission-clinic","display_name":"pre-admission clinic","score":0.7609999775886536},{"id":"https://openalex.org/keywords/usual-care-comparison","display_name":"usual care comparison","score":0.546999990940094},{"id":"https://openalex.org/keywords/pain-quality","display_name":"pain quality","score":0.8220000267028809},{"id":"https://openalex.org/keywords/adverse-effects","display_name":"adverse effects","score":0.6589999794960022}],"concepts":[{"id":"https://openalex.org/C35785553","wikidata":"https://www.wikidata.org/wiki/Q756720","display_name":"Ambulatory","level":2,"score":0.8168123960494995},{"id":"https://openalex.org/C2781132756","wikidata":"https://www.wikidata.org/wiki/Q1144039","display_name":"Inguinal hernia","level":3,"score":0.7957489490509033},{"id":"https://openalex.org/C2780665704","wikidata":"https://www.wikidata.org/wiki/Q959298","display_name":"Intervention (counseling)","level":2,"score":0.641218364238739},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6378542184829712},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.5179144740104675},{"id":"https://openalex.org/C2776724281","wikidata":"https://www.wikidata.org/wiki/Q2531594","display_name":"Hernia repair","level":3,"score":0.4636818766593933},{"id":"https://openalex.org/C61434518","wikidata":"https://www.wikidata.org/wiki/Q932510","display_name":"General surgery","level":1,"score":0.36805206537246704},{"id":"https://openalex.org/C2779096551","wikidata":"https://www.wikidata.org/wiki/Q133076","display_name":"Hernia","level":2,"score":0.345802903175354},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.2505580484867096},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.231766015291214}],"mesh":[],"locations_count":3,"locations":[{"id":"pmh:oai:utoronto.scholaris.ca:1807/34877","doi":null,"is_oa":true,"landing_page_url":"http://hdl.handle.net/1807/34877","pdf_url":"https://utoronto.scholaris.ca/bitstreams/393607c3-e378-4577-9ef5-31d7a11bb132/download","source":{"id":"https://openalex.org/S4306400261","display_name":"TSpace (University of Toronto)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I185261750","host_organization_name":"University of Toronto","host_organization_lineage":["https://openalex.org/I185261750"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Thesis"},{"id":"pmh:oai:collectionscanada.gc.ca:OTU.1807/34877","doi":null,"is_oa":false,"landing_page_url":"http://hdl.handle.net/1807/34877","pdf_url":null,"source":{"id":"https://openalex.org/S4306402307","display_name":"Library and Archives Canada (Government of Canada)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I2802286613","host_organization_name":"Government of Canada","host_organization_lineage":["https://openalex.org/I2802286613"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"","raw_type":"Thesis"},{"id":"mag:2508529705","doi":null,"is_oa":false,"landing_page_url":"https://tspace.library.utoronto.ca/handle/1807/34877","pdf_url":null,"source":null,"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":null}],"best_oa_location":{"id":"pmh:oai:utoronto.scholaris.ca:1807/34877","doi":null,"is_oa":true,"landing_page_url":"http://hdl.handle.net/1807/34877","pdf_url":"https://utoronto.scholaris.ca/bitstreams/393607c3-e378-4577-9ef5-31d7a11bb132/download","source":{"id":"https://openalex.org/S4306400261","display_name":"TSpace (University of Toronto)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I185261750","host_organization_name":"University of Toronto","host_organization_lineage":["https://openalex.org/I185261750"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Thesis"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/randomized-controlled-trial","display_name":"Randomized Controlled Trial"},{"id":"https://openalex.org/study-designs/clinical-trial","display_name":"Clinical Trial"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320322015","display_name":"University of Toronto","ror":"https://ror.org/03dbr7087"}],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W2508529705.pdf","grobid_xml":"https://content.openalex.org/works/W2508529705.grobid-xml"},"referenced_works_count":61,"referenced_works":["https://openalex.org/W87452813","https://openalex.org/W1493383013","https://openalex.org/W1510659538","https://openalex.org/W1547322246","https://openalex.org/W1883044208","https://openalex.org/W1964647709","https://openalex.org/W1964923475","https://openalex.org/W1965071496","https://openalex.org/W1969330752","https://openalex.org/W1976348981","https://openalex.org/W1978878970","https://openalex.org/W1979980522","https://openalex.org/W1981461947","https://openalex.org/W1985190510","https://openalex.org/W1988644015","https://openalex.org/W1993708784","https://openalex.org/W1994171421","https://openalex.org/W1997484220","https://openalex.org/W2001543143","https://openalex.org/W2007682689","https://openalex.org/W2007821092","https://openalex.org/W2010884418","https://openalex.org/W2013145400","https://openalex.org/W2014779151","https://openalex.org/W2014875510","https://openalex.org/W2016397527","https://openalex.org/W2030909463","https://openalex.org/W2032320899","https://openalex.org/W2040120842","https://openalex.org/W2042448466","https://openalex.org/W2056950796","https://openalex.org/W2063269386","https://openalex.org/W2064295454","https://openalex.org/W2064475745","https://openalex.org/W2065043188","https://openalex.org/W2075091924","https://openalex.org/W2078541212","https://openalex.org/W2082072868","https://openalex.org/W2082455822","https://openalex.org/W2088412175","https://openalex.org/W2088802705","https://openalex.org/W2095887222","https://openalex.org/W2100697513","https://openalex.org/W2101836458","https://openalex.org/W2110235567","https://openalex.org/W2112307201","https://openalex.org/W2112458858","https://openalex.org/W2130229455","https://openalex.org/W2133316133","https://openalex.org/W2135685517","https://openalex.org/W2135936287","https://openalex.org/W2138407894","https://openalex.org/W2151023292","https://openalex.org/W2152763689","https://openalex.org/W2165576095","https://openalex.org/W2188470738","https://openalex.org/W2488387168","https://openalex.org/W2548931951","https://openalex.org/W2948965307","https://openalex.org/W2983153652","https://openalex.org/W4322701384"],"related_works":["https://openalex.org/W2656219854","https://openalex.org/W1991730019","https://openalex.org/W1595582709","https://openalex.org/W2766021722","https://openalex.org/W4410616702","https://openalex.org/W3195159659","https://openalex.org/W4406755876","https://openalex.org/W1975509588","https://openalex.org/W4391231274","https://openalex.org/W2088249150"],"abstract_inverted_index":{"Inguinal":[0],"hernia":[1],"repair":[2],"(IHR)":[3],"is":[4],"a":[5,83,327],"common":[6],"ambulatory":[7,34,60],"surgery":[8,101],"procedure":[9],"performed":[10],"in":[11,76,266],"Canada,":[12],"after":[13,105],"which":[14],"many":[15],"patients":[16,40,57],"experience":[17],"moderate":[18],"to":[19,30,67,91,316,319,322],"severe":[20],"pain.":[21],"Limited":[22],"research":[23],"has":[24],"been":[25],"found":[26],"that":[27],"examines":[28],"interventions":[29],"reduce":[31],"pain":[32,87,114,125,135,160,166,179,190,270,285],"following":[33,58],"surgery,":[35],"and":[36,88,95,102,129,139,146,202,304],"none":[37],"specifically":[38],"for":[39,56,158,220,324],"undergoing":[41],"IHR.":[42],"This":[43],"trial":[44],"evaluated":[45],"the":[46,69,77,151,221,227,236,269,280,291,320],"effectiveness":[47],"of":[48,268,279,330],"an":[49],"individualized":[50],"Hernia":[51],"Repair":[52],"Education":[53],"Intervention":[54],"(HREI)":[55],"this":[59],"surgery.":[61],"Participants":[62],"(N=":[63],"82)":[64],"were":[65,224,263],"randomized":[66],"either":[68],"intervention":[70,152,222,246,306,321],"or":[71,271],"usual":[72,228],"care":[73,229],"group":[74,153,223,230,247],"pre-operatively":[75],"pre-admission":[78],"clinic.":[79],"The":[80,107,245],"HREI":[81],"included":[82,124],"booklet":[84],"about":[85],"managing":[86],"face-to-face":[89],"session":[90],"discuss":[92],"its":[93],"content,":[94],"two":[96],"telephone":[97],"support":[98],"calls":[99],"(before":[100],"24":[103,112,177],"hours":[104],"surgery).":[106],"primary":[108],"outcome":[109],"was":[110,290,307],"WORST":[111,164,176],"hour":[113],"intensity":[115,126,161],"on":[116,118,167,203,214,252,274,300],"movement":[117,168,204],"post-operative":[119,143,310],"day":[120,149,215,253,275,287,311],"2.":[121],"Secondary":[122],"outcomes":[123,273,325],"at":[127,142,180,192,286,309],"rest":[128,181,193],"movement,":[130],"pain\u2013related":[131],"interference":[132,218,272],"with":[133,235],"activities,":[134],"quality,":[136],"analgesics":[137],"taken,":[138],"adverse":[140,292],"effects":[141],"days":[144,302],"2":[145,254,303,312],"7.":[147,288],"At":[148],"2,":[150,216],"reported":[154,283],"significantly":[155,233,249],"lower":[156,225],"scores":[157,219],"all":[159],"outcomes,":[162],"including":[163],"24hr":[165],"(t":[169,182,194,205,239,255],"(df)":[170,183,195,206,240,256],"=":[171,184,196,200,207,211,241,257],"4.7":[172],"(73),":[173,186,198,209,243,259],"p<":[174],"0.001),":[175,189],"hr":[178],"3.8":[185],"p":[187,199,210],"<":[188],"NOW":[191],"3.3":[197],"0.001)":[201],"3.4":[208],"0.001).":[212],"Also":[213],"pain-related":[217],"than":[226],"but":[231,313],"not":[232],"different":[234],"bonferroini":[237],"correction":[238],"2.1":[242],"p=0.04).":[244],"took":[248],"fewer":[250],"opioids":[251],"3.0":[258],"p=0.004).":[260],"Although":[261],"there":[262],"no":[264],"differences":[265],"any":[267],"7,":[276],"36%":[277],"(n=26)":[278],"total":[281],"sample":[282],"moderate-severe":[284],"Constipation":[289],"effect":[293],"identified":[294],"most":[295],"often,":[296],"by":[297],"both":[298,301],"groups,":[299],"7.This":[305],"effective":[308],"revisions":[314],"need":[315],"be":[317],"made":[318],"assess":[323],"over":[326],"longer":[328],"period":[329],"time.":[331]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-09-16T00:00:00"}