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Nearly 80% of patients presenting with a ventral hernia have modifiable risk factors such as obesity, poor fitness, smoking, and poorly controlled diabetes mellitus.1 Preoperative risk-reduction programs have been shown to be effective in behavior modification. However, generalizability of these outcomes to underserved patients may be hindered by unrecognized barriers.2 The aim of this study was to identify patient-reported barriers to successful implementation of a preoperative risk-reduction program at a safety-net hospital.
Henchcliffe BE, Holihan JL, Flores-Gonzalez JR, Mitchell TO, Ko TC, Kao LS, Liang MK. Barriers to Participation in Preoperative Risk-Reduction Programs Prior to Ventral Hernia RepairAn Assessment of Underserved Patients at a Safety-Net Hospital. JAMA Surg. 2016;151(5):488-490. doi:10.1001/jamasurg.2015.4452