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Research Letter
May 2016

Barriers to Participation in Preoperative Risk-Reduction Programs Prior to Ventral Hernia RepairAn Assessment of Underserved Patients at a Safety-Net Hospital

Author Affiliations
  • 1Department of Surgery, University of Texas Health Science Center at Houston
JAMA Surg. 2016;151(5):488-490. doi:10.1001/jamasurg.2015.4452

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.

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