{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,19]],"date-time":"2026-03-19T04:29:05Z","timestamp":1773894545799,"version":"3.50.1"},"reference-count":25,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T00:00:00Z","timestamp":1764115200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000133","name":"Agency for Healthcare Research and Quality","doi-asserted-by":"publisher","award":["HS029874"],"award-info":[{"award-number":["HS029874"]}],"id":[{"id":"10.13039\/100000133","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["K76AG068515"],"award-info":[{"award-number":["K76AG068515"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>For older adults to decide whether inguinal hernia repair will meaningfully improve their lives, it is critical to (1) understand how the operation affects them and whether it enhances outcomes that matter to them, and (2) identify ways to improve how surgeons discuss the benefits of surgery and how they prepare older adults for postoperative recovery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted semi\u2010structured interviews with 40 Veterans \u2265\u200965\u2009years old who had inguinal hernia repair at two high\u2010volume Veterans Affairs hospitals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Participants were all men; their mean age was 73\u2009years, 65% were White, and 33% were Black. Older adults felt that the surgical team provided excellent reassurance regarding the safety and efficacy of surgery but expressed a desire for improved listening during preoperative counseling and for clearer communication regarding the reality of postoperative recovery. Veterans reported a return to baseline physical and cognitive function between 2\u2009days and 6\u2009weeks after surgery, though two Veterans experienced significant short\u2010term cognitive dysfunction. Those who reported dissatisfaction with preoperative communication were more likely to be surprised or concerned about postoperative symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our study provides critical information on how hernia repair affects the lives of older adults, and this can be used to better prepare the patients for surgery and to help them decide whether surgery will meaningfully enhance their quality of life.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.70216","type":"journal-article","created":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T13:30:47Z","timestamp":1764163847000},"page":"177-185","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Learning How Preoperative Communication Relates to Postoperative Experiences for Older Veterans Having Inguinal Hernia Surgery"],"prefix":"10.1111","volume":"74","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-9638-4266","authenticated-orcid":false,"given":"Melissa A.","family":"Thornton","sequence":"first","affiliation":[{"name":"Department of Surgery University of Texas Southwestern Medical Center  Dallas Texas USA"},{"name":"VA North Texas Health Care System  Dallas Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elisa L.","family":"Marten","sequence":"additional","affiliation":[{"name":"Wisconsin Surgical Outcomes Research  Madison Wisconsin USA"},{"name":"William S. Middleton Memorial VA Hospital  Madison Wisconsin USA"},{"name":"Department of Surgery University of Wisconsin\u2010Madison SMPH  Madison Wisconsin USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicole","family":"Lunardi","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Texas Southwestern Medical Center  Dallas Texas USA"},{"name":"VA North Texas Health Care System  Dallas Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Don","family":"Mai","sequence":"additional","affiliation":[{"name":"William S. Middleton Memorial VA Hospital  Madison Wisconsin USA"},{"name":"Department of Surgery University of Wisconsin\u2010Madison SMPH  Madison Wisconsin USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cameron","family":"Macdonald","sequence":"additional","affiliation":[{"name":"Qualitative Health Research Consultants, LLC  Madison Wisconsin USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jocelyn G.","family":"Baker","sequence":"additional","affiliation":[{"name":"Qualitative Health Research Consultants, LLC  Madison Wisconsin USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ava","family":"Hitzeman","sequence":"additional","affiliation":[{"name":"Qualitative Health Research Consultants, LLC  Madison Wisconsin USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Celette Sugg","family":"Skinner","sequence":"additional","affiliation":[{"name":"Peter O'Donnell Jr. School of Public Health University of Texas Southwestern Medical Center  Dallas Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1629-5507","authenticated-orcid":false,"given":"Cynthia J.","family":"Brown","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Louisiana State University School of Medicine  New Orleans Louisiana USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miles","family":"Berger","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Stanford University  Palo Alto California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6345-1237","authenticated-orcid":false,"given":"Simon Craddock","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Population Health University of Kansas Medical Center  Kansas City Kansas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C. Munro","family":"Cullum","sequence":"additional","affiliation":[{"name":"Department of Psychiatry University of Texas Southwestern Medical Center  Dallas Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Konstantinos I.","family":"Makris","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Louisiana State University School of Medicine  New Orleans Louisiana USA"},{"name":"Department of Surgery Baylor College of Medicine  Houston Texas USA"},{"name":"Michael E. DeBakey Veterans Medical Center  Houston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thai H.","family":"Pham","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Texas Southwestern Medical Center  Dallas Texas USA"},{"name":"VA North Texas Health Care System  Dallas Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6936-7984","authenticated-orcid":false,"given":"Aanand","family":"Naik","sequence":"additional","affiliation":[{"name":"Division of Geriatric Medicine University of Texas Health Science Center  Houston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victoria","family":"Tang","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine University of Texas Health Science Center  Houston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Courtney J.","family":"Balentine","sequence":"additional","affiliation":[{"name":"Wisconsin Surgical Outcomes Research  Madison Wisconsin USA"},{"name":"William S. Middleton Memorial VA Hospital  Madison Wisconsin USA"},{"name":"Department of Surgery University of Wisconsin\u2010Madison SMPH  Madison Wisconsin USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,11,26]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"U.S. Department of Health and Human Services National Institutes of Health National Institute of Diabetes and Digestive and Kidney Diseases \u201cDigestive diseases statistics for the United States \u201daccessed November 16 2012 http:\/\/digestive.niddk.nih.gov\/statistics\/Digestive_Disease_Stats_508.pdf."},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp1109283"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa040093"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2014.09.021"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2020.08.054"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2021.01.026"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2022.6616"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10029\u2010016\u20101465\u2010y"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2022.07.022"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1037\/0278\u20106133.23.4.381"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/annonc\/mdw266"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD008646.pub2"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0000000000000388"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732305276687"},{"key":"e_1_2_11_17_1","unstructured":"NVivo by Lumivero Release 1.7.2 version 1 2020."},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2023.2574"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2023.3340"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2023.3476"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2023.3650"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2025.1061"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1177\/0272989X231164142"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.currproblcancer.2005.12.001"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2021.09.022"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10029\u2010021\u201002377\u2010w"}],"container-title":["Journal of the American Geriatrics Society"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jgs.70216","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T18:23:19Z","timestamp":1767723799000},"score":1,"resource":{"primary":{"URL":"https:\/\/agsjournals.onlinelibrary.wiley.com\/doi\/10.1111\/jgs.70216"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,26]]},"references-count":25,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1111\/jgs.70216"],"URL":"https:\/\/doi.org\/10.1111\/jgs.70216","archive":["Portico"],"relation":{},"ISSN":["0002-8614","1532-5415"],"issn-type":[{"value":"0002-8614","type":"print"},{"value":"1532-5415","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,11,26]]},"assertion":[{"value":"2025-07-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-08","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-26","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}