Bruce Ramshaw, at Advanced Hernia Solutions in Daytona Beach, FL, believes there are two reasons for this. First, these procedures often fail to receive the kind of rigorous analysis and review that others do. For example, there are dozens of kinds of mesh that can be used, but there is no clear evidence as to which type of mesh works best for which kind of patient. Some varieties of mesh have been in use for decades without ever having to demonstrate clinical efficacy, in that they were grandfathered from approval by the FDA.
Second, there has been little effort to apply the use of effective teams to deliver person-centered care in this arena. He notes:
Person-centered care is embodied by care teams, with the person who is the patient and family at the center, and with the care team all working for the best interest of the patient, learning and improving to provide value for the patient and for the overall system.