Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Parastomal hernias causing symptoms or requiring surgical repair after colorectal cancer surgery - a national population-based cohort study
Umeå University, Faculty of Medicine, Department of Surgical and Perioperative Sciences. Sunderby Reasearch Unit, Umeå University, Luleå, Sweden.
2019 (English)In: International Journal of Colorectal Disease, ISSN 0179-1958, E-ISSN 1432-1262, Vol. 34, no 7, p. 1267-1272Article in journal (Refereed) Published
Abstract [en]

PurposeParastomal hernia is a complication with high morbidity that affects the patient's quality of life. The aim of this study was to assess the cumulative incidence of parastomal hernia in patients who have undergone colorectal cancer surgery and to identify potential risk factors that could predispose to the development of this type of hernia in a large population-based cohort over a long follow-up period.MethodsThe Swedish Colorectal Cancer Registry and the National Patient Register were used to collect study cohort data between January 2007 and September 2013. All patients undergoing colorectal cancer surgery including a permanent stoma were included in the study group.ResultsA total of 39,984 patients were registered during the study period. Of these, 7649 received a permanent stoma. Multivariate proportional hazard analysis, based on 6329 patients for whom all covariates could be retrieved, showed that the only independent risk factor for developing a parastomal hernia was BMI30 (HR 1.49; 95% CI 1.02-2.17; p<0.037). A slightly elevated hazard ratio was found for preoperative radiotherapy (HR 1.36; 95% CI 0.96-1.91; p<0.070). The cumulative incidence of patients diagnosed or surgically treated for parastomal hernia over a follow-up period of 5years was 7.7% (95% CI 6.1-9.2%).ConclusionsThe cumulative incidence of parastomal hernia causing symptoms or requiring surgery after 5years was at least 7.7%. Obesity increases the risk of developing parastomal hernia.

Place, publisher, year, edition, pages
Springer, 2019. Vol. 34, no 7, p. 1267-1272
Keywords [en]
Parastomal hernia, Colorectal cancer, Colorectal surgery, Obesity, Population-based, Enteostomy
National Category
Surgery Gastroenterology and Hepatology
Identifiers
URN: urn:nbn:se:umu:diva-161506DOI: 10.1007/s00384-019-03292-4ISI: 000471613000013PubMedID: 31147771OAI: oai:DiVA.org:umu-161506DiVA, id: diva2:1337240
Available from: 2019-07-12 Created: 2019-07-12 Last updated: 2019-07-12Bibliographically approved

Open Access in DiVA

fulltext(627 kB)44 downloads
File information
File name FULLTEXT01.pdfFile size 627 kBChecksum SHA-512
dc3978c8e1325ad5af3ba9bee78e2a1b73ec9681c86c1e9627f1f1f29cd091ea5cacdfdfc80a6ffe66a90dab363735a1cab5e980572ace393460af8d6037052b
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMed

Search in DiVA

By author/editor
Tivenius, MathildaNäsvall, Pia
By organisation
Department of Surgical and Perioperative Sciences
In the same journal
International Journal of Colorectal Disease
SurgeryGastroenterology and Hepatology

Search outside of DiVA

GoogleGoogle Scholar
Total: 44 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 758 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf