Evidence map›Paper›PMID 30426253›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2019

Incidence of and risk factors for incisional hernia after closure of temporary ileostomy for colorectal malignancy.

T Kaneko, K Funahashi, M Ushigome, S Kagami, M Goto, T Koda, Y Nagashima, H Shiokawa, J Koike

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Article in Hernia : the journal of hernias and abdominal wall surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 5 pooled it
3.1field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 5 syntheses or guidelines pooled it, 44 citations in OpenAlex.

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  16. The rate of ileostomy site incisional hernias: more common than we think?Hernia : the journal of hernias and abdominal wall surgery · 2024
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  19. Risk factors for incisional hernia after gastrointestinal surgeries in non-tumor patients.Hernia : the journal of hernias and abdominal wall surgery · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

T KanekoDepartment of Gastroenterological Surgery, Toho University Omori Medical Center, 6-11-1, Omori-Nishi, Ota-ku, Tokyo, 1143-8541, Japan. tomoaki.kaneko@med.toho-u.ac.jp.
K FunahashiDepartment of Gastroenterological Surgery, Toho University Omori Medical Center, 6-11-1, Omori-Nishi, Ota-ku, Tokyo, 1143-8541, Japan.
M UshigomeDepartment of Gastroenterological Surgery, Toho University Omori Medical Center, 6-11-1, Omori-Nishi, Ota-ku, Tokyo, 1143-8541, Japan.
S KagamiDepartment of Gastroenterological Surgery, Toho University Omori Medical Center, 6-11-1, Omori-Nishi, Ota-ku, Tokyo, 1143-8541, Japan.
M GotoDepartment of Gastroenterological Surgery, Toho University Omori Medical Center, 6-11-1, Omori-Nishi, Ota-ku, Tokyo, 1143-8541, Japan.
T KodaDepartment of Gastroenterological Surgery, Toho University Omori Medical Center, 6-11-1, Omori-Nishi, Ota-ku, Tokyo, 1143-8541, Japan.
Y NagashimaDepartment of Gastroenterological Surgery, Toho University Omori Medical Center, 6-11-1, Omori-Nishi, Ota-ku, Tokyo, 1143-8541, Japan.
H ShiokawaDepartment of Gastroenterological Surgery, Toho University Omori Medical Center, 6-11-1, Omori-Nishi, Ota-ku, Tokyo, 1143-8541, Japan.
J KoikeDepartment of Gastroenterological Surgery, Toho University Omori Medical Center, 6-11-1, Omori-Nishi, Ota-ku, Tokyo, 1143-8541, Japan.
Toho University · JPToho University Omori Medical Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIncisional hernia is a major complication after stoma closure and can cause uncomfortable symptoms. In this study, we evaluated the risk factors for hernia formation with the aim of reducing the incidence of incisional hernia.

methodsA total of 134 oncology patients underwent closure of a temporary loop ileostomy between May 2004 and December 2013. The incidence of incisional hernia was determined by routine follow-up computed tomography scanning every 6 months. The relationships between patients' characteristics, including age, sex, obesity, diabetes mellitus, surgical site infection, chronic obstructive pulmonary disease, hypertension, hypoalbuminemia, smoking, and presence of a midline hernia and the occurrence of incisional hernia were retrospectively evaluated.

resultsThe median follow-up time was 47 months (range 8-130). Hernias occurred in 23.9% of patients (32/134). The median time to detection of hernias was 8 months (range 2-39). The Chi-squared test revealed significant differences in obesity (P = 0.0003), hypertension (P = 0.0057), and incisional hernia history (P = 0.0000) between patients with and without incisional hernia. Multivariable analysis and univariate analysis revealed that hypertension and the presence of midline incisional hernia were risk factors for incisional hernia.

conclusionsHypertension and the presence of a midline incisional hernia were the major risk factors for incisional hernia after loop ileostomy closure. These risk factors can be addressed before planning surgery.

Indexed as

Incisional HerniaAdultAgedColorectal NeoplasmsComorbidityFemaleHumansIleostomyIncidenceMaleMiddle AgedObesityRetrospective StudiesRisk FactorsSurgical Wound InfectionHerniaIncisional herniaLoop ileostomyStoma closureStoma site hernia

Identifiers

PMID30426253
OpenAlexW2901746607

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.