SynthesisInternational journal of colorectal disease2020
Comparison of different modalities for the diagnosis of parastomal hernia: a systematic review.
Synthesis in International journal of colorectal disease, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled 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.
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.
Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.
- Parastomal Hernia: direct repair versus relocation: is stoma relocation worth the risk? A comparative meta-analysis and systematic review.Updates in surgery · 2026Pooled it
- Parastomal hernia prevention with permanent mesh in end colostomy: failure with late follow-up of cohorts in three randomized trials.Hernia : the journal of hernias and abdominal wall surgery · 2023Pooled it
- Characterizing a clinically significant radiographic parastomal hernia recurrence: post hoc analysis of a randomized controlled trial.Surgical endoscopy · 2025Trial
- Parastomal hernia prevention and repair in Australasia: A binational CSSANZ survey of contemporary practice.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Preoperative thickness and postoperative atrophy of the abdominal rectus muscle as risk factors for parastomal hernia after colostomy creation.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Development of a complex nursing intervention for the management of patients with a stoma complicated by a parastomal bulge.BMC nursing · 2025Article
- Nursing Interventions for the Management of a Stoma Complicated by a Parastomal Hernia or Bulge: A Scoping Review.Journal of clinical nursing · 2025Article
- Propensity Score Analysis of the Utility of Supervised Perioperative Abdominal Wall Exercises for the Prevention of Parastomal Hernia.Nursing reports (Pavia, Italy) · 2025Article
- Robotic parastomal hernia repair in Ileal-conduit patients: short-term results in a single-center cohort study.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Stoma Complications.Clinics in colon and rectal surgery · 2024Review
- Proof of concept of an experimental prototype for the prevention of parastomal hernia.Updates in surgery · 2024Article
- Development and pilot testing of a patient-reported outcome measure to assess symptoms of parastomal hernia.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2024Article
- Risk factors for parastomal hernia after abdominoperineal resection of rectal cancer.Frontiers in oncology · 2024Article
- Surgical management of ostomy complications: a MISSTO-WSES mapping review.World journal of emergency surgery : WJES · 2023Review
- Assessment of a support garment in parastomal bulging from a patient perspective: a qualitative study.International journal of qualitative studies on health and well-being · 2022Article
- The role of radiological classification of parastomal hernia as a predictor of the need for surgical hernia repair: a retrospective cohort study.Langenbeck's archives of surgery · 2021Article
- Diagnostic methods in parastomal hernia; research and clinical relevance.Hernia : the journal of hernias and abdominal wall surgery · 2021Article
- A new anterior approach to parastomal hernia repair (PHR) with linear stapler suture: A case report.Annals of medicine and surgery (2012) · 2020Article
- Parastomal gallbladder herniation: A case report and review of the literature.International journal of surgery case reports · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeParastomal hernia (PSH) is a common complication following stoma formation. The incidence of PSH varies widely due to several factors including differences in diagnostic modality, observer, definition, and classification used for diagnosing PSH. The aim of this systematic review was to evaluate the diagnostic accuracy of the modalities used to identify PSH.
methodsEmbase, MEDLINE, Cochrane, Web of Science, and Google Scholar databases were searched. Studies reporting PSH incidence rates detected by two or more different diagnostic modalities or inter-observer variation on one diagnostic modality were included. Article selection and assessment of study quality were conducted independently by two researchers using Cochrane Collaboration's tool for assessing risk of bias. PROSPERO registration: CRD42018112732.
resultsTwenty-nine studies (n = 2514 patients) were included. Nineteen studies compared CT to clinical examination with relative difference in incidence rates ranging from 0.64 to 3.0 (n = 1369). Overall, 79% of studies found an increase in incidence rate when using CT. Disagreement between CT and clinical examination ranged between 0 and 37.3% with pooled inter-modality agreement Kappa value of 0.64 (95% CI 0.52-0.77). Four studies investigated the diagnostic accuracy of ultrasonography (n = 103). Compared with peroperative diagnosis, CT and ultrasonography both seemed accurate imaging modalities with a sensitivity of 83%.
conclusionCT is an accurate diagnostic modality for PSH diagnosis and increases PSH detection rates, as compared with clinical examination. Studies that specially focus on the diagnostic accuracy are needed and should aim to take patient-reported outcomes into account. A detailed description of the diagnostic approach, modality, definition, and involved observers is prerequisite for future PSH research.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.