Evidence map›Paper›PMID 34727915›Full record

ArticleBMC surgery2021

Surgical treatment of stoma-related hernias: retrospective cohort study of damage claims to the Swedish National Patient Insurance Company 2010-2016.

Johan Nyman, Mikael Lindmark, Ulf Gunnarsson, Karin Strigård

Open access · goldAbstract read
In one paragraph

Article in BMC surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 44% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Economic claims following chronic pain after inguinal hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2026
    Article
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

4 authors at 1 institution in 1 country.

Johan NymanDepartment of Surgical and Perioperative Sciences, Surgery, Umeå University, 901 85, Umeå, Sweden. johan.nyman@umu.se.ORCID http://orcid.org/0000-0003-1303-4114
Mikael LindmarkDepartment of Surgical and Perioperative Sciences, Surgery, Umeå University, 901 85, Umeå, Sweden.
Ulf GunnarssonDepartment of Surgical and Perioperative Sciences, Surgery, Umeå University, 901 85, Umeå, Sweden.ORCID http://orcid.org/0000-0002-3806-2114
Karin StrigårdDepartment of Surgical and Perioperative Sciences, Surgery, Umeå University, 901 85, Umeå, Sweden.ORCID http://orcid.org/0000-0001-5838-9133
Umeå University · SE

Funding

Lion's Cancer Research Foundation, Umeå University LP 15-2099Regional agreement between Umeå University and Västerbotten County Council (ALF) VLL-545001
6 · The paper itself

Abstract

backgroundParastomal hernia and stoma-site hernia are common stoma complications. Parastomal hernia repair is associated with high complication and recurrence rates. Insurance data can provide novel information on the consequences of perioperative complications from the patient's point of view. The aim was to investigate what types of complications associated with stoma-related hernia surgery that cause patients to apply for economic compensation through the patient insurance system and to investigate demographic and clinical differences among cases based on gender and type of center at which the surgery was performed.

methodsA national patient damage claim database was searched for ICD-10 codes related to parastomal and stoma-site hernia surgery over a seven-year period. Medical records were screened for claims associated with parastomal hernia repair, relocation or reversal due to parastomal hernia, or stoma-site hernia repair. Claims were classified according to one of four primary complaints: surgical, anesthetic, medical or other. Clinical and demographic differences between genders and hospital types were investigated. Reasons for non-compensation were analyzed.

resultsThirty claims met the inclusion criteria. Eighteen were related to parastomal hernia repair, seven to stoma-site hernia repair, three to stoma reversal and two to relocation due to parastomal hernia. Twenty-five claims were primarily surgical, two related to anesthesia and three classified as other. Seven claims were granted compensation. No demographic or clinical differences were found apart from female gender being associated with previous parastomal hernia repair [6 women and 0 men (p = 0.02)].

conclusionSurgical complaints predominated. Few claims were compensated, reflecting the complexity and unsatisfactory outcomes of these procedures. Many claims were identified in relation to the incidence of stoma-related hernia surgery.

trial registrationDue to its retrospective and descriptive nature, the study was not registered in any registry.

Indexed as

Hernia, VentralInsuranceSurgical StomasColostomyFemaleHerniaHerniorrhaphyHumansIleostomyMaleRetrospective StudiesSurgical MeshSwedenColostomyDamage claimsIleostomyParastomal herniaStoma-site hernia

Identifiers

PMID34727915
PMCPMC8565032
OpenAlexW3208364836

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.