Evidence map›Paper›PMID 41184680›Full record

ArticleSurgical endoscopy2026

Development and validation of a prognostic model for the occurrence of parastomal hernia in patients undergoing permanent colostomy based on various computed tomography indices.

Yayan Fu, Yifan Cheng, Chenkai Zhang, Jie Wang, Ruiqi Li, Shuai Zhao, Jiajie Zhou, Yong Wang, Wei Wang, Liuhua Wang and 2 more

Abstract readValidation Study
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In one paragraph

Article in Surgical endoscopy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

12 authors.

Yayan Fu *Northern Jiangsu People's Hospital Affiliated to Yangzhou University, Yangzhou, 225001, Jiangsu, China.
Yifan Cheng *Northern Jiangsu People's Hospital, Clinical Teaching Hospital of Medical School, Nanjing University, Yangzhou, 225001, China.
Chenkai ZhangNorthern Jiangsu People's Hospital Affiliated to Yangzhou University, Yangzhou, 225001, Jiangsu, China.
Jie WangNorthern Jiangsu People's Hospital Affiliated to Yangzhou University, Yangzhou, 225001, Jiangsu, China.
Ruiqi LiNorthern Jiangsu People's Hospital, Clinical Teaching Hospital of Medical School, Nanjing University, Yangzhou, 225001, China.
Shuai ZhaoNorthern Jiangsu People's Hospital, Clinical Teaching Hospital of Medical School, Nanjing University, Yangzhou, 225001, China.
Jiajie ZhouNorthern Jiangsu People's Hospital, Clinical Teaching Hospital of Medical School, Nanjing University, Yangzhou, 225001, China.
Yong WangNorthern Jiangsu People's Hospital, Yangzhou, 225001, China.
Wei WangNorthern Jiangsu People's Hospital, Yangzhou, 225001, China.
Liuhua WangNorthern Jiangsu People's Hospital, Yangzhou, 225001, China.
Jun RenNorthern Jiangsu People's Hospital, Yangzhou, 225001, China.
Daorong WangNorthern Jiangsu People's Hospital Affiliated to Yangzhou University, Yangzhou, 225001, Jiangsu, China. wdaorong666@sina.com.

Funding

National Natural Science Foundation of China 81972269Natural Science Foundation of Jiangsu Province M2020100
6 · The paper itself

Abstract

backgroundParastomal hernia (PSH) is the most common long-term complication of stoma creation during rectal resection, impacting the patients' quality of life to some degree. However, current clinical practice lacks accurate tools for predicting the occurrence of PSH. The present study aimed to develop a nomogram that could predict the occurrence of PSH in patients undergoing permanent colostomy during surgery for rectal cancer.

methodsThis study retrospectively enrolled a total of 430 eligible patients. The preliminary selection of predictive factors was performed using the Least Absolute Shrinkage and Selection Operator analysis. Subsequently, a predictive model was constructed using multivariable logistic regression and presented in the form of a nomogram. The nomogram's value was evaluated using receiver-operating characteristic (ROC) curves, calibration plots, and decision curve analysis (DCA). Internal validation was conducted by evaluating the model's performance on a validation cohort.

resultsAltogether, 133 cases (30.9%) were diagnosed with PSH. The diagnostic model incorporated seven factors, including elderly patients (age ≥ 65 years, odds ratio [OR]: 2.51; 95% confidence interval [CI]: 1.52-4.11), Female (OR: 2.43; 95% CI: 1.36-3.69), body mass index (BMI ≥ 25 kg/m

conclusionWe developed a model to predict the occurrence of PSH in patients with rectal cancer after permanent colostomy. This nomogram can help clinicians in assessing the risk of PSH occurrence in postoperative patients, thereby enabling personalized management of high-risk patients and guiding their lifestyle to improve their quality of life.

Indexed as

ColostomyIncisional HerniaNomogramsRectal NeoplasmsSurgical StomasAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedPrognosisRetrospective StudiesTomography, X-Ray ComputedAbdominal wall defectParastomal herniaPrediction modelSubcutaneous fatVisceral fat

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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.