Evidence map›Paper›PMID 41310240›Full record

ArticleLangenbeck's archives of surgery2025

Association between adjuvant chemotherapy and risk of incisional hernia after colorectal cancer resection - a single-centre cohort study.

Maja Christine Rasmussen, Niklas Nygaard Baastrup, Anders Kierkegaard Gundestrup, Charlotte Tiffanie Bendtz Kanstrup, Jakob Kleif, Claus Anders Bertelsen

Abstract read
In one paragraph

Article in Langenbeck's archives of surgery, 2025. 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
–field-weighted citation impact
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. Standardised Pfannenstiel versus supraumbilical muscle-sparing transverse extraction sites in colon cancer surgery: An IDEAL stage 4 report.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 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

6 authors.

Maja Christine RasmussenDepartment of Surgery, Copenhagen University Hospital - North Zealand, Dyrehavevej 29, Hillerød, 3400, Denmark. majachristine@outlook.dk.ORCID http://orcid.org/0009-0008-9816-3778
Niklas Nygaard BaastrupDepartment of Surgery, Copenhagen University Hospital - North Zealand, Dyrehavevej 29, Hillerød, 3400, Denmark.
Anders Kierkegaard GundestrupDepartment of Surgery, Copenhagen University Hospital - North Zealand, Dyrehavevej 29, Hillerød, 3400, Denmark.
Charlotte Tiffanie Bendtz KanstrupDepartment of Surgery, Copenhagen University Hospital - North Zealand, Dyrehavevej 29, Hillerød, 3400, Denmark.
Jakob KleifDepartment of Surgery, Copenhagen University Hospital - North Zealand, Dyrehavevej 29, Hillerød, 3400, Denmark.
Claus Anders BertelsenDepartment of Surgery, Copenhagen University Hospital - North Zealand, Dyrehavevej 29, Hillerød, 3400, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe study aimed to determine whether adjuvant chemotherapy after colorectal cancer resection is associated with an increased risk of developing incisional hernia (IH).

methodsAll patients undergoing elective curative resection of stage I-III colon adenocarcinoma between 2014 and 2017 at Copenhagen University Hospital - North Zealand were registered in a local database prospectively. This study collected additional data from patients' electronic health records (EHR) on chemotherapy and incision placement. The follow-up computed tomography scans were retrospectively reassessed by two trained surgeons for incisional hernia for up to five years. Patients were stratified into two groups: those receiving adjuvant chemotherapy (study group) and those not receiving it (control group). The primary outcome was CT-verified IH.

resultsOf 451 patients, 303 were included in the final analysis, with 108 in the chemotherapy group and 195 in the control group. The study found that the unadjusted risk of IH was 28.9% (95% CI: 20.4-37.4) in the chemotherapy group and 21.1% (95% CI: 15.4-26.9) in the control group with an absolute risk difference of 7.7% (95% CI: -2.3-17.9, p = 0.13). After inverse probability of treatment weighting, the absolute risk difference was 5.6% (95% CI: -4.2-15.6), p = 0.26).

conclusionsAdjuvant chemotherapy after colon cancer resection does not seem to be associated with a significantly higher risk of IH.

trial registrationDanish Patient Safety Authority (#31-1522-51).

Indexed as

AdenocarcinomaColectomyColonic NeoplasmsColorectal NeoplasmsIncisional HerniaAgedChemotherapy, AdjuvantCohort StudiesDenmarkFemaleHumansMaleMiddle AgedRetrospective StudiesRisk FactorsAdjuvant chemotherapyColon cancer resectionComputed tomographyIncisional hernia

Identifiers

PMID41310240
PMCPMC12743026

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.