ClinicalTrials.gg
RecruitingNCT07909148Updated Nov 2, 2026

Parastomal Hernia at 1 and 3 Years: Radiological Incidence, Progression, and Impact on Quality of Life

An observational study in Parastomal Hernia and Colorectal Cancer (Diagnosis), sponsored by Region Skane. Recruiting at 1 site in Sweden. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-11-02.

Sponsored by Region Skane · Observational

Updated Nov 2, 2026Newly registeredGo to Updates ↓
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
135
Ages
18 Years and older
Sex
All
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Study summary

This prospective, longitudinal observational cohort study aims to investigate the radiological incidence, anatomical progression, and impact on quality of life (QoL) of parastomal hernia (PH) in patients operated on for colorectal cancer with a permanent end colostomy (abdominoperineal resection or Hartmann's procedure).

A total of 135 patients within Region Skane will be followed at 1 and 3 years postoperatively in conjunction with their routine oncological follow-up computed tomography (CT) scans. The CT images will undergo standardized, independent review to classify parastomal hernias according to the European Hernia Society (EHS) classification and to assess anatomical progression over time. Simultaneously, participants will complete validated stoma-specific (Colostomy Impact Score, CIS) and generic (EQ-5D-5L) quality of life questionnaires to evaluate the clinical symptom burden associated with radiologically detected parastomal hernias.

02

Conditions studied

  • Parastomal Hernia
  • Colorectal Cancer (Diagnosis)

Keywords

  • End Colostomy
  • Colostomy Impact Score
  • EQ-5D-5L
  • Quality of Life
  • Stoma care
03

In context

Colorectal Neoplasms

6,541 studies on the registry are indexed under Colorectal Neoplasms; 1,667 are open to participants now.

This study's planned enrollment of 135 is below the median of 250 across 1,440 observational studies indexed under Colorectal Neoplasms.

Browse Colorectal Neoplasms studies →

Lead sponsor

Region Skane is the lead sponsor of 386 studies on the registry; 122 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Adult patients surgically treated for colorectal cancer within Region Skåne resulting in a permanent end colostomy (abdominoperineal resection or Hartmann's procedure), who undergo routine oncological follow-up surveillance with computed tomography (CT) at 1 and 3 years postoperatively.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age 18 years or older at the time of enrollment.
  • Previous surgical resection for colorectal cancer resulting in a permanent end colostomy (abdominoperineal resection [APR] or Hartmann's procedure) performed within Region Skåne.
  • Scheduled for routine oncological surveillance with thoracoabdominal computed tomography (CT) at 1 and/or 3 years postoperatively according to national clinical guidelines.
  • Ability to provide written and completing Swedish self-administered questionnaires (Colostomy Impact Score and EQ-5D-5L).

Exclusion criteria

Exclusion Criteria:

  • Severe cognitive impairment or language barriers precluding the completion of the QoL questionnaires.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
135 participants (estimated)
Patient registry
No

Interventions

  • Diagnostic testRoutine Surveillance Computed Tomography (CT)

    Routine thoracoabdominal CT scans performed at 1 and 3 years postoperatively as part of the standard colorectal cancer follow-up program.

06

What researchers measure

Primary outcomes

  1. Mean Difference in Total Colostomy Impact Score (CIS) at 3 Years

    The mean difference in total Colostomy Impact Score (CIS) between patients with and without a radiologically confirmed parastomal hernia at the 3-year follow-up. The CIS is a validated questionnaire with a total score ranging from 0 to 38, where higher scores indicate worse quality of life/greater symptom burden (scores 0-9: minor impact, 10-38: major impact).

    Time frame: 3 years post-surgery

Secondary outcomes

  1. Mean Difference in Total Colostomy Impact Score (CIS) at 1 Year

    The mean difference in total Colostomy Impact Score (CIS) between patients with and without a radiologically confirmed parastomal hernia at the 1-year follow-up.

    Time frame: 1 year post-surgery

  2. Mean Difference in EQ-5D-5L Index Values at 1 Year

    The mean difference in EQ-5D-5L index values between patients with and without a radiologically confirmed parastomal hernia at the 1-year follow-up. The index score ranges from 0 (representing death) to 1 (representing full health), with negative values for states worse than death; higher scores indicate better health-related quality of life.

    Time frame: 1 year post-surgery

  3. Longitudinal Change in Generic Quality of Life (EQ-5D-5L Index)

    The longitudinal change in the EQ-5D-5L index value for the total cohort between the 1-year and 3-year follow-ups. The score ranges from 0 to 1, where higher scores indicate better health-related quality of life.

    Time frame: From 1 year to 3 years post-surgery

  4. Incidence of Parastomal Hernia on CT Scans

    The incidence of parastomal hernia at 1 and 3 years post-stoma creation, diagnosed by standardized review of routine oncological follow-up CT scans.

    Time frame: 1 year and 3 years post-surgery

  5. Rate of Radiological Parastomal Hernia Progression

    The rate of hernia progression between the 1-year and 3-year follow-ups, defined by new hernia development, increase in fascial defect size, or change in European Hernia Society (EHS) classification.

    Time frame: From 1 year to 3 years post-surgery

  6. Diagnostic Correlation Between Patient-Reported Suspicion and Radiological Hernia

    The correlation between patient-reported suspicion of a hernia and radiologically confirmed parastomal hernia at the 1-year follow-up.

    Time frame: 1 year post-surgery

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Study locations

1 of 1 sites recruiting
08

References and documents

Individual participant data

Plan to share: No — Data cannot be shared publicly due to patient confidentiality, the Swedish Ethical Review Act, and GDPR regulations.

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Nov 2026; primary completion for Dec 2030, 49 months later.

Of 528 non-industry observational studies under Colorectal Neoplasms, half reached primary completion within 56 months of starting (the median), counting those still running; a quarter within 27 and three quarters within 132. This study's planned 49 months is below that.

Counting every sponsor, half of 645 studies reached it within 51 months; a quarter within 27 and three quarters within 104.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 26, 2026
First posted
Nov 2, 2026
StartEst.
Nov 2026
Primary completionEst.
Dec 2030
CompletionEst.
Dec 2030
Last update
Nov 2, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Registered
First appeared on the registry. No changes since
Nov 2, 2026
Show all 1 update
  1. Nov 2, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07909148
Lead sponsor
Region Skane
Collaborators
Lund University
Responsible party
Marie-Louise Lydrup (Associate Professor, Seior Consultant Surgeon, Region Skane) — Principal investigator
First posted
Nov 2, 2026
Start date
Nov 2026 (estimated)
Primary completion
Dec 2030 (estimated)
Completion
Dec 2030 (estimated)
Last update
Nov 2, 2026

Study contacts

Ali Al Mukhtar, MD
Contact
ali.almukhtar@skane.se
+46707182726
Marie-Louise Lydrup, MD, Assoc. Prof.
principal investigator · Region Skåne and the Department of Clinical Sciences, Faculty of Medicine, Lund University, Malmö, Sweden

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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