- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06864377
Ventral Hernia Improvement of Treatment and Life (VITAL)
The goal of this clinical trial called the VITAL study is to learn if surgery has a positive impact on the quality of life in patients with incisional or parastomal hernia. The main questions it aims to answer are:
Does surgery alleviate patients from their initial problem? Does new discomfort arise after surgery? Do the symptoms worsen, and does quality of life deteriorate in patients who are not offered surgery? The project will also look at time to surgery and postoperative complications. Researchers will send questionnaires to the patients to answer.
Participants will:
Answer the baseline questionnaire. Answer the follow-up questionnaires at 1 month, 3 months, 6 months, 1 year, and 3 years after surgery or after the baseline questionnaire has been completed for those patients being managed conservatively with observation
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Estimated)
Contacts and Locations
Study Locations
-
-
-
Køge, Denmark, 4600
- Department of Surgery, Zealand University Hospital
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- >18 years
- Incisional hernia or parastomal hernia
Exclusion Criteria:
- Can't understand or read Danish
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
|---|---|
|
Patients with incisinal hernias
Patients with incisional hernias who are either offered surgery or conservative treatment
|
The questionnaire used is the Abdominal Hernia Q, which is specific to ventral hernias.
Patients will receive the questionnaire at baseline and at 1, 3, 6, and 12 months after ventral hernia repair.
If treated conservatively, the questionnaire will be administered at 1, 3, 6, and 12 months after completing the baseline questionnaire.
Other Names:
|
|
Patients with parastomal hernias
Patients with parastomal hernias who are either offered surgery or conservative treatment
|
The questionnaire used is the Abdominal Hernia Q, which is specific to ventral hernias.
Patients will receive the questionnaire at baseline and at 1, 3, 6, and 12 months after ventral hernia repair.
If treated conservatively, the questionnaire will be administered at 1, 3, 6, and 12 months after completing the baseline questionnaire.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in quality of life after ventral hernia repair for pateints with incisional hernia
Time Frame: From enrollment to the end of follow-up at 36 months.
|
The patients will receive a questionnaire at baseline and at 1, 3, 6, 12, and 36 months of follow-up.
The project will use the Abdominal Hernia-Q.
It features both a pre- and postoperative form, including a total of 24 items with responses scored on a 4-point Likert scale.
Patient responses will be averaged, producing a possible score range of 0 to 4.
|
From enrollment to the end of follow-up at 36 months.
|
|
Quality of life in patient with incisional hernia
Time Frame: From enrollment to the end of follow-up at 36 months.
|
The patients will receive a questionnaire at baseline and at 1, 3, 6, 12, and 36 months of follow-up.
The project will use the Abdominal Hernia-Q.
It features both a pre- and postoperative form, including a total of 24 items with responses scored on a 4-point Likert scale.
Patient responses will be averaged, producing a possible score range of 0 to 4.
|
From enrollment to the end of follow-up at 36 months.
|
|
Quality of life in patients with parastomal hernia
Time Frame: From enrollment to the end of follow-up at 36 months.
|
The patients will receive a questionnaire at baseline and at 1, 3, 6, 12, and 36 months of follow-up.
The project will use the Abdominal Hernia-Q.
It features both a pre- and postoperative form, including a total of 24 items with responses scored on a 4-point Likert scale.
Patient responses will be averaged, producing a possible score range of 0 to 4.
|
From enrollment to the end of follow-up at 36 months.
|
|
Changes in quality of life after ventral hernia repair in patients with parastomal hernia
Time Frame: From enrollment to the end of follow-up at 36 months.
|
The patients will receive a questionnaire at baseline and at 1, 3, 6, 12, and 36 months of follow-up.
The project will use the Abdominal Hernia-Q.
It features both a pre- and postoperative form, including a total of 24 items with responses scored on a 4-point Likert scale.
Patient responses will be averaged, producing a possible score range of 0 to 4.
|
From enrollment to the end of follow-up at 36 months.
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Time to surgery
Time Frame: From enrollment to the end of follow-up at 36 months.
|
Days or months from the indication of surgery being set to ventral hernia repair.
|
From enrollment to the end of follow-up at 36 months.
|
|
Postoperative complications
Time Frame: From enrolment to the end of follow-up at 36 months
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Any adverse events or conditions that occur following a surgical procedure.
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From enrolment to the end of follow-up at 36 months
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Risk of emergency surgery during the waiting time
Time Frame: From enrollment to the end of follow-up at 36 months
|
Number of patients who are undergoing emergency surgery during the waiting time for planned surgery.
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From enrollment to the end of follow-up at 36 months
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Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Study Director: Frederik Helgstrand, DMSc, Zealand University Hospital, Køge
- Principal Investigator: Line Marker, MD, Zealand University Hospital, Køge
- Study Director: Pernille D.K. Diasso, MD, Ph.d., Zealand University Hospital, Køge
Publications and helpful links
General Publications
- Kokotovic D, Bisgaard T, Helgstrand F. Long-term Recurrence and Complications Associated With Elective Incisional Hernia Repair. JAMA. 2016 Oct 18;316(15):1575-1582. doi: 10.1001/jama.2016.15217.
- Poulose BK, Shelton J, Phillips S, Moore D, Nealon W, Penson D, Beck W, Holzman MD. Epidemiology and cost of ventral hernia repair: making the case for hernia research. Hernia. 2012 Apr;16(2):179-83. doi: 10.1007/s10029-011-0879-9. Epub 2011 Sep 9.
- Deerenberg EB, Henriksen NA, Antoniou GA, Antoniou SA, Bramer WM, Fischer JP, Fortelny RH, Gok H, Harris HW, Hope W, Horne CM, Jensen TK, Kockerling F, Kretschmer A, Lopez-Cano M, Malcher F, Shao JM, Slieker JC, de Smet GHJ, Stabilini C, Torkington J, Muysoms FE. Updated guideline for closure of abdominal wall incisions from the European and American Hernia Societies. Br J Surg. 2022 Nov 22;109(12):1239-1250. doi: 10.1093/bjs/znac302. Erratum In: Br J Surg. 2023 Jan 10;110(2):287. doi: 10.1093/bjs/znac412.
- Liang MK, Holihan JL, Itani K, Alawadi ZM, Gonzalez JR, Askenasy EP, Ballecer C, Chong HS, Goldblatt MI, Greenberg JA, Harvin JA, Keith JN, Martindale RG, Orenstein S, Richmond B, Roth JS, Szotek P, Towfigh S, Tsuda S, Vaziri K, Berger DH. Ventral Hernia Management: Expert Consensus Guided by Systematic Review. Ann Surg. 2017 Jan;265(1):80-89. doi: 10.1097/SLA.0000000000001701.
- Pernar LIM, Pernar CH, Dieffenbach BV, Brooks DC, Smink DS, Tavakkoli A. What is the BMI threshold for open ventral hernia repair? Surg Endosc. 2017 Mar;31(3):1311-1317. doi: 10.1007/s00464-016-5113-5. Epub 2016 Jul 20.
- Huntington C, Gamble J, Blair L, Cox T, Prasad T, Lincourt A, Augenstein V, Heniford BT. Quantification of the Effect of Diabetes Mellitus on Ventral Hernia Repair: Results from Two National Registries. Am Surg. 2016 Aug;82(8):661-71.
- Borad NP, Merchant AM. The effect of smoking on surgical outcomes in ventral hernia repair: a propensity score matched analysis of the National Surgical Quality Improvement Program data. Hernia. 2017 Dec;21(6):855-867. doi: 10.1007/s10029-017-1664-1. Epub 2017 Sep 1.
- Parker SG, Mallett S, Quinn L, Wood CPJ, Boulton RW, Jamshaid S, Erotocritou M, Gowda S, Collier W, Plumb AAO, Windsor ACJ, Archer L, Halligan S. Identifying predictors of ventral hernia recurrence: systematic review and meta-analysis. BJS Open. 2021 Mar 5;5(2):zraa071. doi: 10.1093/bjsopen/zraa071. Erratum In: BJS Open. 2021 May 7;5(3):zrab047. doi: 10.1093/bjsopen/zrab047.
- Henriksen NA, Bisgaard T, Andersen HF, Jorgensen LN, Helgstrand F. [Surgical treatment algorithm for ventral hernias]. Ugeskr Laeger. 2018 Sep 10;180(37):V02180096. Danish.
- Sando A, Rosen MJ, Heniford BT, Bisgaard T. Long-term patient-reported outcomes and quality of the evidence in ventral hernia mesh repair: a systematic review. Hernia. 2020 Aug;24(4):695-705. doi: 10.1007/s10029-020-02154-1. Epub 2020 Mar 9.
- Mohamud AA, Sando A, Helgstrand F, Bisgaard T. [Patient-reported outcome measures after ventral hernia surgery]. Ugeskr Laeger. 2021 Jan 4;183(1):V05200399. Danish.
- Friis-Andersen H, Bisgaard T. The Danish Inguinal Hernia database. Clin Epidemiol. 2016 Oct 25;8:521-524. doi: 10.2147/CLEP.S99512. eCollection 2016.
- Bisgaard T, Helgstrand F, Friis-Andersen H, Rosenberg J, Jørgensen LN, Pedersen KF, m.fl. Optimizing outcomes after hernia repair: scientific highlights from the Danish Hernia Database 2010-2020. Laparosc Surg. januar 2022;6:5-5.
- Helgstrand F, Jorgensen LN. The Danish Ventral Hernia Database - a valuable tool for quality assessment and research. Clin Epidemiol. 2016 Oct 25;8:719-723. doi: 10.2147/CLEP.S99501. eCollection 2016.
- Bisgaard T, Kehlet H, Bay-Nielsen MB, Iversen MG, Wara P, Rosenberg J, Friis-Andersen HF, Jorgensen LN. Nationwide study of early outcomes after incisional hernia repair. Br J Surg. 2009 Dec;96(12):1452-7. doi: 10.1002/bjs.6728.
- Manole TE, Daniel I, Alexandra B, Dan PN, Andronic O. Risk Factors for the Development of Parastomal Hernia: A Narrative Review. Saudi J Med Med Sci. 2023 Jul-Sep;11(3):187-192. doi: 10.4103/sjmms.sjmms_235_22. Epub 2023 Jul 15.
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- p-2024-17652
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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