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Danish Medical Journal

Kasper Wennervaldt, Anne Mette Kejs, Henriette Lipczak, Paul Bartels, Michael Borre, Claus Wilki Fristrup, Henrik Kehlet
INTRODUCTION: Surgical treatment for pancreatic cancer carries a high risk of both morbidity and mortality. Even so, it remains the best curative treatment option. In Denmark, pancreatic surgery has been extensively centralised since the millennium, but the effect of this centralisation on patient outcome has not been evaluated. This study describes regional variation within pancreatic surgery on a malignant indication, focusing on production volume, length of stay, readmission rates and mortality...
September 2018: Danish Medical Journal
Elisabeth Lauritzen, Asbjørn Kørvel-Hanquist, Preben Homøe
INTRODUCTION: Obstructive sleep apnoea (OSA) is an increasing health problem related to cardiovascular disease, poor quality of life, daytime sleepiness and un-restorative sleep with an estimated prevalence up to 20% in the adult population. Approximately 82% of men and 93% of women with moderate to severe OSA remain undiagnosed. Relevant, fast, accurate and cost-effective screening methods are essential. The aim of this study was to translate and validate the Danish version of the Berlin Questionnaire (BQ), and to investigate if the questionnaire can be used for screening of OSA in a Danish population...
September 2018: Danish Medical Journal
Michael Moesmann Madsen, Lone Kærsvang, Anders Würgler Hansen, Morten Flink, Henning K Nielsen, Klavs Würgler Hansen
INTRODUCTION: The Danish Adult Diabetes Database (DADD) annually reports a quality indicator for lipid-lowering treatment of type 2 diabetes mellitus (T2DM) patients. This retrospective cohort study aims to A) investigate the reasons for inadequate or lacking lipid-lowering treatment and to B) assess the validity of the DADD indicator as a measure of quality of care. METHODS: A) A pop-up questionnaire enquiring about reasons for lack of treatment was added to the clinicians' data entry tool in the Central Denmark Region...
September 2018: Danish Medical Journal
Anita Sørensen, Marianne Kleis Møller, Pernille Andreassen, Bente Malling
INTRODUCTION: A national formal advisory programme (NFAP) was introduced in Denmark in 1998. This study investigates the implementation of the NFAP and identifies areas to improve. METHODS: In March 2017, a survey was conducted among all 129 doctors employed in the first rotation of postgraduate medical education in the Central Denmark Region. A priority chart was created to appoint strengths, weaknesses, op-portunities and threats (SWOT). RESULTS: The response rate was 67%...
September 2018: Danish Medical Journal
Sumit Sen, Tove Nielsen, Erik Nielsen, Ole Pryds, Dina Cortes
INTRODUCTION: Due to the design of Hvidovre Hospital, the outpatient clinic of the Department of Paediatrics has windowless consultation rooms. Work environment surveys revealed that nurses and doctors working in these windowless rooms considered the lack of natural light a considerable health problem. This study evaluated the effects of installing light-emitting diode (LED) virtual windows in these rooms. METHODS: Four similar windowless consultations rooms located next to each other were used in the study...
September 2018: Danish Medical Journal
Kristian Kiim Jensen, Ismail Gögenur
INTRODUCTION: The extent of professional social media (SM) engagement by Danish surgeons remains unknown. It may be important for Danish surgeons to engage in SM, not only to establish and maintain an international network, but also to stay up to date on new developments in the international surgical community. The aim of the present study was to describe Danish surgeons' professional engagement in SM. METHODS: This was a descriptive cross-sectional study surveying all registered Danish surgeons who were members of the Danish Medical Association by May 2017...
September 2018: Danish Medical Journal
Mette Lund Madsen, Daniel Wæver, Lars Carl Borris, Lise Loft Nagel, Mads Henriksen, Rikke Thorninger, Jan Duedal Rölfing
INTRODUCTION: The objective of this study was to evaluate whether volar locking plating can restore the anatomical volar tilt of 12° and the anatomical length of the radius relative to the ulna. We retrospectively reviewed the radio-graphic outcome of distal radius fractures treated with two different first-generation locking plate systems; VariAx (Stryker) and Acu-Loc (Acumed). METHODS: Three independent observers evaluated radial volar tilt and ulnar variance (> 2 mm) on radiographs taken preoperatively, immediately after the operation and five weeks later...
August 2018: Danish Medical Journal
Finnur Mellemgaard, Rune B Strandby, Julie Blockmann, Steen C Kofoed, Lars B Svendsen, Michael P Achiam
INTRODUCTION: Single-operator cholangioscopy (SOC) is increasingly used for evaluation of the biliary tree following endoscopic retrograde cholangiopancreaticography (ERCP). This study aimed to determine the visual and histological success rates of SOC at a single Danish tertiary referral centre. METHODS: All patients undergoing SOC between 2008 and 2015 were retrospectively included from a prospectively maintained database. Patient characteristics and proced-ure-related variables were obtained from medical records...
August 2018: Danish Medical Journal
Nina Ank, Mona Kjærsgaard, Rita Andersen Leth
INTRODUCTION: Our objective was to investigate the know-ledge of "Guidelines on prescribing antibiotics for physicians and others in Denmark" published by the Danish Health Au-thority in 2012, and the usefulness of these guidelines for Danish hospital doctors. METHODS: We collected information on the perceived aware-ness and usefulness of the guidelines using a ques-tionnaire distributed at two regional hospitals. Furthermore, to evaluate the use of the guidelines, we collected data about 310 patients treated with antimicrobials at the two hospitals...
July 2018: Danish Medical Journal
Kirsten Hansen, Ole Kristensen, Hans Søgaard, Kaj Christensen
INTRODUCTION: Offspring of parents with depression has an increased risk of experiencing somatic and psychiatric diseases. Early child support can reduce this risk. This study aimed to describe general practitioners' (GPs) professional attention to children of depressed patients. METHODS: This was a survey study. We mailed ques-tion-naires to randomly selected Danish GPs. RESULTS: Among the 1,760 GPs invited, 890 (51%) partici-pated. Female GPs accounted for 45% of the respondents and 41% of the total GP population (p = 0...
July 2018: Danish Medical Journal
Lotte Linnemann Rønfeldt, Dorthe Hjort Jakobsen, Henrik Kehlet, Henriette Lipczak, Kasper Wennervaldt
INTRODUCTION: Clinical practice guidelines (CPGs) support enhanced post-operative recovery and decrease morbidity. In addition, patient information leaflets (PILs) are associated with enhanced overall outcomes and improved patient satisfaction. The aim of this study was to provide an overview of the quality of CPGs and PILs in cancer surgery departments undertaking pulmonary lobectomy, nephrectomy, cystectomy, whipples, colorectal and ovarian surgery. METHODS: We conducted a cross-sectional descriptive study within 44 surgical departments in six cancer subspecialties: lung (n = 4), kidney (n = 9), bladder (n = 5), pancreas (n = 4), colorectal (n = 18) and ovarian (n = 4)...
June 2018: Danish Medical Journal
Bashir Fouad Khazen, Alaa El-Hussuna
INTRODUCTION: A supra-physiological dose of glucocorticoid (SDS) is administered routinely in the perioperative management of patients on long-term regular glucocorticoid therapy. The dose of glucocorticoid used in these regimens varies. The current treatment is based on two 60-year-old case reports. No data exist to document the required dose of glucocorticoid to prevent perioperative hypotension or the category of patients needing this dose. Having in mind that high doses of glucocorticoids have several potential side effects, this practice ought to be re-evaluated in the light of available evidence...
June 2018: Danish Medical Journal
Sofie Ryaa, Lina H Ingelsrud, Søren T Skou, Ewa M Roos, Anders Troelsen
INTRODUCTION: The Good Life with osteoArthritis in Denmark (GLA:D) programme consists of patient education and supervised exercise therapy and adheres to clinical guidelines for knee osteoarthritis (OA). The purpose of this study was to present the treatment choice and clinical results of patients who were advised to participate in GLA:D before deciding on undergoing knee replacement. METHODS: Patient records from all patients with knee OA consulting one orthopaedic surgeon in 2015 were reviewed to identify those who were advised to seek GLA:D...
June 2018: Danish Medical Journal
Mathilde Glud Christensen, Katrine Storm Piper, Rasmus Dreier, Charlotte Suetta, Hanne Elkjær Andersen
INTRODUCTION: The prevalence of sarcopenia varies extensively depending on the definitions and studied populations. The aim of this study was to assess the prevalence of sarcopenia in a Danish geriatric out-patient population using criteria from the European Working Group on Sarcopenia (EWGSOP). METHODS: Patients referred to a geriatric out-patientclinic were included. Using the EWGSOP´s recommendations, appendicular skeletal muscle mass (ASM), hand-grip strength (HGS) and gait speed (ten-meter walk (GS)) were assessed...
June 2018: Danish Medical Journal
Camilla Buch Kjølbye, Thomas Bo Drivsholm, Ruth Kirk Ertmann, Kirsten Lykke, Rasmus Køster Rasmussen
INTRODUCTION: There is no evidence on how motor function is best evaluated in children in a low-risk setting. The method used in the Danish Preventive Child Health Examination Programme (DPCHEP) in general practise has not been validated. The objective of this review was to identify existing motor function tests for 0-2-year-old children that were validated for use in the background population and which are suitable for use in the DPCHEP. METHODS: This systematic review was conducted in accordance with the PRISMA guidelines...
June 2018: Danish Medical Journal
Niels Christian Kaldau, Stig Brorson, Per Hölmich, Bent Lund
INTRODUCTION: Short-term outcome after hip arthroscopy for femoroacetabular impingement (FAI) has been reported to improve hip function and decrease pain. Only few midterm and long-term studies have been published. The objective of this study was to report midterm results in a consecutive cohort and to study the relation between cartilage lesions and the conversion rate to total hip arthroplasty (THA). METHODS: Eighty-four FAI patients were followed retrospectively for 6-8 years...
June 2018: Danish Medical Journal
Sabrina Jensen, Lotte B Colmorn, Anne-Mette Schroll, Lone Krebs
Correction per 30 April 2018. In a letter from Ole Olsen et al [1] it was disclosed, that there were mathematical errors in the incidences of complications among nulliparous women with hospital births presented in Table 2. Incidences and p-values have been recalculated, and the errors in Table 2 have been corrected. We apologise for this. The corrections did not lead to any other changes in the manuscript [1].
May 2018: Danish Medical Journal
Ida Charlotte Bay Lund, Naja Becher, Olav Bjørn Petersen, Melissa Hill, Lyn Chitty, Ida Vogel
INTRODUCTION: Cell-free DNA testing (cfDNA testing) in maternal plasma has recently been implemented in Danish healthcare. Prior to that we wanted to evaluate the preferences among pregnant women, partners and health professionals regarding cfDNA testing compared with invasive prenatal diagnostics. METHODS: Responders were recruited at public hospitals in the Central and North Denmark Regions. Stated preferences for prenatal testing were obtained through an online questionnaire incorporating a discrete choice experiment...
May 2018: Danish Medical Journal
Finn Ole Larsen, Anne Birgitte Christiansen, Anette Rishøj, Knud Mejer Nelausen, Dorte L Nielsen
INTRODUCTION: The purpose of this study was to evaluate the safety and feasibility of home-based chemotherapy and to compare chemotherapy given at home with chemotherapy given as an outpatient treatment in relation to toxicity, quality of life and patient's preference. METHODS: Patients who had undergone radical surgery for colon cancer and who were eligible to receive adjuvant treatment with capecitabine and oxaliplatin could be included. To ensure patient safety, the first infusion was given at an outpatient clinic...
May 2018: Danish Medical Journal
Tine Nielsen, Martin Bang Jensen, Egon Stenager, Andreas Dammann Andersen
INTRODUCTION: The diagnosis of Parkinson's disease (PD) is typically based on the presence of motor symptoms, but in the early phase of the disease, the diagnostic process can be challenging. Examination of non-motor symptoms in patients suspected of PD has gained growing attention. Olfactory tests have shown promising results as ancillary diagnostic tests. The aim of this study was to investigate how olfactory tests may be used clinically in diagnostic process in PD. METHODS: A systematic search was conducted in PubMed for relevant literature on 8 March 2017...
May 2018: Danish Medical Journal
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