Danish medical journal最新文献_第2页

Development of a virtual cross-sectional polypharmacy outpatient clinic. 虚拟横断面综合药房门诊的开发。

IF 1 4区医学

Danish medical journal Pub Date : 2025-06-24 DOI: 10.61409/A12240869

Lærke Karner Overgaard, Daniel Pilsgaard Henriksen

{"title":"Development of a virtual cross-sectional polypharmacy outpatient clinic.","authors":"Lærke Karner Overgaard, Daniel Pilsgaard Henriksen","doi":"10.61409/A12240869","DOIUrl":"https://doi.org/10.61409/A12240869","url":null,"abstract":"Introduction: Multimorbidity and polypharmacy present significant challenges for the healthcare system. In Denmark, general practitioners (GPs) play a key role in coordinating patient care, while also relying on specialist support for complex cases. This study reports on the development and implementation of the Telepharmacological Outpatient Clinic (TPOC) (Danish: Telefarmakologisk Ambulatorium), a virtual cross-sectional polypharmacy counselling service.Methods: The intervention was developed adopting an interdisciplinary approach. The service provided virtual consultations to GPs in the Region of Southern Denmark, offering multidisciplinary specialist counselling for patients with polypharmacy. The process included referral, medication review, video conference and follow-up. Data were collected on referrals, demographics and service utilisation.Results: A total of 364 patients (median age 74 years, 61.0% female) were referred to the TPOC from March 2019 to February 2024. Referrals increased from a median of 3.5 per month in 2019-2020 to nine per month in 2023-2024. GPs from 21 of 22 municipalities referred patients. The service was well received by GPs and recognised by national authorities as a valuable model for managing multimorbidity.Conclusions: The TPOC was shown to be a successful model for providing specialist support to GPs. Its growing utilisation and positive reception indicate relevance in addressing multimorbidity and polypharmacy challenges.Funding: The TPOC is funded by the Region of Southern Denmark.Trial registration: Not relevant.","PeriodicalId":11119,"journal":{"name":"Danish medical journal","volume":"72 7","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144539411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Early remote rehabilitation to improve health of the elderly after cardiac surgery - study protocol for a randomised trial. 心脏手术后早期远程康复改善老年人健康——随机试验研究方案

IF 1.2 4区医学

Danish medical journal Pub Date : 2025-06-21 DOI: 10.61409/A11240820

Rikke Daugaard, Lotte Sørensen, Stian Ingemann-Molden, Ivy Susanne Modrau

{"title":"Early remote rehabilitation to improve health of the elderly after cardiac surgery - study protocol for a randomised trial.","authors":"Rikke Daugaard, Lotte Sørensen, Stian Ingemann-Molden, Ivy Susanne Modrau","doi":"10.61409/A11240820","DOIUrl":"10.61409/A11240820","url":null,"abstract":"Introduction: Early rehabilitation is recommended after cardiac surgery to enhance recovery. However, due to precautions of sternum healing, the initiation of cardiac rehabilitation is often postponed for 6-8 weeks after surgery, leaving patients to face physical and emotional barriers on their own. This study aims to investigate whether early remote cardiac rehabilitation can enhance physical function and reduce the emotional challenges that older patients face after discharge.Methods: In this bi-entre, randomised controlled trial, 120 patients older than 65 years of age undergoing open heart surgery are assigned to individualised exercise training and step counting supported by a mobile health app and weekly calls with a physiotherapist as an adjunct to standard care (intervention group), or standard care alone (control group) for six weeks after discharge. Outcomes are assessed at baseline, a six-week follow-up and a six-month follow-up. The primary outcome is change in the 30-second Chair Stand Test. Secondary outcomes include health-related quality of life, cost-effectiveness and prevalence of sarcopenia.Conclusions: This trial will determine if early remote rehabilitation after cardiac surgery can accelerate recovery and alleviate emotional distress, advocating for early post-discharge interventions through digitally delivered care.Funding: This trial is supported by external funds: the Novo Nordisk Foundation, the Health Foundation and the Eva and Henry Frænkels Memorial Fund.Trial registration: Clinicaltrials: gov NCT06370611.","PeriodicalId":11119,"journal":{"name":"Danish medical journal","volume":"72 7","pages":""},"PeriodicalIF":1.2,"publicationDate":"2025-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144539413","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Head and neck basal cell carcinoma excisions across specialities in hospital and practice settings. 头颈部基底细胞癌在医院和实践设置跨专业切除。

IF 1 4区医学

Danish medical journal Pub Date : 2025-06-21 DOI: 10.61409/A01250029

Emilie W Kjeldsen, Johan Sieborg, Milad K Tabatabai, Katrine E Karmisholt, Nina L Mårtensson, Grethe Schmidt, Emily Wenande, Merete Haedersdal

{"title":"Head and neck basal cell carcinoma excisions across specialities in hospital and practice settings.","authors":"Emilie W Kjeldsen, Johan Sieborg, Milad K Tabatabai, Katrine E Karmisholt, Nina L Mårtensson, Grethe Schmidt, Emily Wenande, Merete Haedersdal","doi":"10.61409/A01250029","DOIUrl":"https://doi.org/10.61409/A01250029","url":null,"abstract":"Introduction: The rising burden of basal cell carcinoma (BCC) in Denmark challenges healthcare resources, highlighting the importance of optimal patient treatment and effective resource management. Therefore, this study aimed to compare BCC excisions across specialities in practices and hospitals.Methods: Data from the Patobank included histopathology records of standard BCC excisions on the head and neck from 1 January 2022 to 31 December 2022, performed by plastic surgeons, dermatologists, ophthalmologists and general practitioners (GPs) in practice and hospital settings. Excisions with intraoperative margin control were excluded. We analysed the number of excisions, BCC subtypes and odds ratios of incomplete BCC excisions across treatment settings. The intended purpose of excision was not registered.Results: Among 7,774 BCC excisions, most were performed by plastic surgeons in hospitals (43%) and practices (38%), followed by dermatologists in practices (14%). Hospital-based specialists, including plastic surgeons, dermatologists and ophthalmologists, had lower odds of incomplete BCC excision than their practice-based counterparts and GPs.Conclusions: Substantial variations in excision counts and odds of incomplete BCC excisions are observed across specialities and settings. Addressing this variation is important to ensuring that patients are treated in the appropriate arena and that resources are allocated optimally.Funding: This work was funded by the Danish Research Center for Skin Cancer, a public-private research partnership between Private Hospital Mølholm, Aalborg University Hospital, and Copenhagen University Hospital - Bispebjerg and Frederiksberg Hospital.Trial registration: Study and data approval were provided by the Danish Research Act and the Team for Records Data.","PeriodicalId":11119,"journal":{"name":"Danish medical journal","volume":"72 7","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144539417","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Factors associated with participation in simulation-based training. 参与模拟训练的相关因素。

IF 1 4区医学

Danish medical journal Pub Date : 2025-06-12 DOI: 10.61409/A12240914

Anders L Schram, Nadja L Bonne, Tine B Henriksen, Niels T Hertel, Morten S Lindhard

{"title":"Factors associated with participation in simulation-based training.","authors":"Anders L Schram, Nadja L Bonne, Tine B Henriksen, Niels T Hertel, Morten S Lindhard","doi":"10.61409/A12240914","DOIUrl":"10.61409/A12240914","url":null,"abstract":"Introduction: Simulation-based training is used to prepare healthcare professionals for clinical situations in a structured environment. However, participation varies depending on personal, professional and institutional factors. This study aimed to identify factors associated with participation to inform inclusive training programme designs.Methods: We analysed longitudinal data from 1,825 healthcare professionals across eight paediatric departments in two Danish regions over 15 months. Logistic regression was used to examine associations between simulation participation and factors such as age, gender, profession, experience, hospital type, sick leave, and patient safety culture.Results: Doctors were more likely to participate than nurses (OR = 1.5, 95% CI: 1.0; 2.1), and staff at regional hospitals were much more likely to participate than staff at university hospitals (OR = 4.8, 95% CI: 3.6; 6.2). Age, experience, sick leave, and safety culture dimensions showed trends, but none were statistically significant. Gender was not associated with participation.Conclusions: Professional roles and institutional context may influence simulation participation. Tailored strategies targeting nurses, early-career professionals, and university hospital staff may help increase participation and support sustained training efforts.Funding: The Elsass Foundation and the Central Denmark Region.Trial registration: Clinicaltrials: gov (no. NCT06064045).","PeriodicalId":11119,"journal":{"name":"Danish medical journal","volume":"72 7","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144539415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Precision of tuberculosis diagnosis codes in the Central Denmark Region. 丹麦中部地区结核病诊断代码的准确性。

IF 1 4区医学

Danish medical journal Pub Date : 2025-06-12 DOI: 10.61409/A12240847

Victor Næstholt Dahl, Pernille Grand Moestrup, Anders Koch, Dorte Bek Folkvardsen, Frauke Rudolf, Tina Nørregaard Gissel, Andreas Fløe

{"title":"Precision of tuberculosis diagnosis codes in the Central Denmark Region.","authors":"Victor Næstholt Dahl, Pernille Grand Moestrup, Anders Koch, Dorte Bek Folkvardsen, Frauke Rudolf, Tina Nørregaard Gissel, Andreas Fløe","doi":"10.61409/A12240847","DOIUrl":"https://doi.org/10.61409/A12240847","url":null,"abstract":"Introduction: Correct use of tuberculosis (TB) diagnosis codes is essential for patient care, surveillance and resource allocation. We aimed to assess the positive predictive value (PPV) of TB diagnosis codes.Methods: In this retrospective cohort study, we identified patients with International Classification of Diseases, tenth version (ICD-10) TB diagnosis codes from 1 July 2020 to 30 June 2023, at two TB centres in the Central Denmark Region. Confirmed TB was defined as microbiologically confirmed TB, prescription of ≥ 3 first- or second-line TB drugs, or TB notification. All patients who did not meet these criteria and those who received fewer than three TB drugs or lacked TB notification underwent manual hospital record review to verify or exclude the TB diagnosis. PPVs were calculated as the proportion of confirmed TB diagnoses among all patients with a TB diagnosis code.Results: In total, 185/230 patients were confirmed to have TB, yielding a PPV of 80% (95% CI: 75; 85). The PPVs for TB microbiology, TB prescriptions and TB notification exceeded 95% individually. Excluding TB lupus codes increased the PPV to 89% (95% CI: 84; 93). Patients with more than one different type of TB diagnosis code had a PPV of 100% (95% CI: 93; 100). Additionally, PPVs were high when TB diagnosis codes appeared on multiple occasions, increasing with the number of occurrences (≥ 2: 85%, ≥ 3: 89%, ≥ 4: 93%).Conclusion: TB ICD-10 diagnosis codes demonstrate a moderately high PPV in Denmark, particularly when excluding TB lupus codes, highlighting the importance and complexities of diagnostic coding.Funding: None.Trial registration: Not relevant.","PeriodicalId":11119,"journal":{"name":"Danish medical journal","volume":"72 7","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144539420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Experiences of accessing HIV testing for migrants living in Denmark. 居住在丹麦的移民获得艾滋病毒检测的经验。

IF 1 4区医学

Danish medical journal Pub Date : 2025-06-12 DOI: 10.61409/A12230820

Mathilde Christine Boye, Olivia Beyer Borchmann, Ann-Brit Eg Hansen, Michala Vaaben Rose, Christian Wejse, Marie Nørredam

{"title":"Experiences of accessing HIV testing for migrants living in Denmark.","authors":"Mathilde Christine Boye, Olivia Beyer Borchmann, Ann-Brit Eg Hansen, Michala Vaaben Rose, Christian Wejse, Marie Nørredam","doi":"10.61409/A12230820","DOIUrl":"https://doi.org/10.61409/A12230820","url":null,"abstract":"Introduction: About 40% of all new HIV cases in Denmark are migrants. Studies show that migrants are typically diagnosed several years after arriving in Denmark, indicating a worrying missed opportunity for testing. The aim of this study was therefore to explore the experience of accessing HIV testing among migrants living in Denmark.Methods: The study participants were recruited from April to July 2021 at the outpatient HIV clinics in the departments of infectious diseases at two large hospitals in Denmark. We included informants who were: 1) > 17 years, 2) born in Eastern Europe, Asia, Latin America or Africa, and 3) had tested positive with HIV after 1 January 2013 in Denmark. In total, 19 particpants were included. We conducted interviews based on a semi-structured interview guide and analysed them through thematic network analysis.Results: The study found that risk perception and stigma were important factors in seeking HIV testing among migrants. From the study, three pathways to diagnosis emerged: 1) feeling ill and seeking healthcare, 2) fertility or pregnancy-related screening and 3) routine HIV testing. Pathways differed considerably between men who have sex with men and heterosexual informants.Conclusions: The study showed an increased need for provider-initiated testing to promote early diagnosis of HIV among migrants in Denmark. Structural policies and practices should be introduced to ensure this.Funding: This work was supported by AIDS Foundation Denmark.Trial registration: Not relevant.","PeriodicalId":11119,"journal":{"name":"Danish medical journal","volume":"72 7","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144539414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

General practitioners' assessment of Ukrainian refugees arriving in Denmark. 全科医生对抵达丹麦的乌克兰难民的评估。

IF 1 4区医学

Danish medical journal Pub Date : 2025-06-12 DOI: 10.61409/A10240673

Anne-Marie Schönemann, Maria Marti-Castaner, Viktoriia Vereshchakina, Marie Norredam

{"title":"General practitioners' assessment of Ukrainian refugees arriving in Denmark.","authors":"Anne-Marie Schönemann, Maria Marti-Castaner, Viktoriia Vereshchakina, Marie Norredam","doi":"10.61409/A10240673","DOIUrl":"https://doi.org/10.61409/A10240673","url":null,"abstract":"Introduction: More than 31,000 Ukrainian refugees have been resettled in Denmark. To mitigate related health challenges, the Danish Health Authority issued Guidelines for Healthcare Professionals on Displaced Ukrainians in 2022, stating that general practitioners (GPs) should conduct a health assessment at one of the first contacts with a Ukrainian refugee. We aimed to explore how GPs had implemented this health policy into practice.Methods: From 11 May to 22 June 2023, we distributed a self-administered online questionnaire to 3,284 GPs through the newsletter of the Danish Organisation of General Practitioners (PLO). Analyses included frequencies and statistical logistic regression analyses.Results: A total of 55 GP responded. Those who were knowledgeable about the guidelines were significantly more likely to ask adults (OR = 4.0; 95% confidence interval (CI): 2.1-7.9) and children (odds ratio (OR) = 4.7; 95% CI: 1.4-16.1) about vaccination status and infectious diseases (OR = 5.0; 95% CI: 3.6-19.3) as part of a general health assessment. GPs experienced language barriers and a lack of knowledge about refugee health as obstacles to implementing the guidelines. GPs also found that Ukrainian refugees had a high need for interpreters and lacked the competencies needed to navigate healthcare services. Lastly, GPs expressed that intersectoral cooperation and referral possibilities were lacking.Conclusions: Our study highlights the importance of providing structural support and evaluation to ensure that migrant health policies effectively impact the target groups in practice.Funding: None.Trial registration: Regional Data Protection Centre (P-504-0406/23-5000).","PeriodicalId":11119,"journal":{"name":"Danish medical journal","volume":"72 7","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144539416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Register-based algorithm to detect post-operative complications in patients with ovarian cancer. 基于注册的卵巢癌术后并发症检测算法。

IF 1 4区医学

Danish medical journal Pub Date : 2025-05-26 DOI: 10.61409/A12240907

Jakob Ohm Oreskov, Cecilie Nørregaard Albertsen, Claus Høgdall, Anne Weng Ekmann-Gade, Sarah Mejer Sørensen, Karsten Dromph, Algirdas Markauskas, Pernille Tine Jensen, Tine Henrichsen Schnack

{"title":"Register-based algorithm to detect post-operative complications in patients with ovarian cancer.","authors":"Jakob Ohm Oreskov, Cecilie Nørregaard Albertsen, Claus Høgdall, Anne Weng Ekmann-Gade, Sarah Mejer Sørensen, Karsten Dromph, Algirdas Markauskas, Pernille Tine Jensen, Tine Henrichsen Schnack","doi":"10.61409/A12240907","DOIUrl":"https://doi.org/10.61409/A12240907","url":null,"abstract":"Introduction: Epithelial ovarian cancer (OC) is the most fatal gynaecological cancer. The use of extensive surgical procedures implies the potential severity of post-operative complications. In Denmark, registration of complications has changed from manual database registration to data transfer from medical records to the Danish National Patient Registry (NPR). This study examines whether a new complication algorithm based on NPR data may be used to identify 30-day post-operative complications among patients with advanced stage IIIC-IV OC.Methods: Complications were graded according to Clavien-Dindo (CD). The algorithm was validated in a cohort undergoing surgery at the OUH, between 1 January 2007 and 31 December 2012. The CD grades were sub-grouped into mild (CD 0-2) and severe (CD 3-5) complications for sub-analyses.Results: A total of 330 patients were included. The overall sensitivity (SN) and specificity (SP) of the algorithm (CD 0-5) were 56.4% (95% confidence interval (CI): 48.0-65.0%) and 92.4% (95% CI: 86.5-93.0%), respectively, with an overall kappa coefficient (κ) of 0.43. For severe complications (CD 3-5), the algorithm had an SN of 74.2% (95% CI: 67.4-83.6%) and an SP of 97.4% (95% CI: 95.5-99.4%), with a κ of 0.65.Conclusions: The algorithm had a moderate SN and a high SP with substantial agreement regarding severe complications. A standardised registration of complications in the NPR will likely improve the algorithm's performance.Funding: The Danish Clinical Quality Program DKK 200,000.Trial registration: Not relevant.","PeriodicalId":11119,"journal":{"name":"Danish medical journal","volume":"72 7","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144539421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effectiveness of sialendoscopy for salivary gland occlusions. 涎腺内窥镜检查对涎腺阻塞的疗效。

IF 1 4区医学

Danish medical journal Pub Date : 2025-05-21 DOI: 10.61409/A11240783

Benjamin Seddighi, Therese Ovesen, Ali Abood

{"title":"Effectiveness of sialendoscopy for salivary gland occlusions.","authors":"Benjamin Seddighi, Therese Ovesen, Ali Abood","doi":"10.61409/A11240783","DOIUrl":"https://doi.org/10.61409/A11240783","url":null,"abstract":"Introduction: Minimally invasive procedures using sialendoscopy have emerged as a safer alternative to traditional interventions for non-neoplastic occlusions of the salivary glands. To illuminate the procedure's efficacy, demographics and outcomes of patients undergoing sialendoscopies are presented.Methods: Retrospective cohort study. Medical files of patients who underwent sialendoscopy at Gødstrup Hospital from 27 October 2018 to 30 June 2023 were reviewed. Surgical success was defined as complete symptom relief and no complications within a three-month follow-up, while surgical failure was defined as any symptoms or complications within the follow-up period.Results: Complete sialendoscopy was performed in 110 patients of whom 94 attended a follow-up after three months. The mean age at the time of surgery was 44.2 years (95% confidence intervals (CI): 40.3-48.1), and 48.2% were male. Surgical success was achieved in 53 cases with follow-up (56.4% (95% CI: 46.4-66.4%)). Additionally, symptom relief was achieved in another 23 cases, meaning that a total of 76 patients benefited from the procedure (80.9% (95% CI: 72.9-88.8)). Patients with sialolithiasis had a significantly higher surgical success rate, while patients with stenosis had a significantly lower surgical success rate.Conclusions: The results confirm that sialendoscopy is a safe, effective and feasible procedure for diagnosing and treating non-neoplastic occlusions of the salivary gland. Our findings indicate better results for patients with sialoliths than those with stenosis.Funding: None.Trial registration: Not relevant.","PeriodicalId":11119,"journal":{"name":"Danish medical journal","volume":"72 6","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144483547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Using type 2 diabetes population data in general practice may affect workflow and clinical outcomes. 在一般实践中使用2型糖尿病人群数据可能会影响工作流程和临床结果。

IF 1 4区医学

Danish medical journal Pub Date : 2025-05-21 DOI: 10.61409/A11240795

Trine Kjeldgaard Møller, Martin Riis Johansen, Ulla Bjerre-Christensen, Peter Lommer Kristensen

{"title":"Using type 2 diabetes population data in general practice may affect workflow and clinical outcomes.","authors":"Trine Kjeldgaard Møller, Martin Riis Johansen, Ulla Bjerre-Christensen, Peter Lommer Kristensen","doi":"10.61409/A11240795","DOIUrl":"https://doi.org/10.61409/A11240795","url":null,"abstract":"Introduction: Studies have demonstrated that electronic feedback utilising patient data from general practice may effectively promote adherence to treatment guidelines, making it a valuable tool for quality improvement. Therefore, we aimed to explore the effect of data-driven quality improvement in general practice on clinical outcomes for people with type 2 diabetes.Methods: A total of 15 general practitioners participated in a quality development process with visits from an organisational advisor. Six other control clinics did not participate in the quality process. Diabetes-related data were gathered at baseline and after six and 12 months.Results: The intervention improved adherence to guidelines. We observed between-group effects for the proportion of annual control within 12 months, HbA1c, low-density lipoprotein (LDL) and estimated glomerular filtration rate measurements, the proportion of patients with LDL less-than 2.5 mmol/l and a reduction in patients with ischaemic heart disease and no secondary prevention treatment.Conclusions: The intervention may represent an easy-to-implement solution to creating workflow routines by comprehensively analysing the patient population at the clinic level. However, selection bias may influence the results.Funding: The study was funded by Steno Diabetes Centre Copenhagen.Trial registration: Regional ethics committee of the capital region (F-22073139).","PeriodicalId":11119,"journal":{"name":"Danish medical journal","volume":"72 6","pages":""},"PeriodicalIF":1.0,"publicationDate":"2025-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144483551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0