Torben Bridstrup Pedersen, Peter Gocht-Jensen, Mads Falk Klein
{"title":"Surgical excision of anal intraepithelial neoplasia.","authors":"Torben Bridstrup Pedersen, Peter Gocht-Jensen, Mads Falk Klein","doi":"10.61409/A10250868","DOIUrl":"10.61409/A10250868","url":null,"abstract":"<p><strong>Introduction: </strong>Anal intraepithelial neoplasia (AIN) is a premalignant lesion caused by human papillomavirus. Surgical excision is the preferred treatment, but recurrence rates are high, and the risk of progression to squamous cell carcinoma of the anus (SCCA) remains.</p><p><strong>Methods: </strong>This retrospective study included all patients with histologically confirmed AIN treated and/or followed at Herlev Hospital, Denmark, from 1 October 2021 to 30 September 2022. Standard treatment was surgical excision or electrocautery. Data on demographics, clinical characteristics, histology, recurrence, progression to SCCA and complications were collected. Median follow-up was 30 months.</p><p><strong>Results: </strong>A total of 77 patients were included (median age 51 years; 80.5% female); 21% were infected with HIV and 9% were immunosuppressed. High-grade squamous intraepithelial lesions were present in 90.9% of primary resections. Recurrence occurred in 59.7%, with a median time to recurrence of nine months; female sex was significantly associated with recurrence (p = 0.037). Eight patients (10.4%) developed SCCA, mostly stage T1, with no nodal or distant metastases. No significant predictors of cancer development were identified. One patient (1.3%) experienced a severe surgical complication.</p><p><strong>Conclusions: </strong>AIN has a high recurrence rate after excision and a notable risk of progression to SCCA. Early-stage detection supports the importance of structured long-term surveillance.</p><p><strong>Funding: </strong>None.</p><p><strong>Trial registration: </strong>The study was a quality development study (WorkZone no.: 25007943).</p>","PeriodicalId":11119,"journal":{"name":"Danish medical journal","volume":"73 7","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148722908","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}
{"title":"Validation of the Near-Death Experience Content Scale in cardiac arrest survivors.","authors":"Tobias Anker Stripp, Niels Christian Hvidt","doi":"10.61409/A12251012","DOIUrl":"10.61409/A12251012","url":null,"abstract":"<p><strong>Introduction: </strong>Near-death experiences (NDEs) are phenomena reported by individuals who have been, or perceived themselves to be, close to death. Although extensively studied internationally, no validated questionnaire exists in Danish. We aimed to evaluate the psychometric properties of the Danish version of the Near-Death Experience Content Scale (NDE-C).</p><p><strong>Methods: </strong>We conducted a cross-sectional survey of out-of-hospital cardiac arrest survivors (2016-2020) identified through the Danish Cardiac Arrest Register. Survivors reporting memories of their arrest completed the 20-item Danish NDE-C. Among the 2,262 invited patients, 855 responded (37.8%), and 226 completed the NDE-C.</p><p><strong>Results: </strong>Internal consistency was excellent (Cronbach's α = 0.92). Confirmatory factor analysis supported the conceptual five-factor structure; however, global fit indices were mixed (comparative fit index = 0.858; Tucker-Lewis Index = 0.831; root mean squared error of approximation = 0.093; standardised root-mean squared residual = 0.062). Factor loadings and discriminant validity were satisfactory.</p><p><strong>Conclusions: </strong>The Danish NDEC scale showed excellent internal consistency and a preliminary factor structure consistent with the original instrument. Supported by prior qualitative work, the scale appears suitable for overall scoring, screening and guiding clinical dialogue about NDEs. However, subscale interpretation should be approached with caution until validated in larger samples. This study represents an important step towards systematic NDE research on prevalence estimates, cross-cultural comparisons and evidence-based clinical care for experiencers and their relatives in Denmark.</p><p><strong>Funding: </strong>This work was supported by the University of Southern Denmark and the University of Copenhagen, and funded by Samfonden, Denmark.</p><p><strong>Trial registration: </strong>Not relevant.</p>","PeriodicalId":11119,"journal":{"name":"Danish medical journal","volume":"73 7","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148727760","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}
{"title":"Patient satisfaction in fast-track limb lengthening and realignment surgery.","authors":"Ulrik Kähler Olesen, Tilde Jonassen Bjørck, Andrea Benedicte Berntsen, Amanda Egeskov Christensen","doi":"10.61409/A01260013","DOIUrl":"10.61409/A01260013","url":null,"abstract":"<p><strong>Introduction: </strong>We investigated whether an accelerated protocol could reduce length of stay (LOS) in reconstructive orthopaedic surgery. Procedures included limb lengthening, limb alignment corrections and hardware removals. Patient satisfaction was evaluated using patient-reported outcome measures (PROMs). Possible cost savings were estimated.</p><p><strong>Methods: </strong>A total of 26 patients scheduled for 34 elective procedures were included, comprising intramedullary limb lengthening (n = 6), osteotomies (n = 13) and hardware removals (n = 15). Outcomes included LOS, short-term complications and PROMs-based satisfaction. LOS was compared with LOS in a historic cohort (n = 11).</p><p><strong>Results: </strong>Same-day discharge was achieved in 19 of 22 planned cases (87%). Eight of 12 cases (67%) planned for discharge on the day after surgery achieved the goal. Seven cases required 1-4 unplanned nights of hospitalisation, four following plating osteotomies, one external ring fixation, one motorised intramedullary limb lengthening implementation and one hardware removal. Reasons for delayed discharge included pain (n = 5), desaturation (n = 1) and anticoagulant issues (n = 1). Average LOS was 1.1 days compared with 4.4 days in the historic cohort. PROMs indicated high satisfaction, with 16 of 22 patients reporting an excellent or very good overall experience. Direct cost savings were approximately 1,000 euros per night saved.</p><p><strong>Conclusions: </strong>Fast-track protocols in reconstructive surgery can substantially reduce LOS and are associated with high patient satisfaction. Patients with pre-existing pain issues or patients undergoing tibial procedures may require additional support.</p><p><strong>Funding: </strong>None.</p><p><strong>Trial registration: </strong>Study permission: R-24053042 rh dk.</p>","PeriodicalId":11119,"journal":{"name":"Danish medical journal","volume":"73 7","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148721259","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}
Anne Gaml-Sørensen, Mette Viola Stokholm, Anne Hjorth Thomsen, Siri Eldevik Håberg, Mikko Myrskylä, Cecilia Høst Ramlau-Hansen
{"title":"Fertility intentions in young Danish adults.","authors":"Anne Gaml-Sørensen, Mette Viola Stokholm, Anne Hjorth Thomsen, Siri Eldevik Håberg, Mikko Myrskylä, Cecilia Høst Ramlau-Hansen","doi":"10.61409/A02260118","DOIUrl":"10.61409/A02260118","url":null,"abstract":"<p><strong>Introduction: </strong>Fertility rates are declining worldwide, including in Denmark. We investigated fertility intentions in young Danish adults.</p><p><strong>Methods: </strong>In a cross-sectional study based on the Danish National Birth Cohort, we investigated the wish for children, the desired number of children and the preferred ages for having first and last child among 20,594 women and 11,526 men aged 20-28 years.</p><p><strong>Results: </strong>Among women, 81.1% wished to have children, 7.8% did not want children and 11.1% were unsure. Among men, 79.9% wished to have children, 8.7% did not and 11.3% were unsure. The average number of children desired among those who wished for children was 2.46 (SD: 0.6) for women and 2.43 (SD: 0.7) for men. The preferred age at first and last birth was 27.3 (SD: 2.2) and 32.9 (SD: 3.1) years in women and 28.4 (SD: 2.2) and 34.0 (SD: 3.7) years in men, respectively.</p><p><strong>Conclusions: </strong>Fertility intentions among young Danish adults remain positive but conflict with observed fertility trends, suggesting a gap between desired and achieved fertility. This highlights the potential for policy interventions that address constraints emerging over the life course to impact the declining fertility rate.</p><p><strong>Funding: </strong>Funded by the European Union (ERC, BIOSFER, 101071773) and partly by the Research Council of Norway (project No 262700). Views and opinions expressed are, however, those of the author(s) only and do not necessarily reflect those of the EU or the European Research Council. Neither the European Union nor the granting authority can be held responsible for any statement expressed herein.</p><p><strong>Trial registration: </strong>Not relevant.</p>","PeriodicalId":11119,"journal":{"name":"Danish medical journal","volume":"73 7","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148721254","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}
Klaus Roslind, Ulrik Bodholdt, Tina Damgaard, Christian Jensen
{"title":"Real-world use of oral semaglutide in adults with type 2 diabetes.","authors":"Klaus Roslind, Ulrik Bodholdt, Tina Damgaard, Christian Jensen","doi":"10.61409/A06250520","DOIUrl":"10.61409/A06250520","url":null,"abstract":"<p><strong>Introduction: </strong>PIONEER REAL Denmark assessed changes in HbA1c, body weight and treatment satisfaction with once-daily oral semaglutide in adults with type 2 diabetes.</p><p><strong>Methods: </strong>In this multicentre, prospective, open-label, non-interventional study, participants initiated oral semaglutide in routine clinical practice and were followed up for 34-44 weeks. The primary endpoint was change in HbA1c from baseline to the end of study (EOS). Secondary endpoints assessed at EOS included change in body weight (BW), proportion of participants reaching HbA1c less-than 7% and treatment satisfaction using Diabetes Treatment Satisfaction Questionnaire status/change (DTSQs/DTSQc).</p><p><strong>Results: </strong>In total, 96 participants from a primary care setting were included (median age: 63.5 years, HbA1c: 7.6% (60.0 mmol/mol), BW: 97.4 kg). Estimated changes from baseline to EOS in HbA1c (n = 96) and BW (n = 86) were -0.9 percentage points (9.9 mmol/mol) (95% CI: -1.20; -0.61 percentage points) and -4.4 (95% CI: -5.44; -3.41) kg, respectively. At baseline, 28.1% of participants had HbA1c less-than 7.0% (less-than 53 mmol/mol); at EOS, 66.7% of participants had HbA1c less-than 7.0% (53 mmol/mol). Improvements in treatment satisfaction were observed in DTSQs (1.9 points) and DTSQc (10.5 points) scores. No new safety signals were identified for oral semaglutide.</p><p><strong>Conclusions: </strong>In PIONEER REAL Denmark, participants treated with oral semaglutide in a primary care setting experienced reductions in HbA1c and BW.</p><p><strong>Funding: </strong>This study was sponsored by Novo Nordisk A/S.</p><p><strong>Trial registration: </strong></p><p><strong>Clinicaltrials: </strong>gov (NCT04537637).</p>","PeriodicalId":11119,"journal":{"name":"Danish medical journal","volume":"73 7","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148724166","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}
Helena Van Beersel Rejcíková, Christoffer B Korfitsen, Asbjørn Hróbjartsson, Andreas Lundh
{"title":"Non-financial conflicts of interest in medicine - a narrative review.","authors":"Helena Van Beersel Rejcíková, Christoffer B Korfitsen, Asbjørn Hróbjartsson, Andreas Lundh","doi":"10.61409/A02260164","DOIUrl":"10.61409/A02260164","url":null,"abstract":"<p><p>Conflicts of interest have the potential to unduly influence medical research and clinical practice. While financial interests, such as funding and researchers' financial relationships, have received most attention, non-financial interests are also considered important. Non-financial interests are, however, more difficult to define and identify, the evidence of their impact is limited, and there is little consensus on how to disclose and manage them. Further research is needed to clarify how non-financial interests operate, and journals should improve guidance for how they should be addressed.</p>","PeriodicalId":11119,"journal":{"name":"Danish medical journal","volume":"73 7","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148720598","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}
Lise Dokkedahl Christensen, Mette Hulbæk Andersen, Michelle Dahl Koed, Kirstine Bekke, Karsten Kaiser, Bashayir Said Mussa Issa, Finn Friis Lauszus
{"title":"Adolescence, sexually transmitted infections and human papillomavirus vaccination.","authors":"Lise Dokkedahl Christensen, Mette Hulbæk Andersen, Michelle Dahl Koed, Kirstine Bekke, Karsten Kaiser, Bashayir Said Mussa Issa, Finn Friis Lauszus","doi":"10.61409/A09250766","DOIUrl":"10.61409/A09250766","url":null,"abstract":"<p><strong>Introduction: </strong>Human papillomavirus (HPV) is the most common sexually transmitted infection, with an 80% lifetime risk of infection. This study investigated adolescents' knowledge of sexually transmitted infections and examined whether this knowledge was associated with HPV vaccination status or influenced decisions regarding condom use.</p><p><strong>Methods: </strong>This study has a cross-sectional design and was based on data from an annual questionnaire distributed to all ninth-graders in Tønder, Denmark, between 2020 and 2024.</p><p><strong>Results: </strong>Among 1,254 pupils in ninth grade, 866 (69%) answered the questionnaire. 20% had their sexual debut at a median age of 14 years, and most within the year leading up to the questionnaire. Within the overall group, knowledge of three or more STIs was associated with HPV vaccination (p = 0.001). At their most recent sexual activity, 62% used condoms and/or oral contraceptives. The girls reported greater reliance on contraceptives than boys across different circumstances, with rates of 70-80%compared with 50-55%, respectively. The HPV vaccination was associated with an increased use of condoms.</p><p><strong>Conclusions: </strong>HPV-vaccinated adolescents knew more about sexually transmitted diseases and more often used condoms.</p><p><strong>Funding: </strong>None.</p><p><strong>Trial registration: </strong>Not relevant.</p>","PeriodicalId":11119,"journal":{"name":"Danish medical journal","volume":"73 7","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148720699","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}
Joachim Skovgaard Hansen, Max Rohde, Alexander Wieck Fjældstad
{"title":"Patient burden of chemosensory dysfunction and long COVID.","authors":"Joachim Skovgaard Hansen, Max Rohde, Alexander Wieck Fjældstad","doi":"10.61409/A01260014","DOIUrl":"10.61409/A01260014","url":null,"abstract":"<p><strong>Introduction: </strong>Chemosensory dysfunction (CD), particularly olfactory and gustatory dysfunction, is a common symptom of SARS-CoV-2 infection. While often transient, some patients develop persistent dysfunction. The long-term relationship between persistent CD, long COVID (LC) and quality of life (QoL) remains unclear. This study aimed to evaluate CD recovery four years after infection and its association with LC symptoms and QoL.</p><p><strong>Methods: </strong>In this prospective cohort study, 356 individuals with sudden CD during the COVID-19 pandemic completed a questionnaire four years after symptom onset. The survey assessed CD recovery, LC symptoms and QoL using validated self-report items. Outcomes were compared between participants with recovered versus persistent CD. The study followed the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines.</p><p><strong>Results: </strong>Only 43% reported full recovery of CD after four years. Persistent dysfunction was most common among participants aged 45-59 years (68%). Participants with persistent CD were significantly more likely to report LC symptoms, particularly fatigue (OR = 4.33), memory difficulties (OR = 3.30) and insomnia (OR = 3.39), each affecting more than 30% of this group. QoL scores indicated a greater impact on physical than emotional well-being.</p><p><strong>Conclusions: </strong>A substantial proportion of respondents continued to experience CD and other LC symptoms four years after infection. These findings highlight the need for long-term clinical awareness and further research on post-viral CD.</p><p><strong>Funding: </strong>None.</p><p><strong>Trial registration: </strong>Not relevant.</p>","PeriodicalId":11119,"journal":{"name":"Danish medical journal","volume":"73 7","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148724011","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}
Jeppe Damgren Vesterager, Jens Dyrskjøt, Boris Cehov, Jens Jakob Riis
{"title":"Indications for repeated computed tomography after mild traumatic brain injury with intracranial haemorrhage.","authors":"Jeppe Damgren Vesterager, Jens Dyrskjøt, Boris Cehov, Jens Jakob Riis","doi":"10.61409/A08250642","DOIUrl":"10.61409/A08250642","url":null,"abstract":"<p><strong>Introduction: </strong>Traumatic brain injury (TBI) with intracranial haematoma and a Glasgow Coma Scale (GCS) score ≥ 13 is classified as complicated mild TBI (mTBI). Patients are often admitted for observation, and some undergo repeated brain CT (CTc), though the need for routine repeated imaging remains debated. This study examined the prevalence and indications for repeated CTc in complicated mTBI at a single neurosurgical centre.</p><p><strong>Methods: </strong>This was a retrospective review of adult patients admitted between April 2022 and December 2024 with complicated mTBI. The exclusion criteria were immediate surgery, a GCS score less-than 13, age less-than 18 years or interdepartmental transfer. Data collected included demographics, comorbidities, antithrombotic/anticoagulant therapy, repeated CTc indications, radiographic progression, neurosurgical intervention, discharge status and 30-day mortality. Descriptive statistics were applied.</p><p><strong>Results: </strong>Among 127 patients, 94 (74.0%) underwent repeated CTc; 64.9% were routine or had undocumented documentation. Radiographic progression was more frequent in cases with documented clinical indication (39.5% versus 18.0%). Neurosurgical intervention was performed in three patients (2.4%), all following clinical deterioration; no intervention was based solely on routine CTc.</p><p><strong>Conclusions: </strong>Routine repeated CTc in neurologically stable patients with complicated mTBI rarely alters management. Clinical deterioration, rather than radiological progression alone, dictated intervention. Repeated CTc should be reserved for patients with worsening neurological status, potentially reducing unnecessary resource use and radiation exposure.</p><p><strong>Funding: </strong>None.</p><p><strong>Trial registration: </strong>Not relevant.</p>","PeriodicalId":11119,"journal":{"name":"Danish medical journal","volume":"73 7","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148722279","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}
Dovile Stankevice, Claus Højbjerg Gravholt, Alexander Wieck Fjældstad, Terese Ovesen
{"title":"Congenital anosmia.","authors":"Dovile Stankevice, Claus Højbjerg Gravholt, Alexander Wieck Fjældstad, Terese Ovesen","doi":"10.61409/A10250867","DOIUrl":"10.61409/A10250867","url":null,"abstract":"<p><strong>Introduction: </strong>Congenital anosmia (CA) is a rare condition among all olfactory disorders (OD). It is estimated that one in 10,000 persons is born with anosmia, and the diagnosis may be related to various syndromes, especially Kallmann (hypogonadotropic hypogonadism).</p><p><strong>Methods: </strong>Patients with CA were identified in the REDCap database at the University Clinic for Flavour, Balance, and Sleep; Department of Otorhinolaryngology, Goedstrup Hospital, Denmark. In addition to demographics and clinical findings, the database recorded patient-reported outcome measures, such as the Sino-Nasal-Outcome-Test 22 scores and the Major Depression Index, as well as quality of life scores and results of psychophysical tests. OD was assessed using the Danish modification of the Sniffin' Sticks, including screening for basic tastes. Furthermore, results of blood tests, BMI and imaging (magnetic resonance imaging of the brain/computed tomography of the sinuses) were included in the database.</p><p><strong>Results: </strong>The cohort (n = 100) was characterised by a slight predominance of females (n = 56) and a wide age range from six to 72 years. A total of 50% had various comorbidities - besides allergic diseases, psychiatric and neurologic disorders were frequent. In addition, 29% of patients had relatives with relevant anosmia-/hyposmia-related disposing conditions. Total threshold, discrimination identification (TDI) scores were below 16 in 90 patients.</p><p><strong>Conclusions: </strong>Our findings underscore the importance of early identification of CA through olfactory testing and MRI, with genetic and endocrine evaluations when appropriate.</p><p><strong>Funding: </strong>None.</p><p><strong>Trial registration: </strong>Not relevant.</p>","PeriodicalId":11119,"journal":{"name":"Danish medical journal","volume":"73 7","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148723067","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}