Danish medical journal最新文献_第4页

Telemedical maritime assistance over three decades in Denmark. 丹麦30多年的海上远程医疗援助。

IF 1.1 4区医学

Danish medical journal Pub Date : 2026-06-04 DOI: 10.61409/A01260016

Peter Biesenbach, Line Emilie Lilholm Laugesen, Jan Vork, Søren Kristensen

{"title":"Telemedical maritime assistance over three decades in Denmark.","authors":"Peter Biesenbach, Line Emilie Lilholm Laugesen, Jan Vork, Søren Kristensen","doi":"10.61409/A01260016","DOIUrl":"10.61409/A01260016","url":null,"abstract":"Introduction: Seafaring is associated with higher occupational hazards and health risks than shore-based work. Telemedical maritime assistance services (TMAS) provide remote specialist medical support to seafarers. In Denmark, a unified national TMAS, Radio Medical Denmark (RMD), was established in 1995. This study aimed to describe the 30-year development and clinical activity of the RMD.Methods: This was a single-centre retrospective cohort study of all consultations provided by the RMD from 1 September 1995 to 31 December 2024. Data were extracted from annual reports based on original medical files, with organisational information from contracts and guidelines. No identifiable patient data were collected.Results: The RMD assisted 49,999 seafarers over 30 years, with annual consultations increasing from 240 in 1995 to 4,829 in 2024. The proportion requiring disembarkation or evacuation declined from >10% at the outset to approximately 5% today. The most common diagnoses were musculoskeletal (18.8%), dermatological (14.6%) and abdominal (11.5%). Since 2014, the proportion of Danish seafarers decreased from 38% to 15.1%, while Indian and Filipino seafarers increased substantially. Merchant vessels accounted for 55.7% of contacts, predominantly in the North Sea.Conclusions: RMD has evolved into one of Europe's largest public TMAS providers. Centralisation within an academic emergency department, combined with structured training and research, has supported sustained growth, improved decision-making and reduced evacuation rates.Funding: None.Trial registration: Not relevant.","PeriodicalId":11119,"journal":{"name":"Danish medical journal","volume":"73 7","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148722913","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

Consensus on key concepts in audiometry. 听力测定中关键概念的共识。

IF 1.1 4区医学

Danish medical journal Pub Date : 2026-05-20 DOI: 10.61409/A08250639

Hassan Ali Alfares, David Harbo Jordell, Jesper Yde, Steven Arild Wuyts Andersen

{"title":"Consensus on key concepts in audiometry.","authors":"Hassan Ali Alfares, David Harbo Jordell, Jesper Yde, Steven Arild Wuyts Andersen","doi":"10.61409/A08250639","DOIUrl":"10.61409/A08250639","url":null,"abstract":"Introduction: To develop a consensus-based curriculum for audiometry and hearing test interpretation, adopting a structured Delphi methodology. The goal was to address gaps in audiological training by defining key concepts that should be taught to three learner groups: medical students (i.e. all doctors), early otorhinolaryngology residents (i.e., all ORL specialists) and ORL specialists with a subspecialty in audiology (medical audiology subspecialists).Methods: A three-round Delphi process was used, and content experts and key educational stakeholders in ORL and ORL specialists with a subspecialty in audiology were invited to participate in online questionnaires. In round 1, panellists brainstormed key concepts via open-ended questions. The Steering Committee merged and grouped similar responses; and in rounds 2 and 3, panellists rated and refined items of relevance for each target group.Results: Twenty content experts and key educational stakeholders participated in round 1. Among these, 13 and 12 responded in rounds 2 and 3, respectively. From 303 initial suggestions of key concepts related to audiometry and interpretation, 71 unique items were identified and rated in the subsequent rounds. A final consensus was reached on 19 concepts that should be known by all doctors, 53 by ORL specialists and 71 by audiology subspecialists.Conclusions: This Delphi study established expert consensus on core competencies for interpreting audiometry tailored to three learner levels. These findings provide a structured foundation for developing an e-learning curriculum and support the integration of structured audiological training.Funding: None.Trial registration: Not relevant.","PeriodicalId":11119,"journal":{"name":"Danish medical journal","volume":"73 6","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148216926","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

Minimally invasive ventral mesh rectopexy. 微创腹网直肠固定术。

IF 1.1 4区医学

Danish medical journal Pub Date : 2026-05-20 DOI: 10.61409/A11250903

Maria Ahmed, Sharaf Karim Perdawood

{"title":"Minimally invasive ventral mesh rectopexy.","authors":"Maria Ahmed, Sharaf Karim Perdawood","doi":"10.61409/A11250903","DOIUrl":"10.61409/A11250903","url":null,"abstract":"Introduction: Rectal prolapse significantly impairs the quality of life, particularly in elderly women. Minimally invasive ventral mesh rectopexy (VMR) has emerged as a preferred surgery, offering anatomical correction and improved post-operative outcomes. This study evaluated operative details, complications and recurrence rates following laparoscopic VMR (LVMR) and robotic VMR (RVMR) at a single tertiary care centre over a five-year period.Methods: A retrospective analysis of patients undergoing LVMR or RVMR between 2019 and 2024 was conducted. The two groups were compared with respect to demographics, intraoperative details, post-operative complications, recurrence and long-term functional outcomes.Results: A total of 88 patients had undergone VMR, of whom 69 underwent RVMR; 19 underwent LVMR. All patients were female with a median age of 74 years. External prolapse was observed in 97.7% of the patients, whereas only 2.3% had internal prolapse. No statistically significant difference was observed between LVMR and RVMR with regard to length of stay or mean operative time. The conversion rate was 0%. Post-operative complications were classified according to Clavien-Dindo (CD); six patients had a CD IIIb, requiring return to surgical theatres. A single patient from the RVMR group had a recurrence after one year.Conclusions: Minimally invasive VMR is a long-term, effective and safe surgical method for rectal prolapse, with a low recurrence rate, a relatively low complication rate and a significant improvement in functional outcomes.Funding: None.Trial registration: Not relevant.","PeriodicalId":11119,"journal":{"name":"Danish medical journal","volume":"73 6","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148216929","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

Translation of the Breathing Vigilance Questionnaire for respiratory diseases. 呼吸系统疾病呼吸警觉问卷的翻译。

IF 1.2 4区医学

Danish medical journal Pub Date : 2026-05-20 DOI: 10.61409/A10250862

Mette Kaasgaard, Ingeborg Farver-Vestergaard, Elmar Kal, Adam Lewis, Karen Hjerrild Andreasson

{"title":"Translation of the Breathing Vigilance Questionnaire for respiratory diseases.","authors":"Mette Kaasgaard, Ingeborg Farver-Vestergaard, Elmar Kal, Adam Lewis, Karen Hjerrild Andreasson","doi":"10.61409/A10250862","DOIUrl":"10.61409/A10250862","url":null,"abstract":"Introduction: Breathing vigilance - a heightened focus on breathing, which is linked to anxiety - potentially exacerbates symptoms in people with respiratory conditions, e.g., chronic obstructive pulmonary disease, asthma and breathing pattern disorder. The Breathing Vigilance Questionnaire (Breathe-VQ) was developed in English but requires translation and cross-cultural adaptation for broader use. We aimed to translate and cross-culturally adapt the Breathe-VQ into Danish.Methods: Following established translation guidelines for patient-reported outcome measures, we conducted a six-stage adaptation process, including forward translation, backward translation, expert committee review and face validity testing. The validation process involved three interview rounds with 13 patients.Results: Patient feedback prompted iterative revisions in language and phrasing, particularly to address the semantics of temporal and intergenerational aspects. Patients found the Danish version easy to understand and reflective of their breathing experiences, confirming its face validity. The expert committee confirmed equivalence and cultural alignment with the original version.Conclusions: The Danish Breathe-VQ demonstrates content equivalence and face validity, offering a suitable tool for measuring breathing vigilance in Danish-speaking populations.Funding: The study was funded by Brunel University of London, United Kingdom, and Novo Nordisk Foundation, Denmark (NNF22OC0077446).Trial registration: Pre-registered at the Open Science Framework.","PeriodicalId":11119,"journal":{"name":"Danish medical journal","volume":"73 6","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148216910","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

Diagnostic accuracy of common infectious disease discharge diagnoses from emergency department. 急诊科常见传染病出院诊断的诊断准确性。

IF 1.1 4区医学

Danish medical journal Pub Date : 2026-05-20 DOI: 10.61409/A05250358

John Bo Kristensen, Anne Heltborg, Helene Skjøt-Arkil

{"title":"Diagnostic accuracy of common infectious disease discharge diagnoses from emergency department.","authors":"John Bo Kristensen, Anne Heltborg, Helene Skjøt-Arkil","doi":"10.61409/A05250358","DOIUrl":"10.61409/A05250358","url":null,"abstract":"Introduction: Discharge diagnoses in Danish medical records are transferred to health data registries and are often used for research. However, discharge diagnoses of common acute infections have not yet been validated. This study aimed to evaluate the diagnostic accuracy of discharge diagnoses in medical records related to general infectious conditions, including community-acquired pneumonia, urinary tract infections and skin and soft tissue infections, in a population of acutely admitted medical patients.Methods: This was a multicentre retrospective diagnostic accuracy study including acutely admitted patients. Patients were eligible if the treating physician initially suspected an infectious condition. The diagnosis from the discharge letters was the index test. The reference standard was the final diagnosis determined by a medical expert panel.Results: We included 954 patients. Positive predictive value, sensitivity and specificity (with 95% CI) were: 95% (93-96%); 84% (82-89%); 80% (77-82%) for any infection, 83% (80-85%); 77% (75-80%); 94% (92-95%) for community-acquired pneumonia, 87% (85-89%); 82% (80-85%); 97% (96-98%) for urinary tract infection, and 100% (100-100%); 90% (88-92%); 100% (100-100%) for skin and soft tissue infections.Conclusions: Our findings indicate that discharge diagnoses registered in the Danish National Patient Registry for the examined conditions should be used with caution for research purposes.Funding: None.Trial registration: Not relevant.","PeriodicalId":11119,"journal":{"name":"Danish medical journal","volume":"73 6","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148216834","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

Development and challenge of introducing competency-based medical education in psychiatric clerkship. 在精神科见习中引入能力本位医学教育的发展与挑战。

IF 1.2 4区医学

Danish medical journal Pub Date : 2026-05-20 DOI: 10.61409/A11250938

Anne Mielke-Christensen, Trine Boysen, Doris Østergaard, Sidse Arnfred

{"title":"Development and challenge of introducing competency-based medical education in psychiatric clerkship.","authors":"Anne Mielke-Christensen, Trine Boysen, Doris Østergaard, Sidse Arnfred","doi":"10.61409/A11250938","DOIUrl":"10.61409/A11250938","url":null,"abstract":"Introduction: Competency-based medical education has long been considered the cornerstone of medical education. In psychiatry, structured competence evaluation in students' clerkships has been shown to enhance learning and feedback. This study aimed to develop, introduce and evaluate the use of competence cards in Danish psychiatric clerkships.Methods: Adopting Kern's six-step curriculum development model, we conducted questionnaire surveys, observations and interviews with students and faculty to identify learning needs. Three competence cards - psychiatric interview, documentation and coercive measures - were developed and introduced in two hospitals. Students and staff received written and oral instructions. The process was evaluated through interviews, which were analysed thematically.Results: Only one of the 16 interviewed students had used the competence cards. Three themes emerged: 1) Missing educational scaffolding, 2) Student passivity and perceived guest role, and 3) Barriers to direct supervision. Students observed doctors rather than conducting independent interviews themselves. They reported receiving limited supervision due to staff shortages and experienced uncertainty about their role, rendering feedback difficult to obtain.Conclusions: Despite relevant preparation, competence cards were not integrated into psychiatric clerkships. Students requested mandatory implementation due to structural and supervisory barriers. Rethinking the clerkships and faculty development are essential prerequisites to the successful implementation of competence cards.Funding: Copenhagen University provided a grant, otherwise this study relied on internal funding.Trial registration: Not relevant.","PeriodicalId":11119,"journal":{"name":"Danish medical journal","volume":"73 6","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148216905","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

Translation and validation of the Lee Chronic Graft-versus-Host Disease Symptom Scale in Denmark. 丹麦Lee慢性移植物抗宿主病症状量表的翻译和验证。

IF 1.2 4区医学

Danish medical journal Pub Date : 2026-05-20 DOI: 10.61409/A09250759

Anne M Clausen, Brian T Kornblit, Maria T Larsen, Duruta Weber, Maja Pedersen, Tine Rosenberg, Andreas K Pedersen, Christina Alfaro-Díaz, Mary Jarden

{"title":"Translation and validation of the Lee Chronic Graft-versus-Host Disease Symptom Scale in Denmark.","authors":"Anne M Clausen, Brian T Kornblit, Maria T Larsen, Duruta Weber, Maja Pedersen, Tine Rosenberg, Andreas K Pedersen, Christina Alfaro-Díaz, Mary Jarden","doi":"10.61409/A09250759","DOIUrl":"10.61409/A09250759","url":null,"abstract":"Introduction: Chronic graft-versus-host disease (cGVHD) impairs quality of life after allogeneic haematopoietic stem cell transplantation. This study aimed to translate the Lee cGVHD Symptom Scale, a validated patient-reported outcome measure, into Danish and evaluate its psychometric properties.Methods: The scale was translated using forward-backward translation and cognitive debriefing interviews. Questionnaire data from the Danish version were collected at baseline and after 7-10 days. Construct validity was assessed with exploratory factor analysis (EFA), convergent and divergent validity by correlations with the European Organization for Research and Treatment of Cancer Core Quality of Life Questionnaire (EORTC QLQ-C30) and the Common Terminology of Cancer-related Adverse Events (PRO-CTCAE). Internal consistency was assessed using Cronbach's alpha, and test-retest reliability using intraclass correlation coefficients (ICC).Results: A total of 72 patients participated; 65 completed the test-retest. EFA supported a six-factor structure, with some deviations from the original subscales. Cronbach's alpha for the total scale was good (0.86). The test-retest ICC ranged from 0.23 to 0.93. Most hypothesised correlations for convergent and divergent validity were confirmed.Conclusions: The Danish Lee cGVHD Symptom Scale is a valid and reliable instrument for assessing cGVHD symptoms. Overall consistency and reliability were acceptable, though refinement of some subscales is recommended. The scale is suitable for both clinical and research use in Danish cGVHD populations, with further validation suggested in larger samples.Funding: The Joint Research Fund of Odense University Hospital and Rigshospitalet. Funding no.: 83-A3982.Trial registration: Not relevant.","PeriodicalId":11119,"journal":{"name":"Danish medical journal","volume":"73 6","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148216908","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

Variation in microbiological test requisitions among general practices in the North Denmark Region. 北丹麦地区一般实践中微生物测试要求的变化。

IF 1.2 4区医学

Danish medical journal Pub Date : 2026-05-20 DOI: 10.61409/A10250870

Annemette Sloth Andersen, David Fuglsang-Damgaard, Lizette P Brandhøj-Gynthersen, Malene Plejdrup Hansen, Hans Linde Nielsen

{"title":"Variation in microbiological test requisitions among general practices in the North Denmark Region.","authors":"Annemette Sloth Andersen, David Fuglsang-Damgaard, Lizette P Brandhøj-Gynthersen, Malene Plejdrup Hansen, Hans Linde Nielsen","doi":"10.61409/A10250870","DOIUrl":"10.61409/A10250870","url":null,"abstract":"Introduction: The use of microbiological services in general practice has raised concerns about overtesting and its impact on patient care. This study aimed to describe the patterns and variety of microbiological test requisitions from general practitioner (GP) clinics in the North Denmark Region.Methods: A descriptive analysis was performed using data from the microbiology laboratory information system at Aalborg University Hospital from 2019 to 2023. GP clinics that were active for at least three consecutive years were included. Test requisitions were grouped into nine categories and standardised per 1,000 individuals. Practices exceeding the upper threshold (Q3 + 1.5 × IQR) were identified as outliers.Results: A total of 690,559 tests from 153 GP clinics were analysed. Urine cultures were the most frequently requested tests (median: 89 per 1,000 individuals annually), whereas respiratory and parasitological specimens were the least common tests (median: 1-2 per 1,000 individuals annually). A total of 54 GP clinics (35.3%) were identified as outliers. Notably, outliers were predominantly associated with less common test categories as follows: respiratory (n = 17), parasitological (n = 13), PCR (n = 12), STD/gynaecological (n = 12) and serology tests (n = 11).Conclusions: Variability in microbiological test use was substantial, with one-third of GP clinics being identified as outliers. A few GP clinics accounted for most requisitions for less common tests. These findings highlight the need for strengthened diagnostic stewardship in general practice.Funding: None.Trial registration: Not relevant.","PeriodicalId":11119,"journal":{"name":"Danish medical journal","volume":"73 6","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148216932","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

Suture tension-band fixation for patella fractures. 缝合张力带固定治疗髌骨骨折。

IF 1.2 4区医学

Danish medical journal Pub Date : 2026-05-20 DOI: 10.61409/A01250016

Jonas Adjal, Ilija Ban

{"title":"Suture tension-band fixation for patella fractures.","authors":"Jonas Adjal, Ilija Ban","doi":"10.61409/A01250016","DOIUrl":"10.61409/A01250016","url":null,"abstract":"Introduction: Metallic tension-band wiring with K-wires and cerclage: tension-band wiring (TBW) remains the gold standard for surgery for patella fractures. Re-operation due to symptomatic implants is common. Non-metallic options, such as suture tension-band fixation (STBF), could be a solution. This study aimed to compare an STBF group with a TBW group with respect to complications and implant removal, and to describe the clinical results of the STBF group.Methods: All patient files with a patella fracture operated at our institution from 1 January 2016 to 19 August 2019 were reviewed on 1 May 2023. The prospective STBF group included all patients consecutively enrolled between 1 November 2018 and 19 August 2019. The historical TBW group included all patients consecutively enrolled from 1 January 2016 to 31 October 2018.Results: The mean follow-up for the STBF (n = 24) group was 49 (44-54) months; for the TBW (n = 37) group, 74 (54-88) months. Seven of 23 patients in the STBF group and 19 of 36 in the TBW group had complications (p = 0.11). The STBF group had fewer adverse events than the TBW group, including fewer re-operations for symptomatic implants and fewer early secondary displacements (p = 0.06). No deep infections occurred in the STBF group. At the six-month follow-up, the STBF group had 23/24 unions.Conclusion: STBF was not associated with higher complication rates than TBW fixation.Funding: Department internal funding exclusively.Trial registration: Not relevant.","PeriodicalId":11119,"journal":{"name":"Danish medical journal","volume":"73 6","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148216846","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

A protocol for development of virtual cross-sectoral team conferences for cancer late effects. 制定关于癌症后期影响的虚拟跨部门小组会议的议定书。

IF 1.2 4区医学

Danish medical journal Pub Date : 2026-05-11 DOI: 10.61409/A01260020

Lisbeth Birkelund, Karin Brochstedt Dieperink, Thea Otto Mattsson, Lena Saltbæk, Lise Ventzel, Carina Ørts Christensen, Dorte Ejg Jarbøl, Susanne Oksbjerg Dalton, Lærke Kjær Tolstrup

{"title":"A protocol for development of virtual cross-sectoral team conferences for cancer late effects.","authors":"Lisbeth Birkelund, Karin Brochstedt Dieperink, Thea Otto Mattsson, Lena Saltbæk, Lise Ventzel, Carina Ørts Christensen, Dorte Ejg Jarbøl, Susanne Oksbjerg Dalton, Lærke Kjær Tolstrup","doi":"10.61409/A01260020","DOIUrl":"10.61409/A01260020","url":null,"abstract":"Introduction: People who survive cancer often experience late effects that significantly affect daily living and quality of life. Moreover, they frequently encounter fragmented care across healthcare sectors. To address these challenges, a virtual cross-sectoral team conference model is being developed, integrating the expertise of late effects specialists, general practitioners and municipal professionals with patients' perspectives. This article presents the protocol for a qualitative study informing the development and refinement of the model. The study examines how the virtual conference is integrated into clinical workflows and explores patient and professional experiences to identify barriers, facilitators and opportunities for optimisation.Methods: Guided by a framework for complex healthcare interventions, the study uses iterative Plan-Do-Study-Act cycles. Data are collected through participant observation of virtual conferences, individual interviews with patient, and focus group interviews with professionals and are analysed thematically.Conclusions: By providing in-depth insights from both patient and professional perspectives, this study will help ensure the model is practical, acceptable and responsive to real-world needs. Ultimately, it will contribute to the development of a nationally scalable model for cross-sectoral collaboration, offering a coherent, person-centred care pathway for individuals living with complex late effects after cancer.Funding: The study is supported by the Danish Cancer Society as part of the larger cross-regional project (Grant number: R392-A23455).Trial registration: Ethical approval: EMN-2025-00934.","PeriodicalId":11119,"journal":{"name":"Danish medical journal","volume":"73 6","pages":""},"PeriodicalIF":1.2,"publicationDate":"2026-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148216879","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