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[Maxillomandibular advancement]. (Maxillomandibular进步)。
Lakartidningen Pub Date : 2026-08-13 DOI: 10.65868/BOTN7628
Iman Malakuti, Payam Farzad
{"title":"[Maxillomandibular advancement].","authors":"Iman Malakuti, Payam Farzad","doi":"10.65868/BOTN7628","DOIUrl":"10.65868/BOTN7628","url":null,"abstract":"<p><p>Obstructive sleep apnea (OSA) is a common and often underdiagnosed disorder associated with increased risk of cardiovascular, metabolic, and neurocognitive complications. For patients who are non-compliant or respond insufficiently to continuous positive airway pressure (CPAP) or a mandibular advancement device, different surgical alternatives are available. One option is maxillomandibular advancement (MMA), which is a well-established and highly effective procedure that increases upper airway volume by advancing both jaws. Meta-analyses and long-term studies demonstrate a reduction of the apnea-hypopnea index (AHI) by more than 50%, frequently with normalization of sleep parameters, improved quality of life and high patient satisfaction. Although MMA is recommended in international guidelines and acknowledged in Swedish national recommendations, the procedure remains underutilized in Sweden. This report presents two illustrative cases and highlights the need for increased awareness, national coordination, and broader clinical implementation of MMA.</p>","PeriodicalId":17988,"journal":{"name":"Lakartidningen","volume":"123 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148723834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Same day discharge robotic-assisted radical prostatectomy (RARP) - time for a shift in paradigm?] 当日出院机器人辅助根治性前列腺切除术（RARP）——范式转变的时间？］
Lakartidningen Pub Date : 2026-07-28 DOI: 10.65868/IUCP2824
Jonatan Palmgren
{"title":"[Same day discharge robotic-assisted radical prostatectomy (RARP) - time for a shift in paradigm?]","authors":"Jonatan Palmgren","doi":"10.65868/IUCP2824","DOIUrl":"10.65868/IUCP2824","url":null,"abstract":"<p><p>In late November 2024 we started a new programme for RARP in the Norrbotten region in rural Sweden, with all patients considered suitable for RARP to have the procedure as a same day discharge (SDD) procedure.We can now report the results of our first year with SDD RARP. 59 patients were planned for SDD RARP, none were planned for overnight stay. 55 patients were successfully discharged within 5 hours after surgery. 4 patients had to stay at the hospital the first night following surgery, 3 of which were discharged before 8 am the first day after surgery. We use only paracetamol prior to surgery and total intravenous anesthesia (TIVA) during the procedure, in combination with transversus abdominis plane (TAP) block. We have shown that SDD RARP is safe and feasible in routine health care in Sweden. If SDD RARP is implemented nationwide more than 2 500 inpatient days per year in Sweden can be saved.</p>","PeriodicalId":17988,"journal":{"name":"Lakartidningen","volume":"123 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148604725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Reporting of clinical trials]. [临床试验报告]。
Lakartidningen Pub Date : 2026-07-24 DOI: 10.65868/BTEH9164
Love von Schreeb, Cathrine Axfors, Gustav Nilsonne
{"title":"[Reporting of clinical trials].","authors":"Love von Schreeb, Cathrine Axfors, Gustav Nilsonne","doi":"10.65868/BTEH9164","DOIUrl":"https://doi.org/10.65868/BTEH9164","url":null,"abstract":"<p><p>Reporting of clinical trials is essential for evidence-based medicine, yet many trials remain unreported. In a recently published study of 2 112 Nordic clinical studies completed 2016-2019, we found that only 52% had reported results within two years and 78% during the entire follow-up. To highlight this issue, we have created an online dashboard (https://metaresearch.se/nordic-trials-dashboard) that compares reporting between public sponsors. Examples of improved reporting in other countries, notably the United Kingdom, show that progress can be supported by centralized follow-up and institutional support. We argue that similar measures should be considered in Sweden, to relieve researchers of administrative burden while improving transparency.</p>","PeriodicalId":17988,"journal":{"name":"Lakartidningen","volume":"123 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148579315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Från hotbild till operativ förmåga – så bör vården möta hybridhot.
Lakartidningen Pub Date : 2026-07-21 DOI: 10.65868/HQAI7645
Yohan Robinson, Denise Bäckström
{"title":"Från hotbild till operativ förmåga – så bör vården möta hybridhot.","authors":"Yohan Robinson, Denise Bäckström","doi":"10.65868/HQAI7645","DOIUrl":"https://doi.org/10.65868/HQAI7645","url":null,"abstract":"","PeriodicalId":17988,"journal":{"name":"Lakartidningen","volume":"123 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148536285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Hybrid warfare - a complex threat to Swedish health care]. [混合战争——对瑞典医疗保健的复杂威胁]。
Lakartidningen Pub Date : 2026-07-21 DOI: 10.65868/GXVU1889
Fredrik Granholm, Kjell Ögren
{"title":"[Hybrid warfare - a complex threat to Swedish health care].","authors":"Fredrik Granholm, Kjell Ögren","doi":"10.65868/GXVU1889","DOIUrl":"https://doi.org/10.65868/GXVU1889","url":null,"abstract":"<p><p>Hybrid warfare poses an increasing and complex threat to Swedish health care, particularly emergency and trauma services that are integral to the total defence system. Hybrid threats combine military, civilian and technological methods, including cyberattacks, sabotage, terrorism, disinformation and disruption of critical infrastructure, often below the threshold of declared war. Health care systems are especially vulnerable, as impaired functionality rapidly affects public trust and societal resilience. Key risks include cyberattacks on digital health systems, physical violence and terrorism targeting hospitals and ambulances, Chemical, Biological, Radiological, Nuclear, and Explosive (CBRNE) incidents, disruption of medical supply chains, drone-related interference with air ambulance services, and disinformation campaigns undermining trust in health authorities. Regional differences in geography and infrastructure further influence exposure and response capacity.</p>","PeriodicalId":17988,"journal":{"name":"Lakartidningen","volume":"123 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148536238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Virtually planned correction of a forearm malunion with 3D-technology, a case presentation]. [使用3d技术进行前臂畸形愈合的虚拟计划矫正，一例报告]。
Lakartidningen Pub Date : 2026-07-16 DOI: 10.65868/ZZCI9271
Peter Axelsson, Katleen Libberecht, Per Fredrikson, Charlotte Stor Swinkels, Emilia Gryska, Anders Björkman
{"title":"[Virtually planned correction of a forearm malunion with 3D-technology, a case presentation].","authors":"Peter Axelsson, Katleen Libberecht, Per Fredrikson, Charlotte Stor Swinkels, Emilia Gryska, Anders Björkman","doi":"10.65868/ZZCI9271","DOIUrl":"10.65868/ZZCI9271","url":null,"abstract":"<p><p>Modern 3D-software enables the creation of detailed virtual models of a patient's anatomy, allowing more precise visualisation of deformities and simulation of surgical strategies in a risk-free environment. Once an optimal plan is defined, patient-specific guides can be 3D-printed to transfer the virtual plan directly to the operating theatre, reducing reliance on freehand techniques. 3D-guided procedures are often faster, more predictable, and require less imaging. The technology also helps identify conditions not visible on conventional imaging. We describe some benefits of 3D technology and illustrate its clinical value with a case of corrective osteotomy for a malunited forearm fracture.</p>","PeriodicalId":17988,"journal":{"name":"Lakartidningen","volume":"123 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148456157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[GynOp - the Swedish National Quality Register of Gynecological Surgery]. [GynOp -瑞典国家妇科手术质量登记]。
Lakartidningen Pub Date : 2026-07-14 DOI: 10.65868/ULDT1375
Maud Ankardal, Sophia Ehrström, Christer Borgfeldt
{"title":"[GynOp - the Swedish National Quality Register of Gynecological Surgery].","authors":"Maud Ankardal, Sophia Ehrström, Christer Borgfeldt","doi":"10.65868/ULDT1375","DOIUrl":"10.65868/ULDT1375","url":null,"abstract":"<p><p>GynOp is Sweden's national quality registry for benign gynecological surgery. Established in 1997, it now comprises six subregistries and combines provider reported data with patient-reported outcomes (PROM) and experiences (PREM). Open annual reports and an interactive dashboard (GynOp Direkt) offer near real time feedback to clinics, supporting safer surgery, day case pathways, and wider adoption of minimally invasive techniques. The registry enables research, including randomized trials such as SALSTER, and is migrating to the INCA platform to strengthen interoperability, analytics, and long-term follow-up.</p>","PeriodicalId":17988,"journal":{"name":"Lakartidningen","volume":"123 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148437280","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[From somatic symptoms to severe depression - the value of considering atypical presentation and ECT]. 【从躯体症状到严重抑郁——考虑非典型表现和ECT的价值】。
Lakartidningen Pub Date : 2026-07-10 DOI: 10.65868/OOLM4225
Jenna Kahari, Peter Asellus
{"title":"[From somatic symptoms to severe depression - the value of considering atypical presentation and ECT].","authors":"Jenna Kahari, Peter Asellus","doi":"10.65868/OOLM4225","DOIUrl":"10.65868/OOLM4225","url":null,"abstract":"<p><p>Functional symptoms can be very difficult to distinguish from atypical depression with leaden paralysis and increased fatigability but with adequate emotional reactions and relatively neutral mood. In cases with progressive and severe functional impairment, affective illness should be considered even when classic depressive symptoms are not apparent. ECT is an established treatment for severe depression and may be effective even when somatic symptoms dominate the clinical picture. This case illustrates the value of considering depression as a differential diagnosis in treatment-resistant functional conditions.</p>","PeriodicalId":17988,"journal":{"name":"Lakartidningen","volume":"123 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148422250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Parents advice to staff caring for children with cancer]. [家长给照顾癌症儿童的工作人员的建议]。
Lakartidningen Pub Date : 2026-07-07 DOI: 10.65868/NFTT3743
Kajsa Gisslén, Lilian Pohlkamp, Josefin Sveen, Ulrika Kreicbergs
{"title":"[Parents advice to staff caring for children with cancer].","authors":"Kajsa Gisslén, Lilian Pohlkamp, Josefin Sveen, Ulrika Kreicbergs","doi":"10.65868/NFTT3743","DOIUrl":"10.65868/NFTT3743","url":null,"abstract":"<p><p>Around 350 children a year are diagnosed with cancer in Sweden. Since parental involvement in a child's cancer treatment is high, it is important to evaluate and learn from their experiences of the care. The aim of this study was to examine what advice parents who have lost a child to cancer would like to give to staff caring for children with cancer. Data was collected from a survey sent out to all Swedish citizens who had been a legal guardian to a child that was diagnosed with cancer before the age of 17 and died in 2010-2015 before the age of 25. Answers to the survey question »What advice would you give to staff caring for children with cancer?« were analyzed using qualitative content analysis. The data could be categorized into four categories: competent staff, treatment and empathy, communication and openness, and respect for child and family. The findings highlight critical areas where healthcare could improve in order to better meet the needs of parents to children with terminal cancer.</p>","PeriodicalId":17988,"journal":{"name":"Lakartidningen","volume":"123 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148397064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
[Access to health data for research]. [获取用于研究的卫生数据]。
Lakartidningen Pub Date : 2026-06-30 DOI: 10.65868/AANT2294
Rolf Gedeborg, Lennart Holm, Pär Stattin
{"title":"[Access to health data for research].","authors":"Rolf Gedeborg, Lennart Holm, Pär Stattin","doi":"10.65868/AANT2294","DOIUrl":"https://doi.org/10.65868/AANT2294","url":null,"abstract":"<p><p>Secondary use of individual-level health data for research is cost-efficient but challenging. In the PCBase Xtend project, we collected PSA values, biopsy reports, MRI results, and chemotherapy data from all 21 regions and private healthcare providers in Sweden. The process required 46 applications over a period of almost 4 years and revealed major variability in IT systems, administrative routines, and costs. The time to data delivery ranged from weeks to years. Early quality checks were essential to correct errors in the data extraction. Despite challenges, >11 million PSA values, 550 000 prostate biopsies, 170 000 MRI results, and >6 million drug administrations could be added to PCBase for use in epidemiological studies of prostate cancer. Better administrative routines, data extraction integrated in IT systems, incentives for data migration, and national support structures are needed to improve access to health data for research.</p>","PeriodicalId":17988,"journal":{"name":"Lakartidningen","volume":"123 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148352411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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