Hong Kong Medical Journal最新文献_第5页

Consolidated and updated ultrasonographic fetal biometry and estimated fetal weight references for the Hong Kong Chinese population. 综合并更新香港中国人口的超声胎儿生物测量和估计胎儿体重参考值。

IF 3.1 4区医学

Hong Kong Medical Journal Pub Date : 2024-12-01 Epub Date: 2024-12-16 DOI: 10.12809/hkmj2310910

F Liu, J Lu, A H W Kwan, Y K Yeung, L Wong, C P H Chiu, L C Poon, D S Sahota

{"title":"Consolidated and updated ultrasonographic fetal biometry and estimated fetal weight references for the Hong Kong Chinese population.","authors":"F Liu, J Lu, A H W Kwan, Y K Yeung, L Wong, C P H Chiu, L C Poon, D S Sahota","doi":"10.12809/hkmj2310910","DOIUrl":"10.12809/hkmj2310910","url":null,"abstract":"Introduction: This study aimed to construct consolidated and updated ultrasonographic fetal biometry and estimated fetal weight (EFW) references for the Hong Kong Chinese population and evaluate the extent of under- and overdiagnosis of small-for-gestational-age (SGA) and large-for-gestational-age (LGA) using these new references.Methods: Fetal biometry and EFW references were constructed using the Generalised Additive Model for Location, Scale, and Shape, based on data from 1679 singleton pregnancies in non-smoking Chinese women. Ultrasound scans were performed at 12 to 40 weeks of gestation to measure biparietal diameter, head circumference, abdominal circumference (AC), and femur length, following standardised protocols. The rates of SGA and LGA diagnoses using the existing and updated Hong Kong fetal biometry references were compared in an independent cohort of 10 229 pregnancies.Results: The median number of scans per gestational week between 20 and 39 weeks was 75 (interquartile range=67-83). Compared with existing references, the new AC reference would significantly (P<0.001) increase the proportions of SGA fetuses with AC measurements at <3rd and <10th percentiles from 1.7% and 6.1% to 3.4% and 10.0%, respectively. Conversely, it would significantly decrease (P<0.001) the proportions of LGA fetuses with AC at >90th and >97th percentiles from 15.0% and 4.9% to 11.5% and 3.5%, respectively.Conclusion: Adoption of the new references, particularly for AC, may lead to increased identification of SGA cases and decreased identification of LGA cases. The proportions of these cases will be more consistent with their intended diagnostic thresholds. Further studies are needed to determine how these references impact pregnancy outcomes.","PeriodicalId":48828,"journal":{"name":"Hong Kong Medical Journal","volume":" ","pages":"444-451"},"PeriodicalIF":3.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830451","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

Artificial intelligence-based computer-aided diagnosis for breast cancer detection on digital mammography in Hong Kong. 基于人工智能的计算机辅助诊断在香港的数码乳房x光检查中检测乳腺癌。

IF 3.1 4区医学

Hong Kong Medical Journal Pub Date : 2024-12-01 Epub Date: 2024-12-19 DOI: 10.12809/hkmj2310920

S M Yu, C Y M Young, Y H Chan, Y S Chan, C Tsoi, M N Y Choi, T H Chan, J Leung, W C W Chu, E H Y Hung, H H L Chau

{"title":"Artificial intelligence-based computer-aided diagnosis for breast cancer detection on digital mammography in Hong Kong.","authors":"S M Yu, C Y M Young, Y H Chan, Y S Chan, C Tsoi, M N Y Choi, T H Chan, J Leung, W C W Chu, E H Y Hung, H H L Chau","doi":"10.12809/hkmj2310920","DOIUrl":"10.12809/hkmj2310920","url":null,"abstract":"Introduction: Research concerning artificial intelligence in breast cancer detection has primarily focused on population screening. However, Hong Kong lacks a population-based screening programme. This study aimed to evaluate the potential of artificial intelligence-based computer-assisted diagnosis (AI-CAD) program in symptomatic clinics in Hong Kong and analyse the impact of radio-pathological breast cancer phenotype on AI-CAD performance.Methods: In total, 398 consecutive patients with 414 breast cancers were retrospectively identified from a local, prospectively maintained database managed by two tertiary referral centres between January 2020 and September 2022. The full-field digital mammography images were processed using a commercial AI-CAD algorithm. An abnormality score <30 was considered a false negative, whereas a score of ≥90 indicated a high-score tumour. Abnormality scores were analysed with respect to the clinical and radio-pathological characteristics of breast cancer, tumour-to-breast area ratio (TBAR), and tumour distance from the chest wall for cancers presenting as a mass.Results: The median abnormality score across the 414 breast cancers was 95.6; sensitivity was 91.5% and specificity was 96.3%. High-score cancers were more often palpable, invasive, and presented as masses or architectural distortion (P<0.001). False-negative cancers were smaller, more common in dense breast tissue, and presented as asymmetrical densities (P<0.001). Large tumours with extreme TBARs and locations near the chest wall were associated with lower abnormality scores (P<0.001). Several strengths and limitations of AI-CAD were observed and discussed in detail.Conclusion: Artificial intelligence-based computer-assisted diagnosis shows potential value as a tool for breast cancer detection in symptomatic setting, which could provide substantial benefits to patients.","PeriodicalId":48828,"journal":{"name":"Hong Kong Medical Journal","volume":" ","pages":"468-477"},"PeriodicalIF":3.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856012","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

Management of chronic kidney disease: a Hong Kong consensus recommendation. 慢性肾脏病的管理：香港共识建议。

IF 3.1 4区医学

Hong Kong Medical Journal Pub Date : 2024-12-01 Epub Date: 2024-08-27 DOI: 10.12809/hkmj2311309

S C W Tang, K K L Ho, W W K Ko, A Lee, C B Leung, W K Lo, R C W Ma, S L Pang, K C B Tan, M W Tsang, M C S Wong, W C W Wong, F K M Wong, C C Szeto

引用次数: 0

Collapsing glomerulopathy as a rare cause of rapidly progressive renal failure in adolescence: two case reports. 塌陷性肾小球病是青少年快速进行性肾衰竭的罕见病因：两例报告。

IF 3.1 4区医学

Hong Kong Medical Journal Pub Date : 2024-12-01 Epub Date: 2024-12-23 DOI: 10.12809/hkmj2311339

Y Özdemir Atikel, B Öğüt, I Işık Gönül, N Buyan, S A Bakkaloğlu

引用次数: 0

Online intervention to increase seasonal influenza vaccination among community-dwelling older people: a randomised controlled trial (abridged secondary publication). 在线干预增加社区老年人季节性流感疫苗接种：一项随机对照试验（次要出版物节略）。

IF 3.1 4区医学

Hong Kong Medical Journal Pub Date : 2024-12-01

Z Wang, J T F Lau, P K H Mo, Q Zhang, M C S Wong

引用次数: 0

Lifestyle intervention using a mobile application versus booklet for adults with metabolic syndrome: a multicentre randomised controlled trial (abridged secondary publication). 使用移动应用程序对成人代谢综合征患者进行生活方式干预：一项多中心随机对照试验（次要出版物节略）

IF 3.1 4区医学

Hong Kong Medical Journal Pub Date : 2024-12-01

D Y P Leung, E M L Wong, A M Y Leung, A S P Cheung, K C Cheung

引用次数: 0

Incidence of 30-day readmission after total knee arthroplasty and its associated factors in Hong Kong. 香港全膝关节置换术后30天再入院的发生率及其相关因素。

IF 3.1 4区医学

Hong Kong Medical Journal Pub Date : 2024-12-01 Epub Date: 2024-12-05 DOI: 10.12809/hkmj2310733

O W K Tsui, P K Chan, J H Y Leung, A Cheung, V W K Chan, M H Luk, M H Cheung, H Fu, K Y Chiu

{"title":"Incidence of 30-day readmission after total knee arthroplasty and its associated factors in Hong Kong.","authors":"O W K Tsui, P K Chan, J H Y Leung, A Cheung, V W K Chan, M H Luk, M H Cheung, H Fu, K Y Chiu","doi":"10.12809/hkmj2310733","DOIUrl":"10.12809/hkmj2310733","url":null,"abstract":"Introduction: Total knee arthroplasty (TKA) is one of the most commonly performed orthopaedic procedures worldwide, due to the increased prevalence of osteoarthritis associated with an ageing global population. Although many studies have focused on the causes of readmission among TKA patients within 30 days post-surgery, none have been conducted in Hong Kong. This study investigated the 30-day readmission rate, causes, and risk factors among TKA patients in Hong Kong.Methods: This retrospective review included patients who underwent TKA at a local university-affiliated hospital between 2001 and 2020. Eligible patients were identified using the Clinical Data Analysis and Reporting System and electronic patient records. Their data were analysed to determine the 30-day readmission rate, risk factors, and underlying causes.Results: Among the 3827 TKA patients included, the male-to-female ratio was 1:2.78 (1012:2815) and the mean age (±standard deviation) was 71.11±8.82 years. Of these patients, 3.4% underwent unplanned readmission to hospitals through the Accident and Emergency Department within 30 days of TKA. The most common causes of readmission were knee pain (33.1%), knee swelling (26.2%), and gastrointestinal-related conditions (8.5%). Age ≥80 years (odds ratio [OR]=1.63; P=0.01) and hypertension (OR=2.08; P<0.001) were risk factors for readmission. Bilateral simultaneous TKA (OR=0.42; P=0.005) was associated with lower risk of readmission.Conclusion: The readmission rate in this study was 3.4%, comparable to rates in previous reports. Enhanced patient education and optimised perioperative pain management are needed to minimise hospital readmissions. Fall prevention, cautious painkiller prescribing, and improved nursing care are recommended to prevent readmission.","PeriodicalId":48828,"journal":{"name":"Hong Kong Medical Journal","volume":" ","pages":"461-467"},"PeriodicalIF":3.1,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781631","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

Redesigning healthcare: an interview with Dr Fei-chau Pang. 重新设计医疗保健：彭飞洲医生访谈

IF 3.1 4区医学

Hong Kong Medical Journal Pub Date : 2024-12-01 DOI: 10.12809/hkmj-hc202412a

B Choi, H Ng

引用次数: 0

Hepatitis B screening to reduce liver cancer burden. 乙型肝炎筛查减少肝癌负担。

IF 3.1 4区医学

Hong Kong Medical Journal Pub Date : 2024-12-01 DOI: 10.12809/hkmj245170

C C Zhong, W Xu, J Huang, M C S Wong

引用次数: 0

Aggressive renal angiomyolipoma with renal vein and inferior vena cava thrombus: a case report. 伴有肾静脉和下腔静脉血栓的侵袭性肾血管肌脂肪瘤：病例报告。