Autopsy findings in cancer patients infected with SARS-CoV-2 show a milder presentation of COVID-19 compared to non-cancer patients.

COVID-19, caused by SARS-CoV-2, manifests with differing severity across distinct patient subgroups, with outcomes influenced by underlying comorbidities such as cancer, which may cause functional and compositional alterations of the immune system during tumor progression. We aimed to investigate the association of SARS-CoV-2 infection and its complications with cancer in a large autopsy series and the role of COVID-19 in the fatal sequence leading to death. A total of 2641 adult autopsies were investigated, 539 of these were positive for SARS-CoV-2.

Associations between diabetes and cancer: A 10-year national population-based retrospective cohort study.

Aims: To investigate the risk of cancer in people with diabetes compared to the population without diabetes and to gain insight into the timely association between diabetes and cancer at national level.

Methods: A retrospective cohort study was conducted to analyse the role of diabetes in the development of cancer, based on service utilisation and antidiabetic dispensing data of the population between 2010 and 2021. Univariate and multivariate Cox regression were used to examine how diabetes status, in relationship with age and sex are related to the time to cancer diagnosis.

[Analysis of the practices and influencing factors of referral to inpatient rehabilitation following hip fractures based on data from the Hungarian healthcare funding database].

Introduction: Hip fractures heavily burden healthcare systems in aging populations. The health and quality of life of the patients depend not only on the acute care, but on rehabilitation practices as well. There is insufficient data on Hungarian rehabilitation rates following hip fracture surgeries.

[Aggregate causes of adverse events and possible methods to mitigate them within healthcare: Results and lessons learned based on the reports sent to the Hungarian NEVES reporting and learning system].

Unlabelled: Összefoglaló. Bevezetés: Hazánkban 2007-ben indult el a NEVES (NEm Várt ESemények) rendszer, amelybe az eltelt időszakban több mint 26,5 ezer nemkívánatos eseményre vonatkozó jelentés érkezett. A jelentések feldolgozásával hét témakörben készültek oki kutatások és ajánlások a feltárt okok megelőzésére.

Comparison of hesitancy between COVID-19 and seasonal influenza vaccinations within the general Hungarian population: a cross-sectional study.

Background: The willingness to get COVID-19 or seasonal influenza vaccines has not yet been thoroughly investigated together, thus, this study aims to explore this notion within the general adult population.

Methods: The responses of 840 Hungarian participants were analysed who took part in a nationwide computer-assisted telephone interviewing. During the survey questions concerning various demographic characteristics, perceived financial status, and willingness to get the two types of vaccines were asked.

Potential considerations in decision making on laparoscopic colorectal resections in Hungary based on administrative data.

Background: Laparoscopic colorectal surgeries offer numerous advantages over their open counterparts. To compare these measurable short-time outcomes of open and laparoscopic resections in Hungary, data of colorectal surgeries were collected and analysed. The study focused on identifying patients' characteristics that can influence the decision on laparoscopic colorectal resections and on comparing efficiency of Hungarian colorectal operations with international data.

[Examination of data validity of hip fracture patients in a Hungarian hospital].

Unlabelled: Összefoglaló. Bevezetés: A csípőtáji törések jelentősen terhelik az egészségügyi ellátórendszereket. Magyarországon 13 000-15 000 beteg szenved évente csípőtáji törést, jelentős részük műtéten is átesik.

Health related quality of life and satisfaction with care of stroke patients in Budapest: A substudy of the EuroHOPE project.

Background: Disadvantaged socioeconomic status is associated with higher stroke incidence and mortality, and higher readmission rate. We aimed to assess the effect of socioeconomic factors on case fatality, health related quality of life (HRQoL), and satisfaction with care of stroke survivors in the framework of the European Health Care Outcomes, Performance and Efficiency (EuroHOPE) study in Hungary, one of the leading countries regarding stroke mortality.

Methods: We evaluated 200 consecutive patients admitted for first-ever ischemic stroke in a single center and performed a follow-up at 3 months after stroke.

[Who knows what? - About patient handover. ].

The most common reason for the adverse events in healthcare is communication. Due to the development of health technologies and the increasing specialization of care, more and more healthcare professionals are involved in the treatment of patients, resulting in an increasingly important role and risk for patient handover. To present the current state of knowledge of patient handover through the results of an international project.

[Changing of the patient safety culture in the pilot institutes of the Hungarian accreditation program].

Introduction: The accreditation system for health care providers was developed in Hungary aiming to increase safety, efficiency, and efficacy of care and optimise its organisational operation.

Aim: The aim of this study was to assess changes of organisational culture in pilot institutes of the accreditation program.

Method: 7 volunteer pilot institutes using an internationally validated questionnaire were included.

[Main characteristics of the care of acute myocardial infarction in Hungary between 2005-2009, based on the results of the EuroHOPE research].

Introduction: The EuroHOPE research developed the standardised methodology of the analysis of the healthcare process.

Aim: The aims of the authors were to analyze the care of acute myocardial infarction in Hungary and to compare the results to those of the partner countries.

Method: The authors analyzed the application of early and late invasive interventions, medication purchase, and mortality.

[Results of stroke care in Hungary in the frame of international comparison].

Introduction: The EuroHOPE FP7 project analysed the effectiveness and efficiency of stroke care between 2010 and 2014.

Aim: The study introduces Hungarian data in comparison with international results and explores the causes of differences.

Method: The analysis was performed on data available from regular data collection in Finland, The Netherlands, Hungary, Italy, Scotland, and Sweden, with standardized indicators.

[Methods of the EuroHOPE research program].

The European Health Care Outcomes, Performance and Efficiency research was financed by the European Union between 2010 and 2013. In this program a new methodology was developed which made the analysis of regularly collected data and international benchmarking of the healthcare results of 5 socially and economically critical diagnosis group between the 7 participant countries possible. This paper presents the most important areas of the development, such as (1) the principles of the methodology, (2) the definition of available databases, code systems, (3) the events to be analysed, (4) the general rules of analyses and indicator development, (5) the exact methodology of data collection, processing, and analysis, (6) the methods of risk adjustment, (7) and the development of the standardised database.

[Analysis of hip fracture care in Hungary between 2004-2009].

Introduction: Proximal femoral fractures with severe outcome are most common in the increasing group of elderly patients.

Aim: Based on the regular data gathered by the EuroHOPE research, the most important aspects and results of the treatment of proximal femoral fractures were studied.

Method: Data of hospital admissions due to proximal femoral fractures were analyzed.

[Role of reporting and learning systems in the improvement of patient safety].

The principles and requirements of a patient safety related reporting and learning system were defined by the World Health Organization Draft Guidelines for Adverse Event Reporting and Learning Systems published in 2005. Since then more and more Hungarian health care organizations aim to improve their patient safety culture. In order to support this goal the NEVES reporting and learning system and the series of Patient Safety Forums for training and consultation were launched in 2006 and significantly renewed recently.

[Accreditation in health care].

Besides the rapid development of healing procedures and healthcare, efficiency of care, institutional performance and safe treatment are receiving more and more attention in the 21st century. Accreditation, a scientifically proven tool for improving patient safety, has been used effectively in healthcare for nearly a hundred years, but only started to spread worldwide since the 1990s. The support and active participation of medical staff are determining factors in operating and getting accross the nationally developed, upcoming Hungarian accreditation system.

Acute Myocardial Infarction, Use of Percutaneous Coronary Intervention, and Mortality: A Comparative Effectiveness Analysis Covering Seven European Countries.

Percutaneous coronary interventions (PCI) on acute myocardial infarction (AMI) patients have increased substantially in the last 12-15 years because of its clinical effectiveness. The expansion of PCI treatment for AMI patients raises two questions: How did PCI utilization rates vary across European regions, and which healthcare system and regional characteristic variables correlated with the utilization rate? Were the differences in use of PCI associated with differences in outcome, operationalized as 30-day mortality? We obtained our results from a dataset based on the administrative information systems of the populations of seven European countries. PCI rates were highest in the Netherlands, followed by Sweden and Hungary.

European Regional Differences in All-Cause Mortality and Length of Stay for Patients with Hip Fracture.

The objective of this study was to compare healthcare performance for the surgical treatment of hip fractures across and within Finland, Hungary, Italy, the Netherlands, Norway, Scotland, and Sweden. Differences in age-adjusted and sex-adjusted 30-day and one-year all-cause mortality rates following hip fracture, as well as the length of stay of the first hospital episode in acute care and during a follow up of 365 days, were investigated, and associations between selected country-level and regional-level factors with mortality and length of stay were assessed. Hungary showed the highest one-year mortality rate (mean 39.

Individual and Regional-level Factors Contributing to Variation in Length of Stay After Cerebral Infarction in Six European Countries.

Using patient-level data for cerebral infarction cases in 2007, gathered from Finland, Hungary, Italy, the Netherlands, Scotland and Sweden, we studied the variation in risk-adjusted length of stay (LoS) of acute hospital care and 1-year mortality, both within and between countries. In addition, we analysed the variance of LoS and associations of selected regional-level factors with LoS and 1-year mortality after cerebral infarction. The data show that LoS distributions are surprisingly different across countries and that there is significant deviation in the risk-adjusted regional-level LoS in all of the countries studied.

[Feasibility of the implementation of medication reconciliation in Hungary].

Introduction: For medication safety improvement medication reconciliation was proven to be an effective method transferable between different healthcare providers and ward profiles.

Aim: Gaining a better understanding of the process of reconciling medicines. Mapping the driving and restraining forces of introducing medication reconciliation.

Health care performance comparison using a disease-based approach: the EuroHOPE project.

This article describes the methodological challenges associated with disease-based international comparison of health system performance and how they have been addressed in the EuroHOPE (European Health Care Outcomes, Performance and Efficiency) project. The project uses linkable patient-level data available from national sources of Finland, Hungary, Italy, The Netherlands, Norway, Scotland and Sweden. The data allow measuring the outcome and the use of resources in uniformly-defined patient groups using standardized risk adjustment procedures in the participating countries.

[Study of incidence and treatment of acute myocardial infarction by evaluating the financing database: 2004-2009].

Unlabelled: In Hungary we have no comprehensive data on hospital care and short and long term prognosis of patients with myocardial infarction.

Aims: To collect data on number, hospital care and prognosis of patients treated for myocardial infarction in all Hungarian hospitals.

Methods: Authors studied the number of patients treated in hospital for acute myocardial infarction, the frequency of revascularization by coronary angioplasty during treatment, as well as the 30 and 365 day mortality of patients by the evaluation of the financing database of the National Health Insurance Fund for 6 years (2004-2009).