Publications by authors named "J Kauppila"
Background: Chemical, biological, radiological, nuclear, and explosive (CBRNE) incidents present rare and complex challenges for Emergency Medical Services (EMS), necessitating effective incident command to manage occupational and patient safety risks. EMS incident commanders must make quick decisions under pressure, coordinating medical responses and ensuring personnel's safety. This study examined the perceived competence requirements of Finnish EMS field supervisors in managing C and E incidents.
View Article and Find Full Text PDFUniversity hospital status and gastric cancer mortality: A population-based nationwide study in Finland.
J Gastrointest Surg
December 2024
Background: Gastric cancer remains a significant global health issue with increasing mortality, despite advancements in treatment. Previous studies have suggested that surgery performed at university hospitals may influence surgical outcomes and mortality rates, but evidence of its effect on gastric cancer remains limited. This study aimed to investigate whether gastrectomy performed at university hospitals reduces short-term and long-term mortality rates in Finland.
View Article and Find Full Text PDFArticle Synopsis
- - This study analyzed the long-term survival rates of gastric cancer patients in Finland who underwent total or partial gastrectomy along with either splenectomy (removal of the spleen) or spleen preservation from 2005 to 2016.
- - Data from 2,196 patients were examined, revealing a 5-year survival rate of 38.7% for patients with minor spleen injury, 39.7% for those with splenectomy due to injury, and 30.8% for splenectomy due to cancer, indicating that the method of spleen management significantly impacted survival outcomes.
- - The results suggest that patients undergoing splenectomy for oncological reasons had worse survival rates compared to those
Background: The European Health Data Space (EHDS) regulation has been proposed to harmonize health data processing. Given its parallels with the Act on Secondary Use of Health and Social Data (Secondary Use Act) implemented in Finland in 2020, this study examines the consequences of heightened privacy constraints on registry-based medical research.
Methods: We collected study permit counts approved by university hospitals in Finland in 2014-2023 and the data authority Findata in 2020‒2023.
Importance: Bariatric surgery is associated with decreased risk of obesity-related cancer and cardiovascular disease but is typically reserved for patients younger than 60 years. Whether these associations hold for patients who undergo surgery at older ages is uncertain.
Objective: To determine whether bariatric surgery is associated with a decreased risk of obesity-related cancer and cardiovascular disease in patients who underwent surgery at age 60 years or older.