2,717 results match your criteria: "Herlev and Gentofte Hospital.[Affiliation]"

Genetic variation at the 19q13.3 KLK locus is linked with prostate cancer susceptibility in men. The non-synonymous KLK3 single nucleotide polymorphism (SNP), rs17632542 (c.

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Aims: Iron deficiency (ID) is prevalent in chronic heart failure (HF) but lacks a consensus definition. This study evaluates the prevalence and the prognostic impact of ID using different criteria on all-cause and cardiovascular mortality, as well as first hospitalization for HF in patients with new-onset chronic HF.

Methods: In this nationwide registry-based cohort, we explored four definitions of ID: the current European Society of Cardiology (ESC) guidelines [ferritin <100 ng/mL or ferritin 100-299 ng/mL and transferrin saturation (TSAT) <20%], ferritin level <100 ng/mL, TSAT < 20% and serum iron ≤13 μmol/L.

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Risk of cardiovascular disease (CVD) in patients with classical Hodgkin lymphoma (cHL) undergoing contemporary treatment is unclear. cHL patients ≥ 18 years at diagnosis treated with doxorubicin-containing chemotherapy between 2000 and 2022 were matched 1:5 with comparators on birth year, sex, and Charlson Comorbidity Index at time of matching (score of 0 or ≥ 1). Cause-specific cumulative incidence of a composite of CVDs with corresponding 95% confidence intervals (CIs) were computed with death and lymphoma relapse as competing events (i.

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Background: Acute pain management is critical in sports-related musculoskeletal injuries to facilitate recovery and minimize long-term impact. While current practices vary, incorporating both pharmacological and non-pharmacological approaches, the quality and breadth of existing evidence have not been thoroughly assessed. This scoping review aims to explore the clinical role of different pain management strategies and provide a comprehensive overview of the field.

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Background: Clostridioides difficile infection causes diarrhoea and colitis. Older patients with C difficile infection are often frail and have comorbidities, leading to high mortality rates. The frailty burden in older people might restrict access to treatments, such as C difficile infection-specific antibiotics and faecal microbiota transplantation.

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Background: Childbirth remains one of the most painful experiences for women. Patient-controlled epidural analgesia provides the women in labor with self-control and thereby a shorter time interval between onset of pain and administration of analgesia, thus potentially improving the childbirth experience. This scoping review aims to investigate PCEA during labor involving maternal satisfaction, risks of adverse effects and obstetric interventions by mapping the evidence and identifying gaps in the current evidence base.

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Clonal hematopoiesis is highly prevalent in elderly patients with blastic plasmacytoid dendritic cell neoplasm (BPDCN), and around 20% of BPDCN patients have an associated myeloid malignancy. We present a patient with localized BPDCN and concomitant myelodysplastic syndrome (MDS), previously followed for several years due to clonal cytopenia of unknown significance. Compared targeted next-generation sequencing (NGS) of the skin tumor and sequential bone marrow samples showed shared variants in ASXL1 and TET2 with a de novo NRAS variant in both BPDCN and MDS compared to preceding bone marrow samples.

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The Frequency of Urination Dysfunction in Patients Operated on for Rectal Cancer: A Systematic Review with Meta-Analyses.

Curr Oncol

October 2024

Center for Perioperative Optimization and Copenhagen Sequelae Center CARE, Department of Surgery, Herlev and Gentofte Hospital, University of Copenhagen, 2730 Herlev, Denmark.

Article Synopsis
  • The review examined long-term urination dysfunction after surgeries for rectal cancer, focusing on studies involving patients who underwent either total or partial mesorectal excision.
  • A total of 55 studies with over 15,000 participants revealed that about 21% experienced urination dysfunction 3-11 months post-surgery, which increased to 25% after 12 months.
  • Common issues included increased urinary frequency, retention, and incontinence, indicating that around one in five patients continues to face these problems more than a year after their operation.
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Patient- and family-centered care in adult ICU (FAM-ICU): A protocol for a feasibility study.

Acta Anaesthesiol Scand

January 2025

Department of Anesthesiology and Intensive Care Medicine, Copenhagen University Hospital, Herlev and Gentofte Hospital, Herlev, Denmark.

Background: In the intensive care unit (ICU), delirium in patients and long-term mental health challenges in both patients and their family members are highly prevalent. To address these issues, patient- and family-centered care has been recommended to alleviate the burdens associated with critical illness and ICU admission. We have developed the patient- and FAMily-centered care in the adult ICU intervention (FAM-ICU intervention).

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The primary analysis of the DBCG 07-READ trial reported in 2017 provided evidence of no overall benefit from adjuvant anthracyclines in patients with early normal breast cancer in disease-free survival (DFS), distant disease-free survival (DDFS), or overall survival (OS). We performed a protocol-scheduled analysis of DDFS, DFS, and OS on the basis of 10-year follow-up. Full details on incident heart failure (HF) and second cancers were presented.

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  • Biparametric MRI (bpMRI) may serve as a valid alternative to multiparametric MRI (mpMRI) for diagnosing clinically significant prostate cancer (csPCa), as assessed in a large international observer study.
  • The study involved 400 mpMRI examinations from four different European centers, where readers evaluated both bpMRI and mpMRI for their ability to accurately diagnose csPCa, finding them to be similarly effective.
  • Key findings indicated that bpMRI and mpMRI had comparable diagnostic accuracy (AUROC values) and sensitivity, with bpMRI showing a noninferior performance, though both methods had similar specificity when distinguishing csPCa.
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  • A study in Denmark focused on patients with COVID-19 associated ARDS who were supported with veno-venous extracorporeal membrane oxygenation (V-V ECMO) to analyze patient selection and outcomes.
  • Out of 1,836 ICU patients, 118 were eligible for ECMO, and 71 were cannulated; the median age of patients was 55, with a 90-day mortality rate of 43%.
  • Findings indicated that being 60 years or older increased mortality risk while pre-existing hypertension reduced it, aligning with outcomes from similar studies.
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Statin use is associated with less ST-elevation versus non-ST-elevation myocardial infarction in a nationwide study.

Atherosclerosis

December 2024

Department of Clinical Biochemistry, Copenhagen University Hospital, Herlev and Gentofte Hospital, Borgmester Ib Juuls Vej 73, Entrance 7 4th floor N5, DK-2730 Herlev, Denmark; Dept of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark. Electronic address:

Background And Aims: Statin therapy reduces myocardial infarction rate but whether it is associated with a shift of ST-elevation myocardial infarction (STEMI) towards non-ST-elevation myocardial infarction (non-STEMI) remains unknown. Thus, we tested the hypothesis that statin use is associated with less STEMI relative to non-STEMI in first-time myocardial infarction.

Methods: In a nationwide study, including 66,896 patients with first-time myocardial infarction between 2010 and 2021, we obtained multivariable risk estimates for STEMI versus non-STEMI according to any statin use, cumulated statin use, and daily statin dose.

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  • Respiratory syncytial virus (RSV) is particularly dangerous for older adults and those with other health conditions, and there's limited data on how it affects hospitalized adults in Europe.
  • A study analyzing data from March 2016 to April 2020 compared the clinical outcomes of adults hospitalized with RSV or influenza A/B, finding that RSV patients had more comorbidities and higher mortality risks.
  • Results showed that hospitalized adults with RSV face increased 90-day mortality, especially compared to those with influenza B, suggesting a need for better testing and vaccination strategies for RSV in older populations.
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High Lipoprotein(a) as a Cause of Kidney Disease: A Population-Based Mendelian Randomization Study.

J Am Coll Cardiol

December 2024

Department of Clinical Biochemistry, Copenhagen University Hospital - Herlev and Gentofte, Copenhagen, Denmark; The Copenhagen General Population Study, Herlev and Gentofte Hospital, Copenhagen University Hospital, Copenhagen, Denmark; Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark. Electronic address:

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Primary and incisional hernias should be considered separately in clinical decisions and research: A nationwide register-based cohort study.

Surgery

December 2024

Center for Perioperative Optimization, Department of Surgery, Herlev and Gentofte Hospital, University of Copenhagen, Copenhagen, Denmark; The Danish Hernia Database, Copenhagen, Denmark.

Article Synopsis
  • Ventral hernias, including umbilical, epigastric, and incisional types, pose different surgical challenges and potential treatment outcomes, which may be influenced by the hernia's type and size.
  • A study analyzed data from over 57,000 hernias to assess risks of reoperation for recurrence and 90-day postoperative readmission, comparing outcomes based on the type of hernia.
  • Results showed that patients with incisional hernias faced a significantly higher risk of needing follow-up surgery and readmission compared to those with umbilical and epigastric hernias, indicating the need to treat them as distinct entities in medical practice and research.
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  • Rubber gloves often have rubber accelerators that can cause allergic reactions, but their specific content is not well understood.
  • A study tested 51 gloves from various brands, finding that 90% of disposable gloves contained sensitizing rubber accelerators, particularly zinc dibutyldithiocarbamate (ZDBC) and zinc diethyldithiocarbamate (ZDEC).
  • The research highlights the need for better labeling of rubber gloves, as even those claimed to be free of accelerators were found to have them, necessitating more transparency from manufacturers.
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  • A recent cross-sectional study conducted by dermatologists from Denmark, the UK, and Switzerland in May 2022 assessed the prevalence of skin diseases among adults in Tasiilaq, East Greenland, revealing significant health concerns.* -
  • Out of 295 participants (about 22.5% of the adult population), 69% exhibited visible signs of skin disease, with common conditions being hand eczema, lichen simplex, and scabies being the most prevalent.* -
  • The findings highlight a high prevalence of skin diseases and emphasize the need for improved access to dermatological care in the region, as many cases were severe and differed from typical presentations.*
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Impact of Remnant Cholesterol on Cardiovascular Risk in Diabetes.

Curr Diab Rep

December 2024

Department of Clinical Biochemistry, Herlev and Gentofte Hospital, Copenhagen University Hospital, Borgmester Ib Juuls Vej 1, 2730, Herlev, Denmark.

Article Synopsis
  • Individuals with diabetes are at a higher risk of atherosclerotic cardiovascular disease (ASCVD) due to factors like hyperlipidemia and elevated remnant cholesterol, which remains a concern even after lowering LDL cholesterol levels.
  • Recent studies indicate a causal link between high remnant cholesterol and increased ASCVD risk, suggesting it could be a potential target for treatment.
  • However, recent clinical trials on drugs like omega-3 fatty acids and fibrates that aim to lower remnant cholesterol have shown mixed results in preventing ASCVD, highlighting the need for treatments that also decrease apolipoprotein B (apoB) levels for better outcomes.
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Background And Objective: To diagnose tuberculosis infection (TBI), whole blood is incubated with M.tuberculosis (Mtb)-specific peptides and the release of interferon-γ (IFN-γ) is measured in IFN-γ-release assays (IGRAs). Hyperglycaemia and fluctuations in blood glucose may modulate IFN-γ-release.

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  • Heart failure (HF) significantly increases the risk of death and hospitalization compared to the general population, especially evident in patients initiating guideline-directed therapy.
  • In a study of over 35,000 HF patients matched with non-HF individuals, those with HF had a 13% higher risk of death, 17% higher risk of HF-related hospitalization, and 24% higher risk of non-HF hospitalization over five years.
  • The excess risk of death declined with age; for example, a 60-year-old man with HF had a similar five-year death risk to a 75-year-old man without HF, suggesting the need to adjust healthcare resources based on age and comorbidities.
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Lipids, lipoproteins, and apolipoproteins: Associations with cognition and dementia.

Atherosclerosis

November 2024

Department of Clinical Biochemistry, Rigshospitalet, Blegdamsvej 9, DK-2100, Copenhagen, Denmark; The Copenhagen General Population Study, Herlev and Gentofte Hospital, Borgmester Ib Juuls Vej 1, DK-2730, Herlev, Denmark; Department of Clinical Medicine, University of Copenhagen, Blegdamsvej 3, DK-2200, Copenhagen, Denmark.

Due to increasing lifespan and aging populations globally there has been a steep rise in late-life dementia, which is now the second most common cause of death in high-income countries. In general, dementia can be divided into two major groups: Alzheimer's disease (AD) and vascular-related dementia (VD). AD is pathologically characterised by senile plaques containing amyloid-β and neurofibrillary tangles composed of hyperphosphorylated tau, whereas VD is dominated by vascular pathology such as cerebral small vessel disease, major strokes, and white matter lesions.

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  • The study investigates the outcomes of robot-assisted laparoscopic Anderson-Hynes pyeloplasty (RALP) for treating ureteropelvic junction obstruction using the DaVinci Si surgical system, focusing on surgical and functional results.
  • A total of 194 patients were analyzed, revealing that 33% faced postoperative complications, while the 1-year success rates varied from 78% to 92% based on the underlying condition for surgery.
  • The findings conclude that RALP is a safe procedure with minimal major complications and an overall acceptable success rate for treating the condition.
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  • Rubber accelerators like TETD and ZDEC, used in rubber vulcanization, can cause allergic reactions and may trigger cross-reactivity between each other.
  • A study on mice showed that sensitization and subsequent exposure to either TETD or ZDEC resulted in increased skin irritation and immune cell proliferation.
  • The findings indicate that individuals allergic to one compound may react to the other, suggesting such patients should avoid both substances to prevent allergic responses.
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