343 results match your criteria: "Hospital of Southern Jutland[Affiliation]"

Analysis of free cisplatin in microdialysates and plasma ultrafiltrate by liquid chromatography-tandem mass spectrometry.

J Chromatogr B Analyt Technol Biomed Life Sci

March 2024

Department of Clinical Medicine, Aarhus University, Denmark; Aarhus Denmark Microdialysis Research Group (ADMIRE), Orthopaedic Research Laboratory, Aarhus University Hospital, Denmark; Department of Orthopaedic Surgery, Aarhus University Hospital, Denmark.

Cisplatin is a potent cytotoxic agent used in the treatment of various malignancies and exerts its antitumor effect through malignant cell DNA damage and apoptosis induction. Evaluation of systemic delivery of cisplatin is important in optimization of cisplatin treatment. However, accurate quantification of systemic cisplatin is challenging due to its various forms in circulation.

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  • The study aims to identify predictors of treatment switching in patients with relapsing-remitting MS using data from multiple national registries.
  • A total of 269,822 treatment episodes from 110,326 patients were analyzed, focusing on those who started disease-modifying treatments during their RRMS phase.
  • Key findings indicate that higher disability scores (EDSS), being female, and older age increase the likelihood of treatment switching, with certain DMTs initiated between 2007 and 2012 showing even higher rates of switching.
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Patient and families' perspectives on telepalliative care: A systematic integrative review.

Palliat Med

January 2024

Faculty of Health Sciences, Department of Clinical Research, Family Focused Healthcare Research Centre (FaCe), University of Southern Denmark, Odense, Denmark.

Background: Telepalliative care is increasingly used in palliative care, but has yet to be examined from a patient and family perspective. A synthesis of evidence may provide knowledge on how to plan and provide telepalliative care that caters specifically to patients and families' needs.

Objective: To synthesise evidence on patients and families' perspectives on telepalliative care.

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  • The study explores the pharmacokinetics (how the drug moves in the body) and pharmacodynamics (the effects of the drug) of cannabis-based medicine (CBM) in patients with multiple sclerosis (MS) suffering from neuropathic pain and spasticity.
  • Out of 134 participants in a larger trial, 23 were focused on in this substudy, receiving either THC, CBD, a combination, or a placebo, with significant variability in dosages and individual responses observed.
  • Though the pharmacokinetic data was similar to previous findings in healthy individuals, no significant effects on the pain and spasticity parameters were noted, although adverse events were more common in the treatment groups compared to placebo.
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  • Outcome data for patients with relapsed/refractory diffuse large B-cell lymphoma (DLBCL), especially beyond second-line therapy, is limited outside of clinical trials, making real-world context important.
  • A study in Denmark reviewed medical records of 3753 adults with DLBCL, focusing on 189 patients who received third-line treatment or beyond, with a median age of 71 years and various treatment options including supportive care and clinical trials.
  • Overall survival rates were low, with 2-year estimates at 25% for all patients and 49% for those receiving platinum-based salvage therapy, while certain factors like age, CNS involvement, and elevated LDH indicated poorer outcomes.
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Postacute symptoms are not uncommon after severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection with pre-Omicron variants. How the Omicron variant and coronavirus disease 2019 (COVID-19) booster vaccination influence the risk of postacute symptoms is less clear. We analyzed data from a nationwide Danish questionnaire study, EFTER-COVID, comprising 36 109 individuals aged ≥15 years who were tested between July 2021 and January 2022, to evaluate the associations of the Omicron variant and COVID-19 booster vaccination with postacute symptoms and new-onset general health problems 4 months after infection with SARS-CoV-2.

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  • The study investigates the link between maternal smoking during pregnancy and the risk of multiple sclerosis (MS) in their offspring, an area that has seen limited and inconsistent research.
  • An analysis of data from 789,299 Danish women who were pregnant between 1991 and 2018 revealed that maternal smoking increases the risk of developing MS, with a 42% higher risk for mothers and a 38% higher risk for their children compared to non-smokers.
  • The findings suggest that smoking during pregnancy may contribute to the development of MS, highlighting the importance of addressing smoking in prenatal care to potentially reduce MS risk.
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It is not well-described how the acute symptoms of infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) differ by variant, vaccination, sex and age. A cross-sectional questionnaire study linked to national testing- and registry data was conducted among 148,874 SARS-CoV-2 first time reverse transcription polymerase chain reaction (RT-PCR) test-positive individuals and corresponding date-matched symptomatic test-negative controls. Major SARS-CoV-2 variants (Index/wild type, Alpha, Delta and Omicron) were defined using periods of predominance.

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Detection of infections by computerized capture of peaks in longitudinally measured C-reactive protein levels.

Biomark Med

August 2023

Research Unit of Clinical Epidemiology, Institute of Clinical Research, University of Southern Denmark and Center for Clinical Epidemiology, Odense University Hospital, Kløvervænget 30, Entrance 216, Ground Floor, Odense C, 5000, Denmark.

We developed four algorithms for the automatic capture of C-reactive protein (CRP) peaks in 296 adult patients with acute myeloid leukemia who had bloodstream infection (BSI) episodes, negative blood cultures (BCs) or possible infections where no BCs were performed. The algorithms detected CRP peaks for 418-446 of the 586 documented BSI episodes (71.3-76.

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Discontinuation of dimethyl fumarate in multiple sclerosis - a nationwide study.

Mult Scler Relat Disord

December 2023

Department of Neurology, Hospital Southwest Jutland, University Hospital of Southern Denmark, Esbjerg, Denmark; The Norwegian Multiple Sclerosis Registry and Biobank, Haukeland University Hospital, Bergen, Norway; BRIDGE, Brain Research - Inter Disciplinary Guided Excellence, Department of Regional Health Research, University of Southern Denmark; MS Alliance of Southern Denmark, Denmark. Electronic address:

Background: Adherence is a prerequisite for the efficacy of any drug, and previous studies have shown that non-adherence is associated with disease activity and increased health care cost in multiple sclerosis (MS). The aim of this study was to investigate rates and reasons for discontinuation of dimethyl fumarate (DMF) among people with MS on a national level and differences between clinics in Denmark.

Methods: This was a nationwide, registry and population study of patients treated with DMF.

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Context: Cholesterol carried in lipoprotein(a) adds to measured low-density lipoprotein cholesterol (LDL-C) and may therefore drive some diagnoses of clinical familial hypercholesterolemia (FH).

Objective: We investigated plasma lipoprotein(a) in individuals referred to Danish lipid clinics and evaluated the effect of plasma lipoprotein(a) on a diagnosis of FH.

Methods: Individuals referred to 15 Danish lipid clinics who were suspected of having FH according to nationwide referral criteria were recruited between September 1, 2020 and November 30, 2021.

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Background: Metastatic triple-negative breast cancer (mTNBC) is an aggressive subtype of breast cancer with poor survival. Currently, the literature lacks comprehensive real-world evidence on locally recurrent and mTNBC patients. To validate the optimal treatment for patients with mTNBC, real-world evidence in combination with data from clinical trials must be evaluated as complementary.

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Post-acute sick leave is an underexplored indicator of the societal burden of SARS-CoV-2. Here,  we report findings about self-reported sick leave and risk factors thereof from a hybrid survey and register study, which include 37,482 RT-PCR confirmed SARS-CoV-2 cases and 51,336 test-negative controls who were tested during the index- and alpha-dominant waves. We observe that an additional 33 individuals per 1000 took substantial sick leave following acute infection compared to persons with no known history of infection, where substantial sick leave is defined as >1 month of sick leave within the period 1-9 months after the RT-PCR test date.

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Introduction: Staff shortages and quality in obstetric care is a concern in most healthcare systems and a hot topic in the public debate that has centred on complaints about deficient care. However there has been a lack of empirical data to back the debate. The aim of this study was to analyse and describe complaints in obstetric care.

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Patients with multiple sclerosis: COVID-19 related disease activity and hospitalisations based on a nationwide cohort study.

Mult Scler Relat Disord

November 2023

Center for Clinical Epidemiology, Odense University Hospital, Kløvervænget 30, Entrance 216, 5000, Odense C, Denmark; Research Unit of Clinical Epidemiology, Department of Clinical Research, University of Southern, Kløvervænget 30, Entrance 216, 5000, Odense C, Denmark.

Background: It has not previously been clarified if COVID-19 triggers disease activity and increases the risk of hospitalisation with COVID-19 in patients with multiple sclerosis. We examined the association between COVID-19 and the use of systemic corticosteroids prescriptions and hospital contacts at neurological departments as proxies of disease activity among patients with multiple sclerosis. Furthermore, we examined whether patients with multiple sclerosis were more likely to be hospitalised with COVID-19 compared to references.

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Rickettsiosis in Denmark: A nation-wide survey.

Ticks Tick Borne Dis

November 2023

Clinical Centre for Emerging and Vector-borne Infections, Odense University Hospital, Odense, Denmark; Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark; Department of Infectious Diseases, Odense University Hospital, Odense, Denmark.

Rickettsia helvetica has been reported at varying prevalences in Danish and other European Ixodes ricinus populations. Though apparently widespread and with reported cases of human infection, the significance of the bacteria as a threat to public health remains unclear. We present a nation-wide survey of rickettsia in ticks, roe deer and humans in Denmark.

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Article Synopsis
  • The study investigated the effect of cannabis-based medicine (CBM) on neuropathic pain (NP) and spasticity in patients with multiple sclerosis (MS) and spinal cord injury (SCI) through a randomized, placebo-controlled trial in Denmark.
  • A total of 134 patients were assigned to either THC, CBD, a combination of both, or a placebo for six weeks, but the results showed no significant differences in pain or spasticity levels between the active treatments and placebo.
  • Recruitment challenges due to COVID-19 led to fewer participants than planned, and ultimately, the findings indicated that CBM had no evident impact on NP or spasticity in the studied patient groups.
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Comprehensive prenatal diagnostics: Exome versus genome sequencing.

Prenat Diagn

August 2023

Department of Clinical Research, Clinical Genome Center & Human Genetics Unit, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark.

Objective: This study aimed to assess the diagnostic yield of prenatal genetic testing using trio whole exome sequencing (WES) and trio whole genome sequencing (WGS) in pregnancies with fetal anomalies by comparing the results with conventional chromosomal microarray (CMA) analysis.

Methods: A total of 40 pregnancies with fetal anomalies or increased nuchal translucency (NT ≥ 5 mm) were included between the 12th and 21st week of gestation. Trio WES/WGS and CMA were performed in all cases.

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  • Ocrelizumab, a targeted monoclonal antibody for treating relapsing-remitting MS, significantly reduces relapse rates and disability compared to interferon beta 1a, while rituximab is often used off-label as an alternative.
  • This study aimed to determine if rituximab's effectiveness is comparable (noninferior) to that of ocrelizumab in treating relapsing-remitting MS.
  • The observational study included over 1600 patients from MS registries with matched baseline characteristics, focusing on annual relapse rates as the primary outcome measure.
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A syndemic is the co-existence of two or more health problems (including both social and biological features) that adversely influence each other with negative consequences on disease outcomes and perpetuation of inequalities. The syndemic approach can be applied to better understand the course of rheumatic musculoskeletal diseases (RMD) involving the study of adverse biological pathways and social determinants of health (SDH) all under the same framework. Identifying if a syndemic exists within RMDs may include investigating the synergic interactions between comorbidity (e.

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Background And Aims: It is unclear to what extent genetic testing improves the ability to diagnose familial hypercholesterolaemia (FH). We investigated the percentage with FH among individuals referred to Danish lipid clinics, and evaluated the impact of genetic testing for a diagnosis of FH.

Methods: From September 2020 through November 2021, all patients referred for possible FH to one of the 15 Danish lipid clinics were invited for study participation and >97% (n = 1488) accepted.

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Background: Care home residents are frail, multi-morbid, and have an increased risk of experiencing acute hospitalisations and adverse events. This study contributes to the discussion on preventing acute admissions from care homes. We aim to describe the residents' health characteristics, survival after care home admission, contacts with the secondary health care system, patterns of admissions, and factors associated with acute hospital admissions.

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