568 results match your criteria: "Rigshospitalet Copenhagen University[Affiliation]"

Background: Epidemiological surveys have monitored chronic non-cancer pain (CNCP) and investigated associated factors in Denmark for more than 20 years. This study aimed to analyse CNCP prevalence in the Danish population from 2000 to 2023 and its associations with mental health status and loneliness.

Methods: Population-based surveys were conducted between 2000 and 2023.

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Study Question: To what extent can hypertensive disorders in pregnancy (HDP) explain the higher risk of preterm birth following frozen embryo transfer (frozen-ET) and fresh embryo transfer (fresh-ET) in ART compared with naturally conceived pregnancies?

Summary Answer: HDP did not contribute to the higher risk of preterm birth in pregnancies after fresh-ET but mediated 20.7% of the association between frozen-ET and preterm birth.

What Is Known Already: Risk of preterm birth is higher after ART compared to natural conception.

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Article Synopsis
  • A study was conducted to evaluate if enhanced recovery after surgery (ERAS) improves overall survival and disease-free survival for patients undergoing laparoscopic distal gastrectomy for gastric cancer compared to conventional care.
  • 527 patients participated in the multicenter trial, which assessed outcomes like complications, recovery time, and medical expenses, with a follow-up of about 42 months.
  • Results showed that ERAS patients had a significantly higher 3-year overall survival (86.56%) and disease-free survival (79.57%), and experienced fewer complications and shorter hospital stays than those receiving conventional care.
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Background: Transcatheter aortic valve implantation (TAVI) is a percutaneous catheter-based treatment of aortic stenosis as an alternative to open heart valve surgery. In cases of TAVI endocarditis, the treatment possibilities may be limited as surgical removal of the infected valve may be associated with a high risk in elderly, comorbid or frail patients. The propensity of bacteria to form a biofilm on foreign material is assumed to be of importance part of the disease process in TAVI endocarditis, but no studies on biofilm formation on TAVI valves have been conducted.

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aTrial arrhythmias in inhEriTed aRrhythmIa Syndromes: results from the TETRIS study.

Europace

December 2024

Division of Cardiology, Cardiocentro Ticino Institute, Ente Ospedaliero Cantonale, Via Tesserete 48, CH-6900 Lugano, Switzerland.

Article Synopsis
  • * AAs were the first symptom of IAS in 52% of patients, and nearly a quarter had multiple AAs documented.
  • * The study found a moderate incidence of severe outcomes, including a yearly primary endpoint rate of 1.4%, with younger patients experiencing higher risks and other complications affecting some patients as well.
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Article Synopsis
  • Pericardial effusion is a serious condition that can happen after doctors put in heart devices, and it might lead to even worse problems like cardiac tamponade.
  • Researchers studied data from over 55,000 patients in Denmark to find out what factors might increase the chances of this happening after getting heart devices like pacemakers.
  • They found that certain things, like being female, having heart failure, or the number of leads in the device, can make it more likely to have a problem called procedural pericardial effusion, even though it's pretty rare.
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Autologous micrografting improves regeneration of tissue-engineered urinary conduits in vivo.

Sci Rep

September 2024

Laboratory of Tissue Engineering, Faculty of Health and Medical Sciences, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark.

Article Synopsis
  • * A study was conducted on ten female minipigs, using collagen-based scaffolds with biodegradable mesh, revealing that micrografted scaffolds led to better tissue regeneration than acellular controls after six weeks.
  • * The implantation process was successful and safe, with no postoperative complications, suggesting that this method could be a promising option for future urinary conduit surgeries.
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Time of day for vaccination, outcomes, and relative effectiveness of high-dose vs. standard-dose quadrivalent influenza vaccine: A post hoc analysis of the DANFLU-1 randomized clinical trial.

J Infect

November 2024

Center for Translational Cardiology and Pragmatic Randomized Trials (CTCPR), Copenhagen University Hospital - Herlev and Gentofte, Copenhagen, Denmark; Cardiovascular Non-Invasive Imaging Research Laboratory, Department of Cardiology, Copenhagen University Hospital - Herlev and Gentofte, Denmark; Steno Diabetes Center Copenhagen, Denmark; Department of Cardiology, Copenhagen University Hospital - Rigshospitalet, Denmark. Electronic address:

Article Synopsis
  • - The study aimed to examine how the timing of influenza vaccinations (morning vs. later in the day) affects the immune response and overall health outcomes, particularly in a large trial comparing high-dose and standard-dose influenza vaccines.
  • - Researchers analyzed data from 12,477 participants and found that earlier vaccinations were linked to fewer hospitalizations for respiratory issues, regardless of the vaccine dosage, with statistically significant results.
  • - Although both high-dose and standard-dose vaccines showed similar effectiveness regardless of vaccination timing, the findings suggest that getting vaccinated earlier in the day could still be beneficial, warranting further investigation.
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Identifying Palliative Care Needs in Patients With Heart Failure Using Patient Reported Outcomes.

J Pain Symptom Manage

December 2024

Department of Clinical Medicine (G.P.K, A-D.Z), University of Copenhagen, Copenhagen, Denmark; Department of Cardiology (A-D.Z), Odense University Hospital, Odense, Denmark.

Context: Heart failure (HF) is considered a multifaceted and life-threatening syndrome characterized by high symptom-burden and significant mortality.

Objectives: To describe the symptom-burden in patients with HF and identify their palliative care needs. In this respect, symptom burden related to sex, age and classification of HF using New York Heart Association Functional Classification (NYHA) were analyzed.

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Article Synopsis
  • Acute heart failure (AHF) patients exhibit a wide range of symptoms and risks, making them a complex group to manage, with increased chances of dangerous ventricular arrhythmias (VAs) during episodes.
  • New VAs during AHF correlate with higher morbidity and mortality in hospitals, but there is ongoing debate about when to perform coronary interventions or implant defibrillators.
  • Different European countries have varying emergency medical capabilities for treating AHF and VAs, and while guidelines exist for chronic heart failure, less is known about arrhythmias in AHF, prompting this consensus paper to propose better ways to identify and treat these complications.
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Article Synopsis
  • The Barcelona Clinic Liver Cancer (BCLC) staging system is crucial for treating hepatocellular carcinoma (HCC); recent updates allow for BCLC stage B patients to consider liver transplantation, while hepatectomy is now discouraged.
  • A systematic review analyzed 31 studies involving 3163 patients to compare survival rates, postoperative complications, and patient selection for liver resection versus transplantation in BCLC stage B patients.
  • Results showed that while resection had a 50-month survival and a 15-month recurrence-free period, data on transplantation was limited, with only one study reporting on it, indicating the need for more research in this area.
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Background: Kidney outcomes have been variably defined using nonstandardized composite end points in key heart failure trials, thus introducing complexity in their interpretation and cross-trial comparability. We examined the effects of steroidal mineralocorticoid receptor antagonists, the angiotensin receptor-neprilysin inhibitor sacubitril/valsartan, and SGLT2 (sodium-glucose cotransporter-2) inhibitors on composite kidney end points using uniform definitions in 6 contemporary heart failure trials.

Methods: Individual participant-level data from trials of steroidal mineralocorticoid receptor antagonists (EMPHASIS-HF [Eplerenone in Mild Patients Hospitalization and Survival Study in Heart Failure], TOPCAT [Treatment of Preserved Cardiac Function Heart Failure With an Aldosterone Antagonist] Americas), angiotensin receptor-neprilysin inhibitor (PARADIGM-HF [Prospective Comparison of Angiotensin Receptor-Neprilysin Inhibitor With ACEI to Determine Impact on Global Mortality and Morbidity in Heart Failure], PARAGON-HF [Prospective Comparison of Angiotensin Receptor-Neprilysin Inhibitor With Angiotensin-Receptor Blockers Global Outcomes in HF With Preserved Ejection Fraction]), and SGLT2 inhibitors (DAPA-HF [Dapagliflozin and Prevention of Adverse Outcomes in Heart Failure], DELIVER [Dapagliflozin Evaluation to Improve the Lives of Patients With Preserved Ejection Fraction Heart Failure]) were included.

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Selective serotonin reuptake inhibitors for premenstrual syndrome and premenstrual dysphoric disorder.

Cochrane Database Syst Rev

August 2024

Centre for Evidence-Based Medicine Odense (CEBMO) and Cochrane Denmark, Department of Clinical Research, University of Southern Denmark, Odense, Denmark.

Article Synopsis
  • PMS and PMDD are common conditions affecting women before menstruation, with PMDD being a more severe form, and SSRIs are often used for treatment.
  • A systematic review was conducted to evaluate the benefits and risks of SSRIs in treating these syndromes based on randomized controlled trials.
  • The review updated data collection methods from a 2013 study, analyzing treatment effectiveness and the potential for adverse effects associated with SSRIs.
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Women who have experienced conflict-related sexual violence report significant long-term effects, including posttraumatic stress disorder (PTSD), depression and relationship difficulties. Research has demonstrated that maternal trauma is associated with children's behavioural difficulties and challenges in family functioning, such as impaired communication and harsh parenting. This pilot study is aimed at evaluating the preliminary effectiveness of family therapy for Kosovar mothers who experienced conflict-related sexual violence in 1998-1999 and later developed PTSD and their children in improving family functioning and reducing behavioural difficulties in postwar times.

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Article Synopsis
  • The STEROHCA trial studied the effect of high-dose glucocorticoids on inflammation in patients who suffered out-of-hospital cardiac arrest (OHCA), showing promising results in reducing inflammatory markers.
  • In a sample of 137 OHCA patients, those who received glucocorticoids had improved anti-inflammatory responses compared to the placebo group, with survival rates of 75% vs. 64% at 180 days.
  • The treatment significantly reduced several pro-inflammatory cytokines within 24 hours of administration, indicating potential benefits of glucocorticoids in managing post-cardiac arrest syndrome.
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Craniosynostosis constitutes one of the most common congenital cranial malformations, affecting approximately 6/10,0000 live births. A genetic etiology has long been known for several forms of syndromic craniosynostosis, including pathogenic variants in TWIST1 and FGFR3 in children with Saethre-Chotzen and Muenke syndrome. Over the last decade, reports of genetic aberrations in TCF12 in children with craniosynostosis have emerged, in particular in cases with premature closure of the coronal suture(s).

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Prevalence of opioid misuse in patients with cancer: a systematic review and meta-analysis.

Br J Cancer

October 2024

Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark.

Background/objectives: Long-term consequences of opioid consumption, such as misuse, have been a major concern in patients with chronic non-cancer pain. Potentially opioid misuse may also be a consequence in patients with cancer in opioid treatment which encouraged us to undertake this systematic review assessing the frequency of opioid misuse in this population.

Materials/methods: The search strategy comprised words related to cancer, opioid misuse, and frequency.

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Frailty and Cardiovascular Health.

J Am Heart Assoc

August 2024

VA Boston Healthcare System Boston MA USA.

Article Synopsis
  • * Frailty serves as an important indicator in CVD patients, affecting prevention strategies and complicating their participation in major clinical trials.
  • * The review emphasizes the need for better understanding and management of frailty to improve CVD care and explores future approaches for detecting and modifying frailty in affected individuals.
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Background: Despite the widely reported success of knee arthroplasty, studies show that 1.6-3 % of patients undergo revision within the first postoperative year predominantly due to infection. Preoperative skin preparation may potentially decrease the bacterial load and consequently, the risk of periprosthetic joint infections.

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Aims: To assess whether the optimal mean arterial blood pressure (MAP) target after out-of-hospital cardiac arrest (OHCA) is influenced by age and a history of arterial hypertension.

Methods And Results: A post hoc analysis of data from the Blood Pressure and Oxygenation Targets in Post Resuscitation Care trial. The trial included 789 comatose patients randomized to a MAP target of 63 or 77 mmHg.

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Introduction: In Denmark, where human papillomavirus (HPV) -based cervical cancer screening is being implemented, the aim of this pilot implementation study was to test a specific screening algorithm, assess follow-up examination attendance, and measure the proportion of precancer lesions found in relation to the number of women referred for colposcopy.

Material And Methods: From May 2017 to December 2020, 36 417 women in the uptake area of the Department of Pathology, Vejle Hospital, Region of Southern Denmark, were included in the HPV group. Women positive for HPV16/18 irrespective of cytology and women positive for other high-risk HPV (hrHPV) types having concomitant abnormal cytology were referred directly to colposcopy.

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Article Synopsis
  • - Pemigatinib, a selective FGFR inhibitor, was evaluated in the FIGHT-101 study, which explored its safety and effectiveness in patients with advanced solid tumors, particularly those with FGFR alterations, through various treatment combinations.
  • - Patients received different doses of pemigatinib in combination with drugs like gemcitabine, cisplatin, and pembrolizumab, with key focus on safety, tumor response rates, and pharmacokinetics, resulting in varying levels of treatment-emergent adverse events.
  • - The study showed objective response rates (ORRs) ranging from 0% to 37.5% across different combinations, with some patients experiencing tumor shrinkage, and noted that patients with
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