Scandinavian journal of primary health care
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Scand J Prim Health Care · Sep 2023
Reduction in the diagnostic interval after the introduction of cancer patient pathways for colorectal cancer in northern Sweden.
To compare the diagnostic interval for patients with colorectal cancer before and after the introduction of cancer patient pathways in northern Sweden. ⋯ In general, cancer patient pathways seem to reduce the diagnostic interval for colorectal cancer but it is not a sufficient solution for all colorectal cancer localisations.
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Scand J Prim Health Care · Sep 2023
Observational StudyObservational study of diagnosis and management in adult primary hypothyroidism in southwest of Sweden.
The objective was to explore the management of newly diagnosed hypothyroidism in adults regarding laboratory diagnostics and treatment in Region Halland (RH). In addition, to investigate whether current recommendations were followed regarding diagnostics. ⋯ There were 39% of the patients diagnosed with hypothyroidism despite normal or subclinical TSH. There was an underuse of TPO in diagnosis and this advocated that the criteria for diagnostics according to current guidelines be followed to avoid unnecessary treatment.
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Scand J Prim Health Care · Sep 2023
Conceptualising migraine attacks from a biopsychosocial model using qualitative and functional behavioural analysis.
The aim of this study was to explore patients' experiences and management of pain in connection with a migraine attack in episodic migraine. ⋯ From a biopsychosocial perspective, a migraine attack is much more complex than just an experience of pain. The purely biological pain prompts a number of automatic reactions leading to strategies for pain management.
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Scand J Prim Health Care · Sep 2023
Clinical TrialDepressive symptoms decrease health-related quality of life of patients with coronary artery disease and diabetes: a 12-month follow up study in primary care.
Health-related quality of life (HRQoL) is a multidimensional patient-related outcome. Less is known about the role of depressive symptoms on HRQoL in chronic diseases. This follow-up study analyzed depressive symptoms' association with HRQoL change measured with 15D in patients with chronic diseases. ⋯ Depressive symptoms impact negatively on future HRQoL among primary care patients with coronary artery disease and diabetes emphasizing that mood should be acknowledged in their care and follow-up.
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Scand J Prim Health Care · Sep 2023
Primary care doctors in acute call-outs to severe trauma incidents in Norway - associations with factors related to patients and doctors.
Severe trauma patients need immediate prehospital intervention and transfer to a specialised trauma hospital. In Norway, primary care doctors (PCDs) are an integrated part of the prehospital trauma care. The aim of this study was to investigate the degree to which PCDs were involved in prehospital care of severe trauma patients and how factors related to patients and doctors were associated with call-outs to these incidents. ⋯ PCDs called out to a relatively low proportion of severe trauma patients. Several factors related to patients and doctors were associated with call-outs to severe trauma incidents in Norway.