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The New National Registry for Gastrointestinal Surgery in Norway: NoRGast.

https://arctichealth.org/en/permalink/ahliterature296886
Source
Scand J Surg. 2018 Sep; 107(3):201-207
Publication Type
Journal Article
Date
Sep-2018
Author
K Lassen
L S Nymo
H Kørner
K Thon
T Grindstein
H H Wasmuth
T Moger
B A Bjørnbeth
S Norderval
M T Eriksen
A Viste
Author Affiliation
1 Gastrointestinal Surgery, University Hospital of North Norway, Tromsø, Norway.
Source
Scand J Surg. 2018 Sep; 107(3):201-207
Date
Sep-2018
Language
English
Publication Type
Journal Article
Keywords
Digestive System Diseases - epidemiology - surgery
Digestive System Surgical Procedures - statistics & numerical data
Humans
Norway - epidemiology
Quality Improvement - statistics & numerical data
Registries - statistics & numerical data
Abstract
There is an increasing demand for high-quality data for the outcome of health care. Diseases of the gastro-intestinal tract involve large patient groups often presenting with serious or life-threatening conditions. Complications may affect treatment outcomes and lead to increased mortality or reduced quality of life. A continuous, risk-adjusted monitoring of major complications is important to improve the quality of health care to patients undergoing gastrointestinal resections. We present the development of the Norwegian Registry for Gastrointestinal Surgery, a national registry for colorectal, upper gastrointestinal, and hepato-pancreato-biliary resections in Norway.
A narrative and qualitative presentation of the development and current state of the registry.
We present the variables and the analysis tools and provide examples for the potential in quality improvement and research. Core characteristics include a strictly limited set of variables to reflect important risk factors, the procedure performed, and the clinical outcomes.
A registry with the potential to present complete national cohort data is a powerful tool for quality improvement and research.
PubMed ID
29628007 View in PubMed
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Sacral neuromodulation for faecal incontinence following obstetric sphincter injury - outcome of percutaneous nerve evaluation.

https://arctichealth.org/en/permalink/ahliterature285758
Source
Colorectal Dis. 2017 Mar;19(3):274-282
Publication Type
Article
Date
Mar-2017
Author
M B Rydningen
T. Dehli
T. Wilsgaard
R O Lindsetmo
M. Kumle
M. Stedenfeldt
S. Norderval
Source
Colorectal Dis. 2017 Mar;19(3):274-282
Date
Mar-2017
Language
English
Publication Type
Article
Keywords
Adult
Aged
Anal Canal - diagnostic imaging - injuries
Delivery, Obstetric - adverse effects
Electric Stimulation Therapy
Endosonography
Fecal Incontinence - etiology - therapy
Female
Humans
Linear Models
Lumbosacral Plexus
Middle Aged
Multivariate Analysis
Norway
Prospective Studies
Treatment Outcome
Urinary Incontinence - etiology
Abstract
The purpose of this study was to assess the efficacy of percutaneous nerve evaluation (PNE) in women with faecal incontinence (FI) following obstetric anal sphincter injury and to relate the outcomes to baseline factors, with special emphasis on the extent of the sphincter defect.
This was a prospective study at a tertiary colorectal referral unit at the University Hospital of North Norway conducted from 2012 to 2014. Sixty-three women underwent a 3-week PNE using a tined lead and the Verify(®) external neurostimulator. The primary outcome was efficacy, defined as the percentage reduction in weekly FI episodes, and patients with a reduction of 50% or more were defined as responders. Baseline factors affecting the primary outcome were explored. Sphincter defects were classified with a validated three-dimensional endoanal ultrasound defect score.
Fifty-six (89%) of the 63 women were responders with a reduction in weekly FI episodes of 94.5%, from a median (interquartile range) of 4.8 (2.0-11.0) to 0.5 (0-2.0) (P 
PubMed ID
27463362 View in PubMed
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