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norskBlar i forfatter "Ingebrigtsen, Tor"
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Accuracy of physical examination for chronic lumbar radiculopathy
(Journal article; Tidsskriftartikkel; Peer reviewed, 2013)Background: Clinical examination of patients with chronic lumbar radiculopathy aims to clarify whether there is nerve root impingement. The aims of this study were to investigate the association between findings at clinical examination and nerve root impingement, to evaluate the accuracy of clinical index tests in a specialised care setting, and to see whether imaging clarifies the cause of chronic ... -
Alcohol consumption, blood alcohol concentration level and guideline compliance in hospital referred patients with minimal, mild and moderate head injuries
(Journal article; Tidsskriftartikkel; Peer reviewed, 2011)In 2000 the Scandinavian Neurotrauma Committee published guidelines for safe and cost-effective management of minimal, mild and moderate head injured patients. The aims of this study were to investigate to what extent the head injury population is under the influence of alcohol, and to evaluate whether the physicians’ compliance to the guidelines is affected when patients are influenced by ... -
Anatomical variations in the circle of Willis are associated with increased odds of intracranial aneurysms: The Tromsø study
(Journal article; Tidsskriftartikkel; Peer reviewed, 2023-07-25)Purpose: Studies on patients suggest an association between anatomical variations in the Circle of Willis (CoW) and intracranial aneurysms (IA), but it is unclear whether this association is present in the general population. In this cross-sectional population study, we investigated the associations between CoW anatomical variations and IA.<p> <p>Methods: We included 1667 participants from a ... -
Associations between utilization rates and patients’ health: a study of spine surgery and patient-reported outcomes (EQ-5D and ODI)
(Journal article; Tidsskriftartikkel; Peer reviewed, 2020-02-22)<i>Background</i> - A vast body of literature has documented regional variations in healthcare utilization rates. The extent to which such variations are “unwarranted” critically depends on whether there are corresponding variations in patients’ needs. Using a unique medical registry, the current paper investigated any associations between utilization rates and patients’ needs, as measured by two ... -
Behandlingsrater for ryggkirurgi i Norge og Helse Nord 2014-18
(Journal article; Tidsskriftartikkel; Peer reviewed, 2020-11-23)<i>BAKGRUNN</i> - Formålet med denne studien var å undersøke om behandlingstilbudet innen ryggkirurgi i Helse Nord er i henhold til den vedtatte funksjonsfordelingen mellom sykehusene i regionen, og om det er geografisk variasjon i tilbudet. Vi undersøkte derfor behandlingsrater i Norge og Helse Nord, samt egendekning i Helse Nord, og vurderte aktiviteten i regionen.<p> <p><i>MATERIALE OG METODE</i> ... -
Blir retningslinjer for behandling av mindre alvorlige hodeskader fulgt?
(Journal article; Tidsskriftartikkel; Peer reviewed, 2021-05-03)<p><b>BAKGRUNN</b> De skandinaviske retningslinjene for akutt håndtering av voksne med minimal, lett eller moderat hodeskade har som mål å identifisere pasienter med risiko for å utvikle intrakranialt hematom samt å unngå unødvendig computertomografi (CT) og sykehusinnleggelse. Vi undersøkte etterlevelsen av retningslinjene ved Universitetssykehuset Nord-Norge Tromsø. <p><b>MATERIALE OG ... -
Cervical spine surgery in the Northern Norway Regional Health Authority area in 2014-18
(Journal article; Tidsskriftartikkel; Peer reviewed, 2022-02-24)<p>BAKGRUNN - Kunnskap om variasjon i behandlingsrater er nødvendig for å vurdere om tilgangen til helsetjenester er likeverdig. Formålet med denne studien var å undersøke rater for kirurgisk behandling av degenerative nakkelidelser i Norge og Helse Nord, samt egendekningen i Helse Nord, og å vurdere aktiviteten i regionen. <p>MATERIALE OG METODE - Vi inkluderte operasjoner registrert i Norsk ... -
Clinical guided computer tomography decisions are advocated in potentially severely injured trauma patients: a one-year audit in a level 1 trauma centre with long pre-hospital times
(Journal article; Tidsskriftartikkel; Peer reviewed, 2020-01-10)<i>Background</i> - The International Commission on Radiological Protection’s (ICRP) justification principles state that an examination is justified if the potential benefit outweighs the risk for radiation harm. Computer tomography (CT) contributes 50% of the radiation dose from medical imaging, and in trauma patients, the use of standardized whole body CT (SWBCT) increases. Guidelines are lacking, ... -
Clinical outcomes after surgery for cervical radiculopathy performed in public and private hospitals : a nationwide relative effectiveness study
(Journal article; Tidsskriftartikkel; Peer reviewed, 2023-01-01)Aims - The number of patients undergoing surgery for degenerative cervical radiculopathy has increased. In many countries, public hospitals have limited capacity. This has resulted in long waiting times for elective treatment and a need for supplementary private healthcare. It is uncertain whether the management of patients and the outcome of treatment are equivalent in public and private hospitals. ... -
Decompressive hemicraniectomy for space-occupying brain infarction: Nationwide population-based registry study
(Journal article; Tidsskriftartikkel; Peer reviewed, 2022-10-14)Objective: We analyzed data from the Norwegian Stroke Registry (NSR) to study access to and outcomes of decompressive hemicraniectomy for brain infarction in a nationwide routine clinical setting. We also discretionary assessed whether the outcomes were comparable with those achieved in randomized controlled trials (RCTs), and whether the use was in accordance with guidelines. Methods: The NSR ... -
Diagnostic accuracy of anti-3-[<sup>18</sup>F]-FACBC PET/MRI in gliomas
(Journal article; Tidsskriftartikkel; Peer reviewed, 2023-09-30)Purpose - The primary aim was to evaluate whether anti-3-[<sup>18</sup>F]FACBC PET combined with conventional MRI correlated better with histomolecular diagnosis (reference standard) than MRI alone in glioma diagnostics. The ability of anti-3-[<sup>18</sup>F]FACBC to differentiate between molecular and histopathological entities in gliomas was also evaluated.<p> <p>Methods - In this prospective ... -
Diagnostic imaging and ionizing radiation exposure in a level 1 trauma centre population met with trauma team activation: a one-year patient record audit
(Journal article; Tidsskriftartikkel; Peer reviewed, 2020-02-15)This audit describes ionizing and non-ionizing diagnostic imaging at a regional trauma centre. All 144 patients (males 79.2%, median age 31 years) met with trauma team activation from 1 January 2015 to 31 December 2015 were included. We used data from electronic health records to identify all diagnostic imaging and report radiation exposure as dose area product (DAP) for conventional radiography ... -
Effect of caudal epidural steroid or saline injection in chronic lumbar radiculopathy: multicentre, blinded, randomised controlled trial
(Journal article; Tidsskriftartikkel; Peer reviewed, 2011)Objective To assess the efficacy of caudal epidural steroid or saline injection in chronic lumbar radiculopathy in the short (6 weeks), intermediate (12 weeks), and long term (52 weeks).<p> <p>Design Multicentre, blinded, randomised controlled trial. <p>Setting Outpatient multidisciplinary back clinics of five Norwegian hospitals. <p>Participants Between October 2005 and February 2009, 461 ... -
Geographical variation in orthopedic procedures in Norway: Cross-sectional population-based study
(Journal article; Tidsskriftartikkel; Peer reviewed, 2022-09-14)Background: Standardized surgery rates for common orthopedic procedures vary across geographical areas in Norway. We explored whether area-level factors related to demand and supply in publicly funded healthcare are associated with geographical variation in surgery rates for six common orthopedic procedures.<p> <p>Methods: The present study is a cross-sectional population-based study of hospital ... -
Glioblastom hos voksne
(Journal article; Tidsskriftartikkel; Peer reviewed, 2023-01-30)Glioblastom er den vanligste formen for primær hjernekreft hos voksne, og sykdommen har en alvorlig prognose. Selv om det er gjort store fremskritt i molekylær karakteristikk, har det ikke vært større gjennombrudd i behandlingen på mange år. Vi presenterer her en klinisk oversikt over dagens diagnostikk og behandling samt hvilke utfordringer og muligheter som ligger i å utvikle bedre og mer ... -
Health risks, emergency preparedness and Norwegian-Russian cooperation on Svalbard. A systematic review
(Journal article; Tidsskriftartikkel; Peer reviewed, 2022-03-13)This is the first systematic review to explore health risks on Svalbard. We have analysed data retrieved from 18 articles that met eligibility criteria and present a mixed-methods quantitative and qualitative narrative synthesis. Norwegian and Russian inhabitants on Svalbard were compared with the respective mainland populations, and we found no evidence of an increased risk for or prevalence of ... -
Impact of the number of previous lumbar operations on patient-reported outcomes after surgery for lumbar spinal stenosis or lumbar disc herniation
(Journal article; Tidsskriftartikkel; Peer reviewed, 2023-03-15)Aims - Repeated lumbar spine surgery has been associated with inferior clinical outcomes. This study aimed to examine and quantify the impact of this association in a national clinical register cohort.<p> <p>Methods - This is a population-based study from the Norwegian Registry for Spine surgery (NORspine). We included 26,723 consecutive cases operated for lumbar spinal stenosis or lumbar disc ... -
Incidence of hospital referred head injuries in Norway : a population based survey from the Stavanger region
(Journal article; Tidsskriftartikkel; Peer reviewed, 2009-02-20)Background: In three previous Norwegian studies conducted between 1974 and 1993, the annual incidence rates of hospital admitted head injuries were 236, 200 and 169 per 100,000 population. The aim of this study was to describe the incidence of head injury in the Stavanger region and to compare it with previous Norwegian studies. <br> Methods: All head injured patients referred to Stavanger ... -
Injury coding in a national trauma registry: a one-year validation audit in a level 1 trauma centre
(Journal article; Tidsskriftartikkel; Peer reviewed, 2019-10-30)<i>Background</i> - Hospitals must improve patient safety and quality continuously. Clinical quality registries can drive such improvement. Trauma registries code injuries according to the Abbreviated Injury Scale (AIS) and benchmark outcomes based on the Injury Severity Score (ISS) and New ISS (NISS). The primary aim of this study was to validate the injury codes and severities registered in a ... -
Lean thinking in hospitals: is there a cure for the absence of evidence? A systematic review of reviews
(Journal article; Tidsskriftartikkel; Peer reviewed, 2014)Objective: Lean interventions aim to improve quality of healthcare by reducing waste and facilitate flow in work processes. There is conflicting evidence on the outcomes of lean thinking, with quantitative and qualitative studies often contradicting each other. We suggest that reviewing the literature within the approach of a new contextual framework can deepen our understanding of lean as a ...
