A5088364802- Colorectal Cancer Screening and Detection
- Chronic Disease Management Strategies
- Diabetes Management and Research
- Parasitic Infections and Diagnostics
- Amoebic Infections and Treatments
- Global Cancer Incidence and Screening
- Diverticular Disease and Complications
- Health Systems, Economic Evaluations, Quality of Life
- Clinical practice guidelines implementation
- Diabetes Management and Education
- Patient-Provider Communication in Healthcare
- Adipokines, Inflammation, and Metabolic Diseases
- Nutritional Studies and Diet
- Diet and metabolism studies
- Cultural Competency in Health Care
- Diabetes, Cardiovascular Risks, and Lipoproteins
- Diabetes and associated disorders
- Acute Ischemic Stroke Management
- Obesity, Physical Activity, Diet
- Cardiovascular Function and Risk Factors
- Empathy and Medical Education
- Mobile Health and mHealth Applications
- Mycobacterium research and diagnosis
- Microscopic Colitis
- Health disparities and outcomes
Umeå University
2016-2025
Östersunds Hospital
2014-2023
University of Gothenburg
2019
Mid Sweden University
2014
Public Health Agency of Sweden
2014
Karolinska Institutet
2014
Örebro County Council
2008-2012
Helsingborgs lasarett
2004
In November 2010, ≈27,000 (≈45%) inhabitants of Östersund, Sweden, were affected by a waterborne outbreak cryptosporidiosis. The was characterized rapid onset and high attack rate, especially among young middle-aged persons. Young age, number infected family members, amount water consumed daily, gluten intolerance identified as risk factors for acquiring Also, chronic intestinal disease age significantly associated with prolonged diarrhea. Identification Cryptosporidium hominis subtype...
Background and purpose Stroke affects mortality, functional ability, quality of life incurs costs. The primary objective this study was to estimate the costs stroke care in Sweden by level disability type (ischemic (IS) or hemorrhagic (ICH)). Method Resource use during first second year following a estimated based on research database containing linked data from several registries. Costs were for acute post-acute management stroke, including direct (health consumption municipal services)...
Rural communities have a higher burden of cardiovascular risk factors than urban communities. In Sweden, socioeconomic transition and urbanization led to decreased populations in rural areas changing characteristics the remaining inhabitants. We investigated Northern Sweden. The 2009 Sweden MONICA Study invited random sample 2,500 people, 25 74 years 69.2% participated. Community size was classified as = <1,000 inhabitants, town 1,000-15,000, or urban/city= >15,000. adjusted our analysis for...
In 2010–2011, two large waterborne outbreaks caused by Cryptosporidium hominis affected cities in Sweden, Östersund and Skellefteå. We investigated potential post-infection health consequences people who had reported symptoms compatible with cryptosporidiosis during the using questionnaires. compared cases linked to these non-cases terms of present up eleven months after initial infection. examined if were more likely report a list at follow-up than non-cases, calculating odds ratios (OR) 95...
Abdominal complaints are common reasons to consult primary care but they seldom caused by colorectal cancer (CRC), high-risk adenomas (HRAs), or inflammatory bowel disease (IBD). Reliable diagnostic aids would be helpful in deciding which patients refer for imaging. Our aim was assess the value of a faecal immunochemical test (FIT) and calprotectin (FC) detecting CRC, HRAs IBD care, combining these tests with anaemia iron-deficiency tests.This prospective study included 373 consecutive that...
Abstract Background Rectal bleeding and a change in bowel habits are considered to be alarm symptoms for colorectal cancer they also common inflammatory disease. However, most patients with these do not have any of diseases. Faecal immunochemical tests (FITs) haemoglobin used as triage Sweden other countries but little is known about the when FITs requested. Objective Firstly, determine patients’ primary care whether doctors record that report, secondly evaluate association between symptoms,...
Abstract In 2010, a Cryptosporidium hominis outbreak resulted in 27,000 clinical cryptosporidiosis cases (45% of the population) Östersund, Sweden. Long-term abdominal and joint symptoms are common following adults, it can affect development children low-income countries. We investigated potential consequences for high-income setting. 2011, we prospectively surveyed 600 randomly selected aged 0–5 years from Östersund. Cases were defined as respondents reporting new episodes diarrhoea during...
Differences in stroke care and health outcomes between men women are debated. The objective of this study was to explore the relationship patients' sex post-stroke received a Swedish setting. Patients with registered diagnosis acute intracerebral hemorrhage (ICH) or ischemic (IS) within regional administrative systems (ICD-10 codes I61* I63*) Stroke Register during 2010–2011 were included followed for 1 year. Data linkage multiple other data sources on individual level performed. Adjustments...
Obesity, especially abdominal, is a risk factor for many diseases. This study explored trends in the prevalence of general and abdominal obesity, 1986-2004, northern Sweden.Cross-sectional population surveys were performed 1986, 1990, 1994, 1999, 2004; 250 men women aged 25-34, 35-44, 45-54, 55-64 years (from also 65-74 years) randomly selected; overall participation rate was 77%. Anthropometric data used.Weight BMI increased all men, most significantly 25-64 (P<0.0005). Weight (P<0.005)...
Adiponectin and leptin their ratio have been associated with incident type 2 diabetes (T2DM), although the data presented are conflicting populations studied small. In this large, prospective, nested, case referent study, we hypothesized that these associations sex specific may be modified by insulin resistance.Men women aged 30-60 years T2DM (n=640) a prior health survey within Västerbotten Intervention Programme (VIP) matched referents (n=1564) were identified. Using conditional logistic...
Objective: Obesity, especially abdominal, is a risk factor for many diseases. This study explored trends in the prevalence of general and abdominal obesity, 1986–2004, northern Sweden. Methods Procedures: Cross‐sectional population surveys were performed 1986, 1990, 1994, 1999, 2004; 250 men women aged 25–34, 35–44, 45–54, 55–64 years (from also 65–74 years) randomly selected; overall participation rate was 77%. Anthropometric data used. Results: Weight BMI increased all men, most...
Older age is associated with an increased accumulation of multiple chronic conditions. The clinical management patients suffering from conditions very complex, disconnected and time-consuming the traditional care settings. Integrated a means to address growing demand for improved patient experience health outcomes multimorbid long-term patients. Care planning prevalent approach integrated care, where aim deliver more personalized targeted creating shared plans by clearly articulating role...
To evaluate the value, risks, and shortcomings of immunochemical faecal occult blood tests (iFOBTs) in diagnosis colorectal cancer (CRC) adenomas with high-grade dysplasia (HGD) patients initially presenting to primary care.A retrospective population-based study.All 495 cases CRC HGD diagnosed county Jämtland, Sweden from 2005 2009.Of 323 (65%) presented care. IFOBTs were performed 215 (67%) patients. The sensitivity iFOBT for was 88% (83% when a history rectal bleeding excluded). Of 34...
Socioeconomic status, origin or demographic attributes shall not determine the quality of healthcare delivery, according to e.g. United Nations and European Union rules. Health equity has been defined as absence systematic disparities unwarranted differences between groups by in social advantages. A study was performed investigate whether this applicable type 1 diabetes mellitus (T1D) care a setting with universal, tax-funded healthcare.This retrospective registry-study based on...
Abstract Aims Most Swedish studies show stable diabetes prevalence despite increasing obesity, but glucose levels may shift upwards below the diagnostic threshold for diabetes. Our aim was to explore trends in distribution northern Sweden; whether these were uniformly distributed throughout spectrum of concentrations; and relate traditional risk factors obesity‐related adipokine leptin. Methods The project consisted four cross‐sectional surveys between 1990 2009, with 7069 participants aged...
The objective of this study was to estimate the level health outcomes and resource use at a hospital during first year after stroke, identify any potential differences between hospitals adjusting for patient characteristics (case mix).Data from several registries were linked on individual level: seven regional administrative systems, Swedish Stroke Register, Statistics Sweden, National Board Health Welfare Social Insurance Agency. population consisted 14 125 patients presenting with stroke...
Due to population ageing and medical advances, people with advanced chronic diseases (ACD) live longer. Such patients are even more likely face either temporary or permanent reduced functional reserve, which typically further increases their healthcare resource use the burden of care on caregiver(s). Accordingly, these caregiver(s) may benefit from integrated supportive provided via digitally supported interventions. This approach maintain improve quality life, increase independence,...
Faecal immunochemical tests (FITs) are used to screen for colorectal cancer (CRC) and as diagnostic aids in symptomatic patients. However, the number of samples per FIT varies. It is unclear if there any advantage analyse multiple-sample FITs patients.This a post hoc analysis retrospective study that included all cases CRC adenomas with high-grade dysplasia (HGD) between 2005 2009 county Jämtland, Sweden.All patients HGD initially presented symptoms primary care delivered FITs.The likelihood...
In 2010–2011, a large waterborne outbreak of Cryptosporidium hominis affected the city Östersund in Sweden. Previous findings had suggested that gastrointestinal symptoms can persist for up to 11 months after initial infection. Here we investigated whether parasite could cause sequelae infected individuals 28 outbreak. We compared cases linked and previous follow-up study with non-cases regarding present were more likely report list at non-cases, calculating odds ratio 95% confidence...
Background Colorectal cancer (CRC) diagnostics are challenging in primary care and reliable diagnostic aids desired. Qualitative faecal immunochemical tests (FITs) have been used for suspected CRC Sweden since the mid-2000s, but evidence regarding their effectiveness is scarce. Anaemia thrombocytosis both associated with CRC. Aim To evaluate usefulness of qualitative FITs requested symptomatic patients care, alone combined findings anaemia thrombocytosis, diagnosis Design setting A...
This article describes a user-centred approach taken by group of five procurers to set specifications for the procurement value-based research and development services IT-supported integrated hypertension management. The considered unmet needs patients health systems involved regions. established framework requirements solution design consisting nine building blocks, divided into three domains: service delivery, devices integration, care organisation. included questionnaires, capturing...
Objectives In 2010, 27,000 inhabitants (45% of the population) Östersund, Sweden, contracted clinical cryptosporidiosis after drinking water contaminated with Cryptosporidium hominis. After outbreak, local physicians perceived that incidence inflammatory bowel disease (IBD), including ulcerative colitis (UC), Crohn's (CD), and IBD-unclassified, microscopic (MC) increased. This study assessed whether this perception was correct.Materials methods observational included adult patients (≥18...