Projects

Current Research Projects

Live Incite

Supporting lifestyle changes, improving outcomes of care. Live Incite aims to empower patients and support lifestyle changes in order to improve outcomes of surgical procedures as well as cost effectiveness of healthcare providers. The EU funded project is a collaboration between Sweden, Spain and Denmark.

Contact person: Hanne Tønnesen

COMPAS

Der er sket store fremskridt på kræftområdet gennem de seneste år, men desværre har det ikke gavnet alle patienter lige meget. I COMPAS projektet skal der etableres et nyt forskningscenter, som skal sikre, at også socialt svage kræftpatienter har gavn af landvindingerne på kræftområdet. Her skal vi udvikle projekter som skal forsøge at mindske den sociale ulighed i kræft. Konkret skal vi arbejde indenfor temaet ”Imod alle odds: Livsstilsinterventioner til patienter med høj risiko for komplikationer efter kræftkirurgi”.

Contact person: Susanne Vahr Lauritsen and Line Noes Lydom

Scand-Ankle

In this study we investigate whether an evidence-based education in 4 weeks after surgery can have the same positive effect in cases where the surgery is acute and an alcohol free period not is possible before the surgery, focusing on ankle fractures. Scand-Ankle is a Nordic project involving about 70 patients and conducted by orthopedic surgeons and alcohol researchers from Sweden, Denmark and Norway. The results, including cost effectiveness are being analyzed.

Contact person: Hanne Tønnesen

 

National project on the effect of stop-smoking interventions for different groups of smokers in Sweden

 

The aim of this project is to evaluate which programs are most effective for different groups of smokers, including disadvantaged and vulnerable groups in Sweden. The method is based on a Danish model of collection of individual data via an online project database. At least 8,000 smokers are to be recruited in 2018-2019. Data include tobacco profile including snuff and e-cigarettes, socioeconomics, use of smoking cessation intervention programs, costs and follow-up for successful quitting after 6 weeks and 6 months. The database is available from WHO-CC and the Danish National Board of Health and Welfare, but require adaption to the Swedish socio-demographics, use of snuff etc. By 2020, the main analysis will be carried out including identification of important factors for quitting smoking.

This project will contribute to the knowledge on the effect of Swedish tobacco intervention for different groups.

Website: www.rokstoppsprojektet.se

Contact person: Hanne Tønnesen Mette Rasmussen

 

Fast-track implementation of evidence-based practice

Multi-centre randomized clinical trial. The purpose is to evaluate the impact of the WHO-HPH ‘Fast-track implementation model’ on health gains of patients and staff, on service delivery and on standard compliance.

 

36 clinical departments (max 1 from each hospital) from 8 nations were included with acceptance from the department and hospital management. Departments were randomized to the Fast Track model or to their usual implementation routines. At baseline and follow-up after 1 year, the health status of patients and staff was measured, assessment of need for and associated delivery of clinical health promotion services was measured, and the degree to which the departments met the 5 WHO standards was measured. External audit, validation and performance recognition at site visits was also conducted.

Contact person: Hanne Tønnesen and Jeff Kirk Svane

 

Add Life - Treatment of patients addicted to alcohol and drugs

The overall objective is to evaluate the effect of alcohol / drug addiction treatment in the years 1968-2013, morbidity, life expectancy and causes of death. Sub-analyses are related to the duration of treatment, gender, age, patterns of use, tobacco and socioeconomic factors. Analyzes of the costs and cost-effectiveness are also included.

Contact person: Hanne Tønnesen

Do snuff, e-cigarettes and nicotine products (SEN) affect the orthopedic treatment outcome?

There is evidence that smoking cessation in surgery halves the complication rate, which makes intervention cost-effective. The question is whether this applies to other forms of tobacco dependence, namely the use of snuff and other forms of nicotine addiction, such as the use of e-cigarettes and the long-term use of nicotine products? If the answer is yes, the users should quit prior to surgery - just as for smoking. If the answer is no, it should be of great importance for future recommendations in the treatment of surgical patients.

We evaluate a possible effect of SEN on treatment outcomes and quality of life among approx. 7000 adult patients at the orthopedic clinic in Kristianstad-Hässleholm. All patients are monitored after 1, 6 and 12 months. We will also through interviews gather knowledge about the attitude and preferences of patients and staff during the study. It is a 4-year study with 2 years of inclusion and 1 year of follow-up.

Contact person: Hanne Tønnesen

Research and Development

Strong for Surgery - Strong for Life

Focus is to examine how living habits are recorded in surgical quality databases from a complication reduce perspective and how the implementation works for the patients in the surgical clinics. The aim is to clarify the evidence for the ability to improve the preparation of patients with risky lifestyle before surgery. The data are now being presented.

Contact person: Hanne Tønnesen

Fagredaktør ved ”Lægehåndbogen”: www.sundhed.dk

Denne nationale indsats omhandler formidling af evidens indenfor smertebehandling og palliation med det formål at praktiserende læger har mulighed for at implementere denne viden i den primære kontakt i almen praksis.

Kontakt person: Nan Sonne nan.sonne@med.lu.se