| 1. |
- Bjurberg, Maria, et al.
(författare)
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Primary treatment patterns and survival of cervical cancer in Sweden : A population-based Swedish Gynecologic Cancer Group Study
- 2019
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Ingår i: Gynecologic Oncology. - : ACADEMIC PRESS INC ELSEVIER SCIENCE. - 0090-8258 .- 1095-6859. ; 155:2, s. 229-236
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Tidskriftsartikel (refereegranskat)abstract
- Objective: Survival in cervical cancer has improved little over the last decades. We aimed to elucidate primary treatment patterns and survival. Methods: Population-based study of patients included in the Swedish Quality Registry for Gynecologic Cancer diagnosed 2011-2015. Main outcome was 5-year relative survival (RS). Age-standardised RS (AS-RS) was estimated for the total cohort and for the pooled study population of squamous, adenosquamous-, adenocarcinoma. Results: Median follow-up time was 4.6 years. The study population consisted of 2141 patients; 97% of the 2212 patients in the total cohort and the 5-year AS-RS was 71% and 70%, respectively. RS stage IB1: surgery alone 95% vs. 72% for definitive chemoradiotherapy (CT-RT) (p < 0.001). In stage IIA1 74% had CTRL, and 47% of operated patients received adjuvant (CT)-RT. RS stage IB2: surgically treated 81% (69% received adjuvant (CT)-RT) vs. 76% for (CT)-RT (p = 0.73). RS stage IIB: 77% for CT-RT + brachytherapy BT), 37% for RT + BT (p = 0.045) and 27% for RT-BT (p < 0.001). Stages III-IVA; <40% received CT-RT + BT, RS 45% vs. 18% for RT-BT (RR 4.1, p < 0.001). RS stage IVB 7%. Conclusion: Primary treatment of cervical cancer in Sweden adhered to evidence-based standard of care. Areas of improvement include optimising treatment for stages III-IVA, and avoiding combining surgery and radiotherapy. (C) 2019 Elsevier Inc. All rights reserved.
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| 2. |
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| 3. |
- Hellman, Heikki, et al.
(författare)
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What Is Cultural News Good For? : Finnish, Norwegian, and Swedish cultural journalism in public service organisations
- 2017
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Ingår i: Cultural Journalisn in the Nordic Countries. - Göteborg : Nordicom. - 9789187957574 - 9789187957581 ; , s. 111-133
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Bokkapitel (refereegranskat)abstract
- This chapter compares how Nordic public service media institutions (Finland: YLE; Norway: NRK; Sweden: SVT/SR) de ne and interpret their remits regarding cultural news. Relying on policy documents, interviews with managing cultural news editors and a sample week’s broadcast and online cultural news output, the results show distinctive national di erences in the ways cultural news is conceived, the resources and organisation of the cultural news desks, and di erences in news content during the week studied. e countries are most similar in their broad popular culture o ering, and by that fact that all the companies provide broader cultural news coverage on their websites than in their broadcast versions. However, the distinctions between the online and o ine platforms are less clear than those between the three countries. So, despite the commonalities of the Nordic media model, the values and practices of cultural journalism show enough di erences to warrant further study.
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| 4. |
- Hjerpe, Elisabet, et al.
(författare)
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Lymph node metastases as only qualifier for stage IV serous ovarian cancer confers longer survival than other sites of distant disease - a Swedish Gynecologic Cancer Group (SweGCG) study.
- 2018
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Ingår i: Acta oncologica (Stockholm, Sweden). - : TAYLOR & FRANCIS LTD. - 1651-226X .- 0284-186X. ; 57:3, s. 331-337
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Tidskriftsartikel (refereegranskat)abstract
- The International Federation of Gynecology and Obstetrics (FIGO) ovarian cancer staging system includes no sub-stage for lymph nodes (LN) as only distant disease manifestation. We explore the prognostic implication of LN as only stage IV classifier in serous ovarian cancer.This is a nation-wide, population-based study on 551 women with serous stage IV cancers diagnosed between 2009-2014. We compare overall survival (OS) in women with LN as only distant metastatic site to those with pleural metastases only and to patients with other/multiple stage IV manifestations. Cox regression models were used for uni- and multivariable estimations.Of 551stage IV cases, distant metastatic site was registered in 433. Median OS for women with LN (n=51) was 41.4 months, compared to 25.2 and 26.8 months for patients with pleural (n=195) or other/multiple (n=187) distant metastases (p=.0007). The corresponding five-year survival rates were 32, 11 and 22%, respectively. Multivariable analyzes confirmed shorter survival for women with pleural (HR 2.99, p=.001) or other/multiple distant sites (HR 2.67, p=.007), as compared to LN cases. LN only patients lived 9.1 months longer after primary than after interval surgery, but this difference was not significant (p=.245).Women with stage IV serous ovarian cancer having lymph nodes as only distant metastatic site live longer than other stage IV patients.
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| 5. |
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| 6. |
- Nørgaard Kristensen, Nete, et al.
(författare)
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Cultural Mediators Seduced by Mad Men : How Cultural Journalists Legitimized a Quality TV Series in the Nordic Region
- 2019
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Ingår i: Television and New Media. - : Sage Publications. - 1527-4764 .- 1552-8316. ; 20:3, s. 257-274
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Tidskriftsartikel (refereegranskat)abstract
- Based on theories about the role of cultural mediators in cultural production and using the TV series Mad Men as a case, this article investigates how cultural journalists in the Nordic countries have contributed to legitimizing “quality TV series” as a worthy field of aesthetic consumption. Key analytical points are as follows: (1) cultural journalists legitimize Mad Men’s quality by addressing aspects internal (aesthetic markers) and aspects external (culture industry markers) to the series, as well as the series’ broader social and historical anchoring; (2) Nordic cultural journalists position themselves positively toward the TV series based on their professional expertise and their personal taste preferences and predilections; (3) these legitimation processes take place across journalistic genres, pointing to the importance not only of TV criticism, epitomized by the review, but of cultural journalism more broadly in constructing affirmative attitudes toward popular culture phenomena such as TV series.
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| 7. |
- Ranhem, Cecilia, et al.
(författare)
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Expression of LRIG proteins as possible prognostic factors in primary vaginal carcinoma
- 2017
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Ingår i: PLOS ONE. - : Public Library of Science. - 1932-6203. ; 12:8
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Tidskriftsartikel (refereegranskat)abstract
- Background: Primary vaginal carcinoma (PVC) is a rare malignancy. Established prognostic factors include tumour stage and age at diagnosis. The leucine-rich repeats and immunoglobuline-like domains (LRIG)-1 protein functions as a tumour suppressor, but less is known about the functions of LRIG2 and LRIG3. The present study aimed to evaluate the expression of LRIG proteins and analyse their possible associations with clinical characteristics and survival in a cohort of PVC patients.Methods: We used immunohistochemistry to investigate LRIG1, LRIG2, and LRIG3 expression in tumour samples from a consecutive cohort of 70 PVC patients. The association between LRIG protein expression and clinical characteristics and cancer-specific survival was investigated using univariate and multivariate analyses.Results: The majority of PVC patients (72%) had > 50% LRIG1-and LRIG2-positive cells, and no or low LRIG3-positive cells. HPV status was significantly correlated with LRIG1 expression (p = 0.0047). Having high LRIG1 expression was significantly correlated with superior cancer-specific survival in univariate and multivariate analyses. LRIG2 and LRIG3 expression did not significantly correlate with clinical characteristics or survival.Conclusion: LRIG1 expression might be of interest as a prognostic marker in PVC patients, whereas the role of LRIG2 and LRIG3 expression remains to be clarified.
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| 8. |
- Rosenberg, Per, et al.
(författare)
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Data quality in the Swedish Quality Register of Gynecologic Cancer - a Swedish Gynecologic Cancer Group (SweGCG) study
- 2018
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Ingår i: Acta Oncologica. - : TAYLOR & FRANCIS LTD. - 0284-186X .- 1651-226X. ; 57:3, s. 346-353
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Tidskriftsartikel (refereegranskat)abstract
- Aim: The aim of this study is to evaluate the quality of data on endometrial (EC) and ovarian, fallopian tube, peritoneal, abdominal or pelvic cancers (OC) registered in the Swedish Quality Register of Gynecologic Cancer (SQRGC).Method: A random sample of 500 patients was identified in the SQRGC and their medical charts were reviewed for re-abstraction of 31 selected core variables by an independent validator. The data in the SQRGC and the re-abstracted data were compared. The data were collected from 25 hospitals evenly distributed throughout Sweden. The main outcomes were comparability, timeliness, completeness and validity. Coverage was compared with the National Cancer Register (NCR). Timeliness was defined as the speed of registration i.e. when patients were registered in the SQRGC relative to date of diagnosis. Internationally accepted coding systems for stage, grading and histologic type were used ensuring a high degree of comparability. Correlations were estimated using Pearson’s correlation coefficient and Cohen´s kappa coefficient.Results: The completeness was 95%. The timeliness was 88–91% within 12 months of diagnosis. The median degree of agreement between re-abstracted data and data in the SQRGC was 82.1%, with a median kappa value of 0.73 for ordinate variables and a median Pearson’s correlation coefficient of 0.96. The agreements for the type of surgery were 76% (95% CI 70–81%; kappa 0.49) and type of primary treatment 90% (95% CI 87–94%; kappa 0.85) in OC and in EC 88% (95% CI 84–93%; kappa 0.84). The agreements for the FIGO stage were in OC and EC 74% (95% CI 68–80%; kappa 0.69) and 87% (95% CI 82–91%; kappa 0.79), respectively.Conclusions: The data in the Swedish Quality Register for Gynecologic Cancer are of adequate quality in order to be used as a basis for research and to evaluate possible differences in treatment, lead times and treatment results.
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| 9. |
- Siverbo, Sven, 1970-, et al.
(författare)
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#metoo-management
- 2018
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Bok (övrigt vetenskapligt/konstnärligt)abstract
- För ett drygt år sedan inleddes #metoo-rörelsen, vilken påminner oss om att det finns brister i samhället även om allt ser bra ut på ytan. Mycket talar för att #metoo inte är en övergående fluga. Det handlar inte om en samordnad aktion med ett tydligt mål och det finns heller ingen ledare för rörelsen. #metoo är en självorganiserad rörelse, ett sätt att synliggöra det som under snart sagt hela mänsklighetens historia har förtigits, förnekats och bagatelliserats trots att alla har vetat. Den här rapporten belyser #metoo-rörelsens inverkan på organisationer ur ett managementperspektiv. Vi är intresserade av fenomenet #metoo-management, vilket vi definierar som organisationers arbete med att förebygga och hantera sexuella trakasserier som en följd av #metoo-rörelsen. Det första syftet med rapporten är att ta reda på om #metoo-management förekommer. Det andra syftet är att utforska hur organisationer arbetar med #metoo-management. Det tredje syftet är att förklara varför organisationer väljer att arbeta med #metoo- management på olika sätt. Baserat på intervjuer med företrädare för tio organisationer – i flera fall väldigt olika – har vi konstaterat att #metoo-rörelsen har gett upphov till #metoo- management. Mer precist handlar #metoo-management om flera olika åtgärder och aktiviteter. Organisationer har återupprepat och preciserat sina programförklaringar mot sexuella trakasserier. Programmen har fått förnyad spridning på arbetsplatserna och ytterligare åtgärder för programefterlevnad har vidtagits. Procedurer för klagomålshantering har utvecklats, utbildningar har initierats och riskfaktorer har identifierats och reducerats. Inte minst har förekomsten av problem med sexuella trakasserier inventerats. Något överraskande kunde vi notera att det inte fanns något exempel på att programmen mot sexuella trakasserier utvärderades och att det saknades planer för att minska beroendeförhållanden mellan chefer och anställda i de organisationer där dessa var betydande. Det är viktigt att betona att det finns betydande skillnader mellan organisationer i hur intensivt arbetet med #metoo-management har bedrivits. Skillnaderna förefaller bero på flera olika faktorer. En är att incidensen av sexuella trakasserier är olika och en annan att organisationer gör olika bedömningar av hur stor skada uppdagade fall skulle göra på arbetsgivarvarumärket. Ytterligare förklaringar till intensiteten i arbetet är skillnader i hur ambitiöst arbetet har varit innan #metoo- rörelsen och att det i vissa organisationer finns större kunskaper om riskfaktorer än i andra. Slutligen förefaller organisationens storlek och synlighet spela roll genom att de är mer påpassade och därför har större anledning att undvika problem som väcker negativ uppmärksamhet
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| 10. |
- Stålberg, Karin, et al.
(författare)
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Lymphovascular space invasion as a predictive factor for lymph node metastases and survival in endometrioid endometrial cancer - a Swedish Gynecologic Cancer Group (SweGCG) study
- 2019
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Ingår i: Acta oncologica (Stockholm, Sweden). - : TAYLOR & FRANCIS LTD. - 1651-226X .- 0284-186X. ; , s. 1628-1633
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Tidskriftsartikel (refereegranskat)abstract
- Background: The aim of this study is to evaluate the impact of lymphovascular space invasion (LVSI) on the risk of lymph node metastases and survival in endometrioid endometrial adenocarcinoma. Material and methods: As regard the study design, this is a cohort study based on prospectively recorded data. Patients with endometrioid endometrial adenocarcinoma registered in the Swedish Quality Registry for Gynecologic Cancer 2010-2017 with FIGO stages I-III and verified nodal status were identified (n = 1587). LVSI together with established risk factors, namely DNA ploidy, FIGO grade, myometrial invasion and age, were included in multivariable regression analyses with lymph node metastases as the dependent variable. Associations between the risk factors and overall and relative survival were included in multivariable models. Estimates of risk ratios (RR), hazard ratios (HR), excess mortality rate ratios (EMR), and 95% confidence intervals (95% CI) were calculated. Results: The presence of LVSI presented the strongest association with lymph node metastases (RR = 5.46, CI 3.69-8.07, p < .001) followed by deep myometrial invasion (RR = 1.64, CI 1.13-2.37). In the multivariable survival analyses, LVSI (EMR = 7.69, CI 2.03-29.10,) and non-diploidy (EMR = 3.23, CI 1.25-8.41) were associated with decreased relative survival. In sub-analyses including only patients with complete para-aortic and pelvic lymphadenectomy and negative lymph nodes (n = 404), only LVSI (HR = 2.50, CI 1.05-5.98) was associated with a worsened overall survival. Conclusion: This large nationwide study identified LVSI as the strongest independent risk factor for lymph node metastases and decreased survival in patients with endometrioid adenocarcinomas. Moreover, decreased overall survival was also seen in patients with LVSI-positive tumors and negative lymph nodes, indicating that hematogenous dissemination might also be important.
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