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- Osterlund, Pia, et al.
(författare)
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Repeated centralized multidisciplinary team assessment of resectability, clinical behavior, and outcomes in 1086 Finnish metastatic colorectal cancer patients (RAXO) : A nationwide prospective intervention study
- 2021
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Ingår i: The Lancet Regional Health. - : Elsevier. - 2666-7762. ; 3
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Tidskriftsartikel (refereegranskat)abstract
- Background: Resection of colorectal cancer (CRC) metastases provides good survival but is probably underused in real-world practice. Methods: A prospective Finnish nationwide study enrolled treatable metastatic CRC patients. The intervention was the assessment of resectability upfront and twice during first-line therapy by the multidisciplinary team (MDT) at Helsinki tertiary referral centre. The primary outcome was resection rates and survival. Findings: In 2012-2018, 1086 patients were included. Median follow-up was 58 months. Multiple metastatic sites were present in 500 (46%) patients at baseline and in 820 (76%) during disease trajectory. In MDT assessments, 447 (41%) were classified as resectable, 310 (29%) upfront and 137 (18%) after conversion therapy. Sixhundred and ninety curative intent resections or local ablative therapies (LAT) were performed in 399 patients (89% of 447 resectable). Multiple metastasectomies for multisite or later developing metastases were performed in 148 (37%) patients. Overall, 414 liver, 112 lung, 57 peritoneal, and 107 other metastasectomies were performed. Median OS was 80.4 months in R0/1-resected (HR 0.15; CI95% 0.12-0.19), 39.1 months in R2-resected/LAT (0.39; 0.29-0.53) patients, and 20.8 months in patients treated with "systemic therapy alone" (reference), with 5-year OS rates of 66%, 40%, and 6%, respectively. Interpretation: Repeated centralized MDT assessment in real-world metastatic CRC patients generates high resectability (41%) and resection rates (37%) with impressive survival, even when multisite metastases are present or develop later.
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| 2. |
- Andersson, Renée, 1979-
(författare)
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Gender mainstreaming as feminist politics : A critical analysis of the pursuit of gender equality in Swedish local government
- 2018
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Gender mainstreaming is often described as a strategy to increase gender equality in states and other institutions and/or to make them more gender aware. It should however be considered a contested concept, and the aim of this thesis is to produce a critical perspective and empirical knowledge about whether, and if so how, gender mainstreaming contributes to a more (gender) equal society. The production of gender mainstreaming as gender equality policy is investigated, using both feminist new institutionalism and discourse theory.The study investigates whether, and if so how, gender mainstreaming is facilitating new public management by transforming the ambitions of feminist politics into a neoliberal strategy adapted for public administration.The case examined in this study is a local government gender mainstreaming project conducted in a municipality in Sweden. The case also includes vertical and horizontal outlooks and is categorized as a critical case. To study "what is not there" in the empirical material, the concepts of silences and silencing are used as both theoretical and methodological tools.The thesis shows that gender mainstreaming produces a gender equality policy that is disconnected from political parties, and that gender mainstreaming becomes a common good. This, I argue, produces a non-political politics, which includes a governing technique that privileges political consensus, articulated in terms of non-conflict and win-win.The thesis identifies a conflation between gender mainstreaming, as a strategy, with the policy objective of gender equality. Gender mainstreaming did not create space for addressing gender-based violence, or include the voice of the women’s movement, from which it can be concluded that gender mainstreaming does not contribute to feminist politics. This could have societal consequences and can influence, or even hinder, actual political change.
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| 3. |
- Andersson, Renée, 1979-
(författare)
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The myth of Sweden’s success : A deconstructive reading of the discourses in gender mainstreaming texts
- 2018
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Ingår i: The European Journal of Women's Studies. - : Sage Publications. - 1350-5068 .- 1461-7420. ; 25:4, s. 455-469
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Tidskriftsartikel (refereegranskat)abstract
- This article investigates discourses of Sweden's success in gender mainstreaming. Using the theoretical concept of myth, discourse analysis is performed on different categories of texts (including academic texts, grey papers and official reports). The aim is to analyse how this discourse of success is constructed and to increase the understanding of its components. The themes identified in the reading include adaptation, integration, volume and initiatives. In conclusion, it is argued that a conflation of gender mainstreaming (viewed as a strategy) with gender equality (as a policy objective) has been a vital part of the construction of Sweden as the best case of gender mainstreaming.
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| 4. |
- Andersson, Renée, 1979-
(författare)
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The Question of Feminism in Gender Mainstreaming : A Case of Non-conflict in Local Politics
- 2015
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Ingår i: NORA. - : Taylor & Francis. - 0803-8740 .- 1502-394X. ; 23:3, s. 203-219
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Tidskriftsartikel (refereegranskat)abstract
- This article discusses gender equality and how and why a gender mainstreaming strategy avoids the question of gender conflict. The making of gender-equality work is studied by investigating how feminism is talked about and rejected in a specific gender mainstreaming project in the municipality of Örebro, Sweden. Drawing upon the theoretical concepts of hegemony and discourse, the focus is on the silences—the unspoken questions and problems—surrounding the project. I examine how the exclusion of feminism and conflict is articulated when gender mainstreaming is introduced as a new way of doing gender-equality work in the municipality. The struggles identified show that feminism is rejected because it is seen as being in opposition to (1) professionalism and (2) legitimate political issues. I conclude that within the local discourse of gender mainstreaming there is a notion that this form of gender-equality work ought to be performed without harmful or threatening gender conflicts. This means that the strategy of gender mainstreaming constitutes a short-cut to bypass controversial problems like equal treatment, special efforts for women, and men's privileges in gender-equality work.
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| 9. |
- Andersson, Renée, 1979-, et al.
(författare)
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Gender mainstreaming and local democracy
- 2012
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Ingår i: Gender mainstreaming in public sector organisations. - Lund : Studentlitteratur AB. - 9789144077772 ; , s. 189-216
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Bokkapitel (övrigt vetenskapligt/konstnärligt)
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