| 1. |
- Eriksson, Magnus, et al.
(author)
-
A new database of the references on international clinical practice guidelines : a facility for the evaluation of clinical research
- 2020
-
In: Scientometrics. - : Springer. - 0138-9130 .- 1588-2861. ; 122:2, s. 1221-1235
-
Journal article (peer-reviewed)abstract
- Although there are now several bibliographic databases of research publications, such as Google Scholar, Pubmed, Scopus, and the Web of Science (WoS), and some also include counts of citations, there is at present no similarly comprehensive database of the rapidly growing number of clinical practice guidelines (CPGs), with their references, which sometimes number in the hundreds. CPGs have been shown to be useful for the evaluation of clinical (as opposed to basic) biomedical research, which often suffers from relatively low counts of citations in the serial literature. The objectives were to introduce a new citation database, clinical impact (R), and demonstrate how it can be used to evaluate research impact of clinical research publications by exploring the characteristics of CPG citations of two sets of papers, as well as show temporal variation of clinical impactand the WoS. The paper includes the methodology used to retain the data and also the rationale adopted to achieve data quality. The analysis showed that although CPGs tend preferentially to cite papers from their own country, this is not always the case. It also showed that cited papers tend to have a more clinical research level than uncited papers. An analysis of diachronous citations in both clinical impactand the WoS showed that although the WoS citations showed a decreasing trend after a peak at 2-3 years after publication, this was less clear for CPG citations and a longer timescale would be needed to evaluate their impact on these documents.
|
|
| 2. |
- Pallari, E., et al.
(author)
-
Lung cancer research and its citation on clinical practice guidelines
- 2021
-
In: Lung Cancer. - : Elsevier Ireland Ltd. - 0169-5002 .- 1872-8332. ; 154, s. 44-50
-
Journal article (peer-reviewed)abstract
- Background: The impact of medical research is usually judged on the basis of citations in the serial literature. A better test of its utility is through its contribution to clinical practice guidelines (CPGs) on how to prevent, diagnose, and treat illness. This study aimed to compare the parameters of lung cancer research papers with those cited as references in lung cancer CPGs from 16 countries, and the Cochrane Collaboration. These comparisons were mainly based on bibliographic data compiled from the Web of Science (WoS).Methodology: We examined 7357 references (of which 4491 were unique) cited in a total of 77 lung cancer CPGs, and compared them with 73,214 lung cancer papers published in the WoS between 2004 and 2018.Results: References used by lung CPGs were much more clinical than the overall body of research papers on this cancer, and their authors predominantly came from smaller northern European countries. However, the leading institutions whose papers were cited the most on these CPGs were from the USA, notably the MD Anderson Cancer Center in Texas, the Memorial Sloan Kettering Cancer Center, New York, and the Mayo Clinic in Rochester, Minnesota. The types of research cited by the CPGs were primarily clinical trials, as well as three treatment modalities (chemotherapy, radiotherapy and surgery). Genetics, palliative care and quality of life were largely neglected. The median time gap between papers cited on a lung CPG and its publication was 3.5 years longer than for WoS citations.Conclusions: Analysis of the references on CPGs allows an alternative means of research evaluation, and one that may be more appropriate for clinical research than citations in academic journals. Own-country references show the direct contribution of research to a country's health care, and other-country references show the esteem in which this research has been held internationally. © 2021 King's College London
|
|
| 3. |
- Billhult, Annika, et al.
(author)
-
Acupuncture with manual and low frequency electrical stimulation as experienced by women with polycystic ovary syndrome: a qualitative study
- 2012
-
In: BMC Complementary and Alternative Medicine. - : Springer Science and Business Media LLC. - 1472-6882. ; 12
-
Journal article (peer-reviewed)abstract
- Abstract Background Polycystic ovary syndrome (PCOS) affects 5-10 percent of all fertile women and is associated with anovulation/oligoovulation, hyperandrogenism, and polycystic ovaries. Pharmacological treatment is often effective but associated with unwanted side effects. Acupuncture treatments have been shown to improve menstrual bleeding patterns and ovulation as well as hyperandrogenism, without side effects. The purpose of the present study was to describe the experience of acupuncture for women diagnosed with PCOS. Methods Eight women with PCOS living in western Sweden, were interviewed following repeated acupuncture treatments. Data was analyzed using systematic text condensation as described by Malterud. Results The experience of acupuncture for women diagnosed with PCOS can be described in five categories; the experience of hope, getting results, feelings of responsibility, skepticism and proof of effect, and feeling normal. Conclusion Since acupuncture is a promising treatment for the symptoms of the common syndrome PCOS, the present study adds to the knowledge base by providing the important experiences of patients receiving the treatment. Acupuncture provides a possibility for patients to gain hope as the treatment shows results. The results show that acupuncture empowers the patients to take responsibility for their future well-being, although they may have been initially skeptical to the treatment. Because the syndrome had affected them for some time, even small changes offered a chance for them to feel that their bodies were capable of normal function. Trial Registration The trial is registered at Clinical Trials.gov with Identifier number NCT00484705.
|
|
| 4. |
- Billhult, Annika., et al.
(author)
-
Analytisk statistik : Inferential statistics
- 2012
-
In: Vetenskaplig teori och metod - Från idé till examination inom omvårdnad. - Lund : Studentlitteratur. - 9789144071350 ; , s. 317-326
-
Book chapter (other academic/artistic)
|
|
| 5. |
|
|
| 6. |
- Billhult, Annika., et al.
(author)
-
Enkäter : Questionnaires
- 2012
-
In: Vetenskaplig teori och metod - Från idé till examination inom omvårdnad. - Lund : Studentlitteratur. - 9789144071350 ; , s. 139-149
-
Book chapter (other academic/artistic)
|
|
| 7. |
|
|
| 8. |
- Billhult, Annika, et al.
(author)
-
Light pressure massage for patients with severe anxiety
- 2009
-
In: Complementary Therapies in Clinical Practice. - : Churchill Livingstone. - 1744-3881 .- 1873-6947. ; 15:2, s. 96-101
-
Journal article (peer-reviewed)abstract
- Generalised anxiety disorder (GAD) is common in the western world with a lifetime prevalence of 4.3 to 5.9% and is twice as common in women as in men. GAD can have a decisive impact on a patient's everyday life as it is surrounded by unfocused worries and the severe anxiety may interfere with normal social functions. The treatments include cognitive behavioural therapy and/or psychopharmacological drugs. In previous studies the positive effects of massage on anxiety have been shown. The present study described the experience of receiving massage for eight patients with GAD. Findings revealed that the patients were able to rediscover their own capacity during the massage period. This was illuminated by the experience of being relaxed in body and mind, the experience of unconditional attention, the experience of decreased anxiety and the experience of increased self-confidence. The paper ends with a discussion of clinical implications.
|
|
| 9. |
- Billhult, Annika, et al.
(author)
-
Massage relieves nausea in women with breast cancer who are undergoing chemotherapy.
- 2007
-
In: Journal of alternative and complementary medicine (New York, N.Y.). - : Mary Ann Liebert Inc. - 1075-5535 .- 1557-7708. ; 13:1, s. 53-7
-
Journal article (peer-reviewed)abstract
- OBJECTIVES: The aim of the present study was to examine the effect of massage on nausea, anxiety, and depression in patients with breast cancer undergoing chemotherapy. DESIGN: This work was a single-center, prospective, randomized, controlled trial. SETTINGS/LOCATION: This study was conducted in an oncology clinic, in a hospital in southwestern Sweden. SUBJECTS: Thirty-nine (39) women (mean age = 51.8) with breast cancer undergoing chemotherapy were enrolled. INTERVENTIONS: The patients were randomly assigned to a massage therapy group (20 minutes of massage on five occasions) or a control group (five 20-minute visits). OUTCOME MEASURES: All patients recorded nausea and anxiety on the Visual Analogue Scale before and after each intervention. They also completed the Hospital Anxiety and Depression Scale. RESULTS: Massage treatment significantly reduced nausea compared with control treatment (p = 0.025) when improvement was measured as a percentage of the five treatment periods. Differences in anxiety and depression between the two treatment regimes could not be statistically demonstrated. CONCLUSIONS: This study complements previous studies on the effect of massage and supports the conclusion that massage reduces nausea in these patients.
|
|
| 10. |
- Billhult, Annika
(author)
-
The effect of massage for women with breast cancer.
- 2007
-
Doctoral thesis (other academic/artistic)abstract
- Breast cancer is the most common type of cancer in females. The effect of massage in the field of oncology has been investigated to some extent. The present thesis explored the effect of light pressure effleurage massage in women with breast cancer in six main domains; nausea, anxiety, depression, quality of life, stress and cellular immunity. It also described the experience of massage during chemotherapy. The effect of light pressure effleurage was investigated on nausea, anxiety and depression in women with breast cancer undergoing chemotherapy. Five part-body massage treatments were given during chemotherapy infusion. Massage significantly lowered nausea (p=0.025) compared with control treatment. No significant differences were shown between study groups on anxiety and depression. The experience of light pressure effleurage during chemotherapy treatment was studied using phenomenology as theoretical framework. The essential meaning of receiving massage during chemotherapy was described as a retreat from the feeling of uneasiness toward chemotherapy. Results revealed five themes: a distraction from the frightening experience, a turn from negative to positive, a sense of relaxation, a confirmation of caring and finally they just felt good. The effect of light pressure effleurage on immunity was investigated in women with breast cancer undergoing radiation. Ten massage treatments, 20 minutes duration, was administered to hands or feet during three weeks. Main variables were NK (Natural Killer) and T cells. The effect of massage on cortisol, oxytocin, anxiety, depression and quality of life was also studied. We were not able to demonstrate any significant differences between study groups on any of the variables in this study. Possible explanation to the lack of response was that the patients were included during radiation treatment and that this therapy, even when given tangientially only to the breast, has some direct immunosuppressive effect. Another explanation was that ongoing radiation therapy is a strong psychological stressor that indirectly affects the immune and neuroendocrine systems. The immediate effect of light pressure massage on immunity was also investigated. Patients received one full-body massage, 45 minutes duration. Main variable was NK cells, secondary variables cortisol, blood-pressure and heart rate. Massage treatment had significant effect on NK cell function compared with the control group (p=0.03). Furthermore, massage significantly lowered systolic blood-pressure (p=0.03) and heart rate (p=0.04) compared with the control group. No significant effects were demonstrated on cortisol or diastolic blood-pressure.
|
|
