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2.
Dan Med J ; 62(5)2015 May.
Article in English | MEDLINE | ID: mdl-26050829

ABSTRACT

INTRODUCTION: Non-oncological breast surgery like breast reduction and mastopexy are often performed in younger patients, i.e. in women who have not yet had mammography. Breast cancer is, however, a very frequent disease that is increasingly prevalent in women below 50 years of age. Occult breast cancer may not be recognised before breast surgery, which may result in several disadvantages for the women. Therefore, detecting a breast cancer before a woman undergoes non-oncological breast surgery is of paramount importance. METHODS: All public plastic surgery and breast surgery departments and all private clinics or hospitals providing plastic surgery were asked two questions: 1) When do you recommend a mammography prior to non-oncological breast surgery? 2) How old must a mammogram be before it needs to be repeated? RESULTS: Answers were received from all plastic surgery and breast surgery departments, and all but three of the private clinics and hospitals. Overall, information was obtained from 95.5% of the respondents (n = 63). CONCLUSION: Currently, there are no Danish guidelines on mammography before non-oncological breast surgery. A national guideline could recommend a preoperative mammogram from the age of 40 years stipulating that the mammogram should have been made within the past 12 months; however, the final recommendation should be prepared by a multidisciplinary working group counting experts from plastic surgery, breast surgery, pathology and radiology. FUNDING: not relevant. TRIAL REGISTRATION: not relevant.


Subject(s)
Breast/surgery , Mammaplasty/standards , Mammography/standards , Practice Guidelines as Topic/standards , Adult , Denmark , Female , Humans , Middle Aged
3.
Ugeskr Laeger ; 169(49): 4271-5, 2007 Dec 03.
Article in Danish | MEDLINE | ID: mdl-18208708

ABSTRACT

INTRODUCTION: The purpose of this study was to observe the occurrence and character of firework injuries on the two days around New Year in Denmark over the last decade. MATERIALS AND METHODS: Since 1995/1996 all Accident and Emergency Departments in Denmark have registered all contacts where fireworks were the cause of injury on 31st December and 1st January. Data comprised hospital, sex, age, type of firework, diagnosis and final treatment. Follow-up and reminder by phone secured a 100% response rate. The total number of injured patients was 4,447. RESULTS: The number of firework injuries on the 31st of December and 1st of January was reduced by half over the 12-year period. Furthermore, the number of firework injuries caused by illegal fireworks in 2006/2007 was only 10% of the number in 1996/1997. Only 8% of injuries on last New Year's Eve were caused by illegal firewoks compared to almost 50% at the beginning of the period. A similar halving is seen in serious injuries. Roughly one quarter sustained injuries to the eyes, one quarter to the head/neck and 38% to hands. CONCLUSION: Firework injuries are now half of the level in 1996/1997. Injuries caused by illegal fireworks and serious injuries have shown a downward tendency throughout the period. The actual number of severe injuries from illegal fireworks is now only 10% of the level in the mid-1990s. This reduction can be attributed to preventive campaigns, greater knowledge of the risk of fireworks in general as well as legislation. Continued focus on preventive campaigns, control of fireworks for the general public and control of firework distribution to professionals is recommended.


Subject(s)
Blast Injuries , Explosions , Adolescent , Adult , Blast Injuries/epidemiology , Blast Injuries/etiology , Blast Injuries/prevention & control , Child , Denmark/epidemiology , Explosions/legislation & jurisprudence , Explosions/prevention & control , Explosions/statistics & numerical data , Female , Humans , Male
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