Clinical indications for antibiotic prescribing in Danish general practice.

Background: An updated overview of the antibiotic prescribing pattern in Danish general practice is needed to help inform continued efforts for rational antibiotic prescribing.

Objective: To investigate clinical indications for antibiotic prescriptions issued in general practice in Denmark.

Materials And Methods: This register-based study included all redeemed antibiotic prescriptions issued in Danish general practice between 1 January 2023 and 31 December 2023.

What are the most important research questions within prediabetes? A priority setting partnership in collaboration with patients, healthcare professionals and researchers.

Aims/hypothesis: Research agendas are typically set by researchers and funders, meaning that priorities of end users, such as patients and healthcare professionals (HCPs), could be missed or overlooked in research. To ensure future research in prediabetes is of relevance and benefit to people with prediabetes and HCPs, it is important to involve these stakeholders in setting the research agenda. The aim of this study was to establish a top-10 list of the most important research questions in prediabetes (HbA 42-47 mmol/mol [6.

Managing non-traumatic Adolescent knee Pain: feasibility of using the MAP-Knee Tool in secondary care.

Background: A clinical decision-support tool (MAP-Knee Tool) was recently developed to support the consultation process between clinicians and adolescents with non-traumatic knee pain and enhance shared decision-making while reducing diagnostic uncertainty.

Objectives: We aimed to assess the feasibility of using the MAP-Knee Tool in an orthopaedic department for adolescents consulting with non-traumatic knee pain.

Design: Feasibility study.

Cross-cultural adaptation, validity, and reliability of the Danish version of the neurophysiology of pain questionnaire.

Background: Despite advances in medicine and technology, pain remains a significant global burden. Improving pain education for undergraduate healthcare students is considered an important step toward enhancing pain management. The Neurophysiology of Pain Questionnaire (NPQ) is commonly used to assess pain knowledge in healthcare students, but its validity and reliability in this population remain uncertain.

General practitioners' scanning competence following tailored ultrasound training: a hybrid effectiveness-implementation study.

Background: As an imaging modality, ultrasound relies on user skill and demands the integration of anatomical understanding, image acquisition techniques, and clinical knowledge. Proficiency in performing Point-of-Care Ultrasound (POCUS) examinations is a gradual process necessitating ongoing practice and exposure. Office-based general practitioners (GPs) encounter distinctive educational challenges when striving to acquire and sustain scanning competences.

Minimally invasive surgical treatments versus non-surgical treatments or placebo for plantar fasciopathy: A systematic review.

Background: Due to advances in minimally invasive surgical treatments (MIST), this systematic review with a narrative synthesis aimed to investigate the effectiveness of MIST in improving pain compared with non-surgical treatment or placebo in patients with plantar fasciopathy (PF).

Methods: We systematically searched relevant databases for peer-reviewed studies comparing MIST to non-surgical treatments or placebo.

Results: Eight studies were included.

Integrating physiotherapists, occupational therapists, and psychologists in the management of chronic and complex musculoskeletal pain in the municipality - a workshop study.

Background: Musculoskeletal (MSK) pain is a major societal burden, costing up to 2 % of the EU's gross national product. Complex cases often involve comorbidities, increasing treatment challenges. Integrating physiotherapy, occupational therapy, and psychological support in primary care may improve patient outcomes.

Barriers and Facilitators for Implementing Interventions for Treating Patients With Chronic Musculoskeletal Pain: A Qualitative Scoping Review Using the Theoretical Domains Framework.

Background: Chronic musculoskeletal (MSK) pain poses a significant societal burden, yet many evidence-based interventions fail to reach clinical practice, highlighting an implementation gap. This study aimed to identify barriers and facilitators in implementing MSK pain interventions across healthcare settings.

Methods: We conducted a scoping review following the Joanna Briggs Institute approach.

Temporal Associations of Physical Activity With Subsequent Knee Pain in Individuals With Knee Osteoarthritis: An Ecological Momentary Assessment Study.

Background: Physical activity (PA) is a first-line treatment for knee osteoarthritis and provides benefits for functional improvement and pain relief. However, movement-evoked pain often hinders PA participation and long-term adherence. The relationship between PA and pain is not fully understood and may vary across individuals.

Does point-of-care ultrasound examination by the general practitioner lead to inappropriate care? A follow-up study.

Background: The use of point-of-care ultrasound (POCUS) in general practice increases, but little is known about potential unintended findings and harms to patients. Information regarding such unwanted effects may be obtained by evaluating the medical records of patients who have been scanned by their general practitioner.

Objective: To identify and characterize re-consultations related to POCUS use in general practice, potential misdiagnosis, overdiagnosis, and incidental findings, and to compare potentially troublesome cases to GPs' scanning competence and type of ultrasound device.

Community pharmacists' role in optimising antibiotic use: The HAPPY PATIENT project to improve dispensing practices in five EU countries.

Background: Community pharmacies can play a pivotal role in optimising the use of antibiotics through their dispensing practice.

Aim: To evaluate the impact of a multifaceted intervention on community pharmacies' quality of antibiotic dispensing.

Method: A prospective before-after study conducted according to the Audit Project Odense methodology in community pharmacies in France, Greece, Lithuania, Poland, and Spain.

An Online Evidence-Based Education Resource Is Useful and Can Change People's Perceptions About Running and Knee Health.

Objectives: To (1) create and evaluate the usefulness of an online evidence-based education resource about running and knee health (eg, knee osteoarthritis) for the public and health care professionals, and (2) assess the online resource's effects on perceptions about running and knee health.

Design: Cross-sectional survey.

Methods: We created an online education resource (series of infographics) in 7 languages with community input.

Valuable insights into general practice staff's experiences and perspectives on AI-assisted diabetic retinopathy screening-An interview study.

Aim: This study explores the hands-on experiences and perspectives of general practice staff regarding the feasibility of conducting artificial intelligence-assisted (AI-assisted) diabetic retinopathy screenings (DRS) in general practice settings.

Method: The screenings were tested in 12 general practices in the North Denmark Region and were conducted as part of daily care routines over ~4 weeks. Subsequently, 21 staff members involved in the DRS were interviewed.

Developing the intention to pursue a general practice career: a longitudinal survey study from medical school graduation into postgraduate medical training.

Background: Due to a demographic shift, among others, more general practitioners will be needed in Denmark in the future. In this study, we examine Danish medical trainees' intention to pursue a career in general practice as they gain firsthand work experience during postgraduate education. The expanded conceptual framework of medical students' primary care career choice was used in the selection of variables related to the medical trainees' career intentions and work experience and in the interpretation of the results.

Co-creating a Choosing Wisely leaflet supporting the reduction of imaging usage in low back pain management - A multi-method study.

Objective: The objective was to co-create an information resource in the form of a leaflet, to be distributed in clinical settings, websites or social media targeting people with low back pain.

Methods: This multi-method study was conducted in four stages: literature search, input from practice consultants, program theory development, and think-aloud interviews with people experiencing low back pain. Each stage was followed by a consensus meeting in which the steering group refined the leaflet based on the emerging knowledge.

The Perceptions of Potential Prerequisites for Artificial Intelligence in Danish General Practice: Vignette-Based Interview Study Among General Practitioners.

Background: Artificial intelligence (AI) has been deemed revolutionary in medicine; however, no AI tools have been implemented or validated in Danish general practice. General practice in Denmark has an excellent digitization system for developing and using AI. Nevertheless, there is a lack of involvement of general practitioners (GPs) in developing AI.

Development of a clinical decision-support tool for management of adolescent knee pain (The MAP-Knee tool).

Background: Adolescent knee pain was historically viewed as a self-limiting condition. Still, it may severely impact health-related quality of life and physical activity, and almost half of adolescents may continue to experience pain into adulthood. Currently, no tool is available to support the consultation and shared decision-making process when an adolescent suffering from non-traumatic knee pain presents at clinical practice.

Keeping It Simple-Pain Science Education for Patients with Chronic Pain Referred to Community-Based Rehabilitation: Translation, Adaptation, and Clinical Feasibility Testing of PNE4Adults.

: Pain science education accommodating low health literacy is needed for people with chronic pain. The purpose of this study was to translate PNE4Kids, contextually adapt it into PNE4Adults, and test the feasibility of the newly developed pain science education program (PNE4Adults) for adult patients with chronic musculoskeletal pain in the municipality. : A three-step approach was used to (1) translate PNE4Kids into Danish, (2) adapt to age and context (PNE4Adults), and (3) test the feasibility.

Development and evaluation of a new semi-quantitative and morphometric scoring system for magnetic resonance imaging in adolescents with Osgood Schlatter Disease (The OSIS Score).

Background: Osgood Schlatter Disease (OSD) is a common injury in adolescents. A recent systematic review identified multiple tissue characteristics evaluated in imaging studies, but the studies used different imaging modalities, used varying MRI protocols and were of poor study quality, which led to conflicting findings and hamper the clinical utility of MRI scans. This study aimed to develop and evaluate the reliability of a semi-quantitative MRI scoring system for use in adolescents with OSD.

Assessment of potentially unnecessary antibiotic use for suspected urinary tract infections in nursing homes using a simplified algorithm.

Background: Nursing home (NH) residents are frequently treated with antibiotics for urinary tract infections (UTIs), often due to overdiagnosis. The aim of this study was to evaluate the proportion of potentially unnecessary antibiotic use for suspected UTIs in NHs across eight European countries.

Research Design And Methods: Over a three-month period (February to April 2024), NH professionals recorded information on all antibiotic treatments for UTIs using a specific registration chart.

Development of a standardized patient-reported clinical questionnaire for children with spinal pain.

Background: Spinal pain affects up to 30% of school-age children and can interfere with various aspects of daily life, such as school attendance, physical function, and social life. Current assessment tools often rely on parental reporting which limits our understanding of how each child is affected by their pain. This study aimed to address this gap by developing MySpineData-Kids ("MiRD-Kids"), a tailored patient-reported questionnaire focusing on children with spinal pain in secondary care (Danish hospital setting).

Evaluating general practitioners' focused lung ultrasound competence and findings in patients with suspected community-acquired pneumonia in general practice.

Objectives: To evaluate general practitioners' (GPs') ability to perform focused lung ultrasound (FLUS) following a training program and assess FLUS feasibility in general practice. Also, to describe FLUS findings and evaluate GPs' ability to interpret these in adults with acute lower respiratory tract infection (LRTI) when pneumonia is suspected and assess GPs' perception of FLUS impact.

Methods: Nine GPs, using point-of-care ultrasound, completed a FLUS training program.