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  1. Article ; Online: Low prevalence of diagnosed asthma in Greenland - a call for increased focus on diagnosing.

    Nielsen, Maja Hykkelbjerg / Backe, Marie Balslev / Pedersen, Michael Lynge

    International journal of circumpolar health

    2023  Volume 82, Issue 1, Page(s) 2195136

    Abstract: The aim of this study was to estimate prevalence of patients with asthma in Greenland according to age, gender and residence and to investigate the associated quality of care. The study was performed as a cross-sectional study with data extracted from ... ...

    Abstract The aim of this study was to estimate prevalence of patients with asthma in Greenland according to age, gender and residence and to investigate the associated quality of care. The study was performed as a cross-sectional study with data extracted from the Greenlandic electronical medical record. A total of 870 patients aged 12 years or above were diagnosed with asthma at the end of 2022, corresponding to a prevalence of 1.9%. In 2020, the total prevalence was 0.2%. The prevalence of patients aged 12 years or above with asthma was highest among patients in Nuuk (3.3%) compared with patients in the remaining parts of Greenland (1.1%). More women than men were diagnosed with asthma, and the prevalence increased with age from 20 to 59 years. The prevalence of current smokers was high among the asthma population. The quality of care was significantly higher among patients living in Nuuk for all process indicators compared with patients from the remaining parts of Greenland. The prevalence of asthma in Greenland is low compared to other comparable populations and might be underestimated. Initiatives supporting increased focus on diagnosing asthma are thus warranted.
    MeSH term(s) Male ; Humans ; Female ; Greenland/epidemiology ; Cross-Sectional Studies ; Prevalence ; Medical Records ; Asthma/diagnosis ; Asthma/epidemiology
    Language English
    Publishing date 2023-03-29
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1386707-6
    ISSN 2242-3982 ; 1239-9736
    ISSN (online) 2242-3982
    ISSN 1239-9736
    DOI 10.1080/22423982.2023.2195136
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: High quality of diabetes care in Greenland since the launch of Steno Diabetes Center Greenland 2020 - geographical disparities need attention.

    Backe, Marie Balslev / Jørgensen, Marit Eika / Pedersen, Michael Lynge

    International journal of circumpolar health

    2023  Volume 82, Issue 1, Page(s) 2290305

    Abstract: The aim of this study was to estimate the prevalence of diagnosed diabetes in Greenland and evaluate quality of care according to sex, region and healthcare unit within regions. Data on all inhabitants registered with diabetes were extracted from the ... ...

    Abstract The aim of this study was to estimate the prevalence of diagnosed diabetes in Greenland and evaluate quality of care according to sex, region and healthcare unit within regions. Data on all inhabitants registered with diabetes were extracted from the electronic medical record. We found a crude prevalence of diagnosed diabetes in the population aged ≥ 20 years to be 4.7%, and the prevalence of diabetes standardised to the WHO world population was 4.0%. Compared to males, a significantly higher proportion of females had mean glycated haemoglobin (HbA
    MeSH term(s) Male ; Female ; Humans ; Greenland/epidemiology ; Diabetes Mellitus, Type 2/epidemiology ; Electronic Health Records ; Healthcare Disparities ; Prevalence ; Attention
    Language English
    Publishing date 2023-12-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1386707-6
    ISSN 2242-3982 ; 1239-9736
    ISSN (online) 2242-3982
    ISSN 1239-9736
    DOI 10.1080/22423982.2023.2290305
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Burden of selected chronic non-communicable diseases in a primary healthcare setting in Nuuk, Greenland, compared to a Danish suburb.

    Backe, Marie Balslev / Kallestrup, Per / Rasmussen, Kurt / Jørgensen, Marit Eika / Pedersen, Michael Lynge

    Scandinavian journal of primary health care

    2024  , Page(s) 1–7

    Abstract: Introduction: Noncommunicable diseases (NCDs) constitute a massive global burden and are the leading cause of death and disability worldwide. In Greenland, the prevalence of NCDs has historically been low. However, during the past approximately 70 years, ...

    Abstract Introduction: Noncommunicable diseases (NCDs) constitute a massive global burden and are the leading cause of death and disability worldwide. In Greenland, the prevalence of NCDs has historically been low. However, during the past approximately 70 years, life circumstances have changed dramatically resulting in increased life expectancy. Today, the proportion of inhabitants in Greenland ≥65 years has nearly tripled since the 1980s, and the prevalence of obesity and diabetes has increased rapidly within the past decades. The aim of this study was to describe the burden of selected NCDs in a primary care setting in Nuuk and compare it to a modern westernized suburban general practice in Denmark.
    Methods: The study was performed as a cross sectional register-based study using data extracted from the electronic medical records (EMR) based on diagnosis codes from inhabitants living in Nuuk, Greenland, and a suburb in Denmark. Estimates of prevalence were age-standardized to the WHO world standard population.
    Results: In both Nuuk and the Danish suburb, the highest prevalence was observed for hypertension (13.2% for both populations), followed by asthma (4.4 and 9.5%, respectively) and diabetes (4.3 and 2.9%, respectively). The age-standardized prevalences of diabetes, COPD, atrial fibrillation, and heart failure, were significantly higher in Nuuk, while seven NCDs including asthma, ischemic heart disease, arthritis urica, psoriasis, hyperthyreosis, hypothyreosis and osteoporosis were significantly higher in the Danish suburb.
    Conclusion: In contrast to the disease pattern observed in Greenland in the last century, the prevalence of diagnosed NCDs in Nuuk is no longer rare. Thus, the overall prevalence of NCDs in the population of Nuuk is now comparable to or even higher than in the suburb in Denmark. This calls for increased focus on all NCDs in the primary healthcare system in Greenland and adaption of the primary healthcare services to a changed disease spectrum.
    Language English
    Publishing date 2024-04-05
    Publishing country United States
    Document type Journal Article
    ZDB-ID 605763-9
    ISSN 1502-7724 ; 0281-3432 ; 0284-6020
    ISSN (online) 1502-7724
    ISSN 0281-3432 ; 0284-6020
    DOI 10.1080/02813432.2024.2334746
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Prevalence of patients using antihypertensive medication in Greenland, and an assessment of the importance of diagnosis for the associated quality of care - a cross-sectional study.

    Nielsen, Maja Hykkelbjerg / Backe, Marie Balslev / Pedersen, Michael Lynge

    International journal of circumpolar health

    2022  Volume 81, Issue 1, Page(s) 2110675

    Abstract: This study aimed to estimate the age- and sex specific prevalence of patients using antihypertensive medication in Greenland, and compared the quality of care between patients with and without a diagnosis for hypertension. The study was a cross-sectional ...

    Abstract This study aimed to estimate the age- and sex specific prevalence of patients using antihypertensive medication in Greenland, and compared the quality of care between patients with and without a diagnosis for hypertension. The study was a cross-sectional study comparing patients using antihypertensive medication in 2020 (6,629 patients) and 2021 (7,008 patients), respectively. For data from 2021, patients with a medical diagnosis code were identified. Data was obtained from the Greenlandic electronic medical record. The population of Greenland was used as background population. Quality of care was evaluated based on suggested indicators by international guidelines and goals from Steno Diabetes Centre Greenland. The prevalence of patients aged ≥20 years using antihypertensive medication had increased from 16.7% in 2020 to 17.5% in 2021. The prevalence increased by age and was higher among women compared to men. In 2021, the prevalence of patients aged ≥20 years with a medical diagnosis code for hypertension was 7.9%. The use of antihypertensive medication in Greenland is common. The associated quality of care was low. However, process indicators were significantly improved when patients had a medical diagnosis code. Future focus must be on initiating initiatives ensuring that more patients are registered with a medical diagnosis code.
    MeSH term(s) Antihypertensive Agents/therapeutic use ; Cross-Sectional Studies ; Female ; Greenland/epidemiology ; Humans ; Hypertension/diagnosis ; Hypertension/drug therapy ; Hypertension/epidemiology ; Male ; Prevalence
    Chemical Substances Antihypertensive Agents
    Language English
    Publishing date 2022-09-14
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1386707-6
    ISSN 2242-3982 ; 1239-9736
    ISSN (online) 2242-3982
    ISSN 1239-9736
    DOI 10.1080/22423982.2022.2110675
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Reporting chronic kidney disease in Greenland.

    Lomstein, Fabian Bøgild / Kjærgaard, Marie / Skovgaard, Nils / Pedersen, Michael Lynge / Backe, Marie Balslev

    International journal of circumpolar health

    2023  Volume 82, Issue 1, Page(s) 2261223

    Abstract: Background: ...

    Abstract Background:
    MeSH term(s) Humans ; Greenland/epidemiology ; Cross-Sectional Studies ; Life Style ; Renal Insufficiency, Chronic/epidemiology ; Risk Factors
    Language English
    Publishing date 2023-09-24
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1386707-6
    ISSN 2242-3982 ; 1239-9736
    ISSN (online) 2242-3982
    ISSN 1239-9736
    DOI 10.1080/22423982.2023.2261223
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Low Prevalence of Chronic Obstructive Pulmonary Disease in Greenland-A Call for Increased Focus on the Importance of Diagnosis Coding.

    Brix, Andreas / Flagstad, Kristine / Backe, Marie Balslev / Pedersen, Michael Lynge / Nielsen, Maja Hykkelbjerg

    International journal of environmental research and public health

    2023  Volume 20, Issue 9

    Abstract: The aim of this study was to estimate the prevalence of patients diagnosed with chronic obstructive pulmonary disease (COPD) according to age, gender, and residence in Greenland and to investigate the associated quality of care. The study was performed ... ...

    Abstract The aim of this study was to estimate the prevalence of patients diagnosed with chronic obstructive pulmonary disease (COPD) according to age, gender, and residence in Greenland and to investigate the associated quality of care. The study was performed as an observational cross-sectional study using data on patients diagnosed with COPD, extracted from the electronical medical record (EMR) in Greenland. The total prevalence of patients aged 20-79 years diagnosed with COPD in Greenland in 2022 was 2.2%. The prevalence was significantly higher in the capital Nuuk compared to the remaining parts of Greenland (2.4% vs. 2.0%, respectively). Significantly more women than men were diagnosed with COPD, but the lung function of men was found to be significantly reduced/impaired compared to women. The prevalence of patients aged 40 years or above was 3.8%. The quality of care was significantly higher among patients living in Nuuk compared to the remaining parts of Greenland for eight out of ten quality indicators. The prevalence of COPD in Greenland is lower than in other comparable populations and might be underestimated. Continued focus on early detection of new cases and initiatives to improve and expand monitoring of quality-of-care measurements, including both additional clinical and patient reported outcomes, are recommended.
    MeSH term(s) Female ; Humans ; Male ; Cross-Sectional Studies ; Greenland/epidemiology ; Medical Records ; Prevalence ; Pulmonary Disease, Chronic Obstructive/diagnosis ; Pulmonary Disease, Chronic Obstructive/epidemiology
    Language English
    Publishing date 2023-04-24
    Publishing country Switzerland
    Document type Journal Article ; Observational Study ; Research Support, Non-U.S. Gov't
    ZDB-ID 2175195-X
    ISSN 1660-4601 ; 1661-7827
    ISSN (online) 1660-4601
    ISSN 1661-7827
    DOI 10.3390/ijerph20095624
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: [No title information]

    Senftleber, Ninna Karsbæk / Rønn, Pernille Falberg / Backe, Marie Balslev / Kosjerina, Vanja / Vistisen, Dorte / Carstensen, Bendix

    Ugeskrift for laeger

    2023  Volume 185, Issue 50

    Abstract: Introduction To quantify the effect of Christmas vs. New Year's resolutions season on snacking preferences by measuring intake of four different snacks. Methods Prospective ad libitum intervention snacking study with four combinations of sweet/savory and ...

    Title translation Christmas article: Snacking preferences at the office during the Christmas season – a secret intervention study among diabetes researchers.
    Abstract Introduction To quantify the effect of Christmas vs. New Year's resolutions season on snacking preferences by measuring intake of four different snacks. Methods Prospective ad libitum intervention snacking study with four combinations of sweet/savory and fatty/non-fatty snacks: cookies, candy, TUC crackers, and rye crackers. A snacking buffet, continuously refilled by a secret Santa, was provided during the Christmas season and New Year's Resolutions season by the secret Santas of the office. Participants were diabetes researchers and were not informed about the study before the end of data collection. The main outcome was daily intake (g) of the four snacks. Results In general, the intake of candy was high compared to the other snacks. The average intake of cookies was significantly higher during the Christmas season compared to New Year's resolution season (8 g/day/participant, p = 0.03), but decreased when approaching Christmas and increased again as time passed by after Christmas (although not significantly). The strongest correlation between the intake of snacks was found between the two sweet snacks, i.e., candy and cookies. Conclusion Researchers have a high preference for sweet foods, especially candy. Irrespective of the type of snack, the preference for cookies was high during the Christmas season but seemed to decrease with decreasing proximity to Christmas, hence, canceling Christmas will unlikely improve diet quality. In fact, we encourage further research to consider whether having Christmas all year could be a potential prevention strategy in the combat of the obesity pandemic. Funding none. Trial registration none.
    MeSH term(s) Humans ; Snacks ; Energy Intake ; Prospective Studies ; Seasons ; Diet ; Diabetes Mellitus ; Feeding Behavior
    Language Danish
    Publishing date 2023-12-11
    Publishing country Denmark
    Document type English Abstract ; Journal Article
    ZDB-ID 124102-3
    ISSN 1603-6824 ; 0041-5782
    ISSN (online) 1603-6824
    ISSN 0041-5782
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Prevalence of Patients Receiving Urate-Lowering Medicine in Greenland and Denmark: A Cross-Sectional Case-Control Study.

    Hull, Sidsel Dan / Andersen, Marianne Welzel / Bengtsson, Jessica / Skovgaard, Nils / Backe, Marie Balslev / Pedersen, Michael Lynge

    International journal of environmental research and public health

    2022  Volume 19, Issue 12

    Abstract: This study estimates the age- and sex-specific prevalence of patients receiving urate-lowering therapy (ULT) in Greenland and compares the results with estimates in Denmark. Characteristics of patients receiving ULT in Greenland were compared to age- and ...

    Abstract This study estimates the age- and sex-specific prevalence of patients receiving urate-lowering therapy (ULT) in Greenland and compares the results with estimates in Denmark. Characteristics of patients receiving ULT in Greenland were compared to age- and sex-matched controls. The study was designed as a cross-sectional case−control study based on nationwide data from medical and population registers in Greenland and Denmark. The prevalence of patients receiving ULT was significantly lower in Greenland (0.55%) compared to Denmark (1.40%) (p < 0.001). In both countries, the prevalence increased with age and was higher among men compared to women. In Greenland, patients receiving ULT were more often overweight, and more frequently received blood glucose-, lipid-, and blood pressure-lowering medicine including diuretics compared to age- and sex-matched controls. The prevalence of patients receiving ULT was significantly lower in Greenland compared to Denmark. Common life-style related risk factors for hyperuricemia and gout were observed frequently among ULT-treated patients compared to controls. Along with an increasing prevalence of lifestyle-related diseases in Greenland, the prevalence of patients receiving ULT may increase in the years to come. More focus on detection and management of hyperuricemia and gout in Greenland is warranted to improve quality of health care.
    MeSH term(s) Case-Control Studies ; Cross-Sectional Studies ; Female ; Gout/drug therapy ; Gout/epidemiology ; Gout Suppressants/therapeutic use ; Greenland/epidemiology ; Humans ; Hyperuricemia/drug therapy ; Hyperuricemia/epidemiology ; Male ; Prevalence ; Uric Acid
    Chemical Substances Gout Suppressants ; Uric Acid (268B43MJ25)
    Language English
    Publishing date 2022-06-13
    Publishing country Switzerland
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2175195-X
    ISSN 1660-4601 ; 1661-7827
    ISSN (online) 1660-4601
    ISSN 1661-7827
    DOI 10.3390/ijerph19127247
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Prevalence and quality of care among patients using medication targeting obstructive lung disease: a cross-sectional study in the five regions of Greenland.

    Lauridsen, Mathilde Vesterager / Backe, Marie Balslev / Bonefeld-Jørgensen, Eva Cecilie / Skovgaard, Nils / Pedersen, Michael Lynge

    International journal of circumpolar health

    2021  Volume 80, Issue 1, Page(s) 1948244

    Abstract: The aim of this study was to estimate the age- and gender-specific prevalence and quality of care among patients using medication targeting obstructive lung disease in the five regions of Greenland. The study was designed as a cross-sectional study. Data ...

    Abstract The aim of this study was to estimate the age- and gender-specific prevalence and quality of care among patients using medication targeting obstructive lung disease in the five regions of Greenland. The study was designed as a cross-sectional study. Data on patients using medication targeting obstructive lung disease was obtained from the electronically medical record used in Greenland. The prevalence was calculated using the population of Greenland as background population. The quality of care was determined using indicators proposed by international literature and the Steno Diabetes Center Greenland guidelines. The total prevalence of patients using medication targeting obstructive lung disease was 7.5%. The prevalence was significantly higher among women compared to men and differed significantly between the five regions. Smoking status, blood pressure and spirometry were registered within one/two years for 29.8%/43.2%, 29.2%/41.1% and 15.9%/26.0% of the patients, respectively. Regional differences were observed for all indicators.The use of medication targeting obstructive lung disease is common in Greenland. Yet, the quality of care was low and interventions improving the quality of care is recommended.
    MeSH term(s) Cross-Sectional Studies ; Diabetes Mellitus ; Female ; Greenland/epidemiology ; Humans ; Inuits ; Lung Diseases, Obstructive/drug therapy ; Lung Diseases, Obstructive/epidemiology ; Male ; Prevalence
    Language English
    Publishing date 2021-07-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1386707-6
    ISSN 2242-3982 ; 1239-9736
    ISSN (online) 2242-3982
    ISSN 1239-9736
    DOI 10.1080/22423982.2021.1948244
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Prevalence of patients treated with antidepressant medicine in Greenland and Denmark: a cross-sectional study.

    Ingemann, Tukummeq Nykjær / Backe, Marie Balslev / Bonefeld-Jørgensen, Eva C / Skovgaard, Nils / Pedersen, Michael Lynge

    International journal of circumpolar health

    2021  Volume 80, Issue 1, Page(s) 1912540

    Abstract: Depression is a mental illness affecting more than 260 million people worldwide. In Greenland, the prevalence of patients treated with antidepressant medicine (antidepressants) has not previously been investigated. The aim of this study was to estimate ... ...

    Abstract Depression is a mental illness affecting more than 260 million people worldwide. In Greenland, the prevalence of patients treated with antidepressant medicine (antidepressants) has not previously been investigated. The aim of this study was to estimate and compare the age- and gender-specific prevalence of patients treated with antidepressants in Greenland and Denmark. The study was a cross-sectional register study using data from population and medical registers in Greenland and Denmark. Included was 1,573 Greenlandic patients and 419,151 Danish patients treated with antidepressants, respectively. The overall prevalence of patients aged 10-89 years treated with antidepressants was 3.5% in Greenland, and 8.1% in Denmark, being significantly lower in Greenland compared to Denmark (
    MeSH term(s) Antidepressive Agents/therapeutic use ; Cross-Sectional Studies ; Denmark/epidemiology ; Female ; Greenland/epidemiology ; Humans ; Male ; Mental Disorders ; Prevalence
    Chemical Substances Antidepressive Agents
    Language English
    Publishing date 2021-04-19
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1386707-6
    ISSN 2242-3982 ; 1239-9736
    ISSN (online) 2242-3982
    ISSN 1239-9736
    DOI 10.1080/22423982.2021.1912540
    Database MEDical Literature Analysis and Retrieval System OnLINE

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