• Accuracy of physical examination for chronic lumbar radiculopathy 

      Iversen, Trond; Solberg, Tore; Romner, Bertil; Wilsgaard, Tom; Nygaard, Øystein Petter; Waterloo, Knut; Brox, Jens Ivar; Ingebrigtsen, Tor (Journal article; Tidsskriftartikkel; Peer reviewed, 2013)
      Background: Clinical examination of patients with chronic lumbar radiculopathy aims to clarify whether there is nerve root impingement. The aims of this study were to investigate the association between findings at clinical examination and nerve root impingement, to evaluate the accuracy of clinical index tests in a specialised care setting, and to see whether imaging clarifies the cause of chronic ...
    • Alcohol consumption, blood alcohol concentration level and guideline compliance in hospital referred patients with minimal, mild and moderate head injuries 

      Efskind, Marianne; Heskestad, Ben Ottar; Ingebrigtsen, Tor; Romner, Bertil; RØNNING, PÅL ANDRE; Helseth, Eirik (Journal article; Tidsskriftartikkel; Peer reviewed, 2011)
      In 2000 the Scandinavian Neurotrauma Committee published guidelines for safe and cost-effective management of minimal, mild and moderate head injured patients. The aims of this study were to investigate to what extent the head injury population is under the influence of alcohol, and to evaluate whether the physicians’ compliance to the guidelines is affected when patients are influenced by ...
    • Associations between utilization rates and patients’ health: a study of spine surgery and patient-reported outcomes (EQ-5D and ODI) 

      Rudolfsen, Jan Håkon; Solberg, Tore; Ingebrigtsen, Tor; Olsen, Jan Abel (Journal article; Tidsskriftartikkel; Peer reviewed, 2020-02-22)
      <i>Background</i> - A vast body of literature has documented regional variations in healthcare utilization rates. The extent to which such variations are “unwarranted” critically depends on whether there are corresponding variations in patients’ needs. Using a unique medical registry, the current paper investigated any associations between utilization rates and patients’ needs, as measured by two ...
    • Behandlingsrater for ryggkirurgi i Norge og Helse Nord 2014-18 

      Ingebrigtsen, Tor; Balteskard, Lise; Guldhaugen, Kristel Ailin; Kloster, Roar; Uleberg, Bård Erling; Grotle, Margreth; Solberg, Tore (Journal article; Tidsskriftartikkel; Peer reviewed, 2020-11-23)
      <i>BAKGRUNN</i> - Formålet med denne studien var å undersøke om behandlingstilbudet innen ryggkirurgi i Helse Nord er i henhold til den vedtatte funksjonsfordelingen mellom sykehusene i regionen, og om det er geografisk variasjon i tilbudet. Vi undersøkte derfor behandlingsrater i Norge og Helse Nord, samt egendekning i Helse Nord, og vurderte aktiviteten i regionen.<p> <p><i>MATERIALE OG METODE</i> ...
    • Blir retningslinjer for behandling av mindre alvorlige hodeskader fulgt? 

      Akre, Kjell Alexander Thunes; Ingebrigtsen, Tor (Journal article; Tidsskriftartikkel; Peer reviewed, 2021-05-03)
      <p><b>BAKGRUNN</b> De skandinaviske retningslinjene for akutt håndtering av voksne med minimal, lett eller moderat hodeskade har som mål å identifisere pasienter med risiko for å utvikle intrakranialt hematom samt å unngå unødvendig computertomografi (CT) og sykehusinnleggelse. Vi undersøkte etterlevelsen av retningslinjene ved Universitetssykehuset Nord-Norge Tromsø. <p><b>MATERIALE OG ...
    • Cervical spine surgery in the Northern Norway Regional Health Authority area in 2014-18 

      Ingebrigtsen, Tor; Guldhaugen, Kristel Ailin; Kristiansen, Jon-André; Kloster, Roar; Grotle, Margreth; Solberg, Tore (Journal article; Tidsskriftartikkel; Peer reviewed, 2022-02-24)
      <p>BAKGRUNN - Kunnskap om variasjon i behandlingsrater er nødvendig for å vurdere om tilgangen til helsetjenester er likeverdig. Formålet med denne studien var å undersøke rater for kirurgisk behandling av degenerative nakkelidelser i Norge og Helse Nord, samt egendekningen i Helse Nord, og å vurdere aktiviteten i regionen. <p>MATERIALE OG METODE - Vi inkluderte operasjoner registrert i Norsk ...
    • Decompressive hemicraniectomy for space-occupying brain infarction: Nationwide population-based registry study 

      Anke, Pablo; Pedersen, Lars Kjelsberg; Mathiesen, Ellisiv Bøgeberg; Ingebrigtsen, Tor (Journal article; Tidsskriftartikkel; Peer reviewed, 2022-10-14)
      Objective: We analyzed data from the Norwegian Stroke Registry (NSR) to study access to and outcomes of decompressive hemicraniectomy for brain infarction in a nationwide routine clinical setting. We also discretionary assessed whether the outcomes were comparable with those achieved in randomized controlled trials (RCTs), and whether the use was in accordance with guidelines. Methods: The NSR ...
    • Diagnostic accuracy of anti-3-[<sup>18</sup>F]-FACBC PET/MRI in gliomas 

      Karlberg, Anna Maria; Pedersen, Lars Kjelsberg; Vindstad, Benedikte Emilie; Skjulsvik, Anne Jarstein; Johansen, Håkon; Solheim, Ole Skeidsvoll; Skogen, Karoline; Kvistad, Kjell Arne; Bogsrud, Trond; Myrmel, Kristin Smistad; Giskeødegård, Guro F.; Ingebrigtsen, Tor; Berntsen, Erik Magnus; Eikenes, Live (Journal article; Tidsskriftartikkel; Peer reviewed, 2023-09-30)
      Purpose - The primary aim was to evaluate whether anti-3-[<sup>18</sup>F]FACBC PET combined with conventional MRI correlated better with histomolecular diagnosis (reference standard) than MRI alone in glioma diagnostics. The ability of anti-3-[<sup>18</sup>F]FACBC to differentiate between molecular and histopathological entities in gliomas was also evaluated.<p> <p>Methods - In this prospective ...
    • Diagnostic imaging and ionizing radiation exposure in a level 1 trauma centre population met with trauma team activation: a one-year patient record audit 

      Bågenholm, Anna; Løvhaugen, Pål; Sundset, Rune; Ingebrigtsen, Tor (Journal article; Tidsskriftartikkel; Peer reviewed, 2020-02-15)
      This audit describes ionizing and non-ionizing diagnostic imaging at a regional trauma centre. All 144 patients (males 79.2%, median age 31 years) met with trauma team activation from 1 January 2015 to 31 December 2015 were included. We used data from electronic health records to identify all diagnostic imaging and report radiation exposure as dose area product (DAP) for conventional radiography ...
    • Effect of caudal epidural steroid or saline injection in chronic lumbar radiculopathy: multicentre, blinded, randomised controlled trial 

      Iversen, Trond; Solberg, Tore; Romner, Bertil; Wilsgaard, Tom; Twisk, Jos WR; Anke, Audny; Nygaard, Øystein Petter; Hasvold, Toralf; Ingebrigtsen, Tor (Journal article; Tidsskriftartikkel; Peer reviewed, 2011)
      Objective To assess the efficacy of caudal epidural steroid or saline injection in chronic lumbar radiculopathy in the short (6 weeks), intermediate (12 weeks), and long term (52 weeks).<p> <p>Design Multicentre, blinded, randomised controlled trial. <p>Setting Outpatient multidisciplinary back clinics of five Norwegian hospitals. <p>Participants Between October 2005 and February 2009, 461 ...
    • Geographical variation in orthopedic procedures in Norway: Cross-sectional population-based study 

      Holsen, Maria; Hovind, Veronica; Bedane, Haji Kedir; Osvoll, Knut Ivar; Gjertsen, Jan-Erik; Furnes, Ove Nord; Walsh, Mary E.; Ingebrigtsen, Tor (Journal article; Tidsskriftartikkel; Peer reviewed, 2022-09-14)
      Background: Standardized surgery rates for common orthopedic procedures vary across geographical areas in Norway. We explored whether area-level factors related to demand and supply in publicly funded healthcare are associated with geographical variation in surgery rates for six common orthopedic procedures.<p> <p>Methods: The present study is a cross-sectional population-based study of hospital ...
    • Glioblastom hos voksne 

      Schipmann, Stephanie; Sivakanesan, Sarankan; Rath, Daniel Stavne; Brandal, Petter; Vik-Mo, Einar Osland; Bjørås, Magnar; Solheim, Ole Skeidsvoll; Ingebrigtsen, Tor; Sund, Fredrik; Bjerkvig, Rolf; Miletic, Hrvoje; Johannessen, Tor-Christian Aase; Sundstrøm, Terje (Journal article; Tidsskriftartikkel; Peer reviewed, 2023-01-30)
      Glioblastom er den vanligste formen for primær hjernekreft hos voksne, og sykdommen har en alvorlig prognose. Selv om det er gjort store fremskritt i molekylær karakteristikk, har det ikke vært større gjennombrudd i behandlingen på mange år. Vi presenterer her en klinisk oversikt over dagens diagnostikk og behandling samt hvilke utfordringer og muligheter som ligger i å utvikle bedre og mer ...
    • Incidence of hospital referred head injuries in Norway : a population based survey from the Stavanger region 

      Romner, Bertil; Heskestad, Ben; Baardsen, Roald; Ingebrigtsen, Tor; Helseth, Eirik; Waterloo, Knut (Journal article; Tidsskriftartikkel; Peer reviewed, 2009-02-20)
      Background: In three previous Norwegian studies conducted between 1974 and 1993, the annual incidence rates of hospital admitted head injuries were 236, 200 and 169 per 100,000 population. The aim of this study was to describe the incidence of head injury in the Stavanger region and to compare it with previous Norwegian studies. <br> Methods: All head injured patients referred to Stavanger ...
    • Lean thinking in hospitals: is there a cure for the absence of evidence? A systematic review of reviews 

      Andersen, Hege; Røvik, Kjell Arne; Ingebrigtsen, Tor (Journal article; Tidsskriftartikkel; Peer reviewed, 2014)
      Objective: Lean interventions aim to improve quality of healthcare by reducing waste and facilitate flow in work processes. There is conflicting evidence on the outcomes of lean thinking, with quantitative and qualitative studies often contradicting each other. We suggest that reviewing the literature within the approach of a new contextual framework can deepen our understanding of lean as a ...
    • A nationwide study of patients operated for cervical degenerative disorders in public and private hospitals 

      Danielsen, elisabeth; Mjåset, Christer; Ingebrigtsen, Tor; Gulati, Sasha; Grotle, Margreth; Rudolfsen, Jan Håkon; Nygaard, Øystein Petter; Solberg, Tore (Journal article; Tidsskriftartikkel; Peer reviewed, 2022-07-27)
      During the last decades, there has been an increase in the rate of surgery for degenerative disorders of the cervical spine and in the use of supplementary private health insurance. Still, there is limited knowledge about the diferences in characteristics of patients operated in public and private hospitals. Therefore, we aimed at comparing sociodemographic-, clinical- and patient management data ...
    • No impact of early intervention on late outcome after minimal, mild and moderate head injury 

      Heskestad, Ben; Waterloo, Knut; Romner, Bertil; Baardsen, Roald; Helseth, Eirik; Ingebrigtsen, Tor (Journal article; Tidsskriftartikkel; Peer reviewed, 2010)
    • Non-respondents do not bias outcome assessment after cervical spine surgery: a multicenter observational study from the Norwegian registry for spine surgery (NORspine) 

      Ingebrigtsen, Tor; Aune, Grethe; Karlsen, Martine Eriksen; Gulati, Sasha; Kolstad, Frode; Nygaard, Øystein Petter; Thyrhaug, Anette Moltu; Solberg, Tore (Journal article; Tidsskriftartikkel; Peer reviewed, 2022-12-21)
      Background - The Norwegian registry for spine surgery (NORspine) is a national clinical quality registry which has recorded more than 10,000 operations for degenerative conditions of the cervical spine since 2012. Registries are large observational cohorts, at risk for attrition bias. We therefore aimed to examine whether clinical outcomes differed between respondents and non-respondents to standardized ...
    • The Norwegian registry for spine surgery (NORspine): cohort profile 

      Mikkelsen, Eirik; Ingebrigtsen, Tor; Thyrhaug, Anette Moltu; Olsen, Lena Ringstad; Nygaard, Øystein Petter; Austevoll, Ivar Magne; Brox, Jens Ivar; Hellum, Christian; Kolstad, Frode; Lønne, Greger; Solberg, Tore (Journal article; Tidsskriftartikkel; Peer reviewed, 2023-09-17)
      Purpose - To review and describe the development, methods and cohort of the lumbosacral part of the Norwegian registry for spine surgery (NORspine).<p> <p>Methods - NORspine was established in 2007. It is government funded, covers all providers and captures consecutive cases undergoing operations for degenerative disorders. Patients’ participation is voluntary and requires informed consent. A set ...
    • Obesity does not protect from subarachnoid haemorrhage: Pooled analysis of 3 large prospective Nordic cohorts 

      Rautalin, Ilari; Kaprio, Jaakko; Ingebrigtsen, Tor; Jousilahti, Pekka; Løchen, Maja-Lisa; Romundstad, Pål Richard; Salomaa, Veikko; Vik, Anne; Wilsgaard, Tom; Mathiesen, Ellisiv B.; Sandvei, Marie Søfteland; Korja, Miikka (Journal article; Tidsskriftartikkel; Peer reviewed, 2021-11-10)
      Background and purpose: Several population-based cohort studies have related higher body mass index (BMI) to a decreased risk of subarachnoid hemorrhage (SAH). The main objective of our study was to investigate whether the previously reported inverse association can be explained by modifying effects of the most important risk factors of SAH—smoking and hypertension.<p> <p>Methods: We conducted ...
    • An observational study of compliance with the Scandinavian guidelines for management of minimal, mild and moderate head injury. 

      Heskestad, Ben Ottar; Waterloo, Knut; Ingebrigtsen, Tor; Romner, Bertil; Harr, Marianne Efskind; Helseth, Eirik (Journal article; Tidsskriftartikkel; Peer reviewed, 2012)
      The Scandinavian guidelines for management of minimal, mild and moderate head injuries were developed to provide safe and cost effective assessment of head injured patients. In a previous study conducted one year after publication and implementation of the guidelines (2003), we showed low compliance, involving over-triage with computed tomography (CT) and hospital admissions. The aim of the present ...