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Olesen SS, Poulsen JL, Drewes AM, Frøkjær JB, Laukkarinen J, Parhiala M, Rix I, Novovic S, Lindkvist B, Bexander L, Dimcevski G, Engjom T, Erchinger F, Haldorsen IS, Pukitis A, Ozola-Zālīte I, Haas S, Vujasinovic M, Löhr JM, Gulbinas A, Jensen NM, Jørgensen MT, Nøjgaard C. The Scandinavian baltic pancreatic club (SBPC) database: design, rationale and characterisation of the study cohort. Scand J Gastroenterol 2017; 52:909-915. [PMID: 28471312 DOI: 10.1080/00365521.2017.1322138] [Citation(s) in RCA: 33] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
OBJECTIVES Chronic pancreatitis (CP) is a multifaceted disease associated with several risk factors and a complex clinical presentation. We established the Scandinavian Baltic Pancreatic Club (SBPC) Database to characterise and study the natural history of CP in a Northern European cohort. Here, we describe the design of the database and characteristics of the study cohort. METHODS Nine centres from six different countries in the Scandinavian-Baltic region joined the database. Patients with definitive or probable CP (M-ANNHEIM diagnostic criteria) were included. Standardised case report forms were used to collect several assessment variables including disease aetiology, duration of CP, preceding acute pancreatitis, as well as symptoms, complications, and treatments. The clinical stage of CP was characterised according to M-ANNNHEIM. Yearly follow-up is planned for all patients. RESULTS The study cohort comprised of 910 patients (608 men: 302 women; median age 58 (IQR: 48-67) years with definite 848 (93%) or probable CP 62 (7%). Nicotine (70%) and alcohol (59%) were the most frequent aetiologies and seen in combination in 44% of patients. A history of recurrent acute pancreatitis was seen in 49% prior to the development of CP. Pain (69%) and exocrine pancreatic insufficiency (68%) were the most common complications followed by diabetes (43%). Most patients (30%) were classified as clinical stage II (symptomatic CP with exocrine or endocrine insufficiency). Less than 10% of the patients had undergone pancreatic surgery. CONCLUSION The SBPC database provides a mean for future prospective, observational studies of CP in the Northern European continent.
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Affiliation(s)
- Søren S Olesen
- a Department of Gastroenterology and Hepatology, Centre for Pancreatic Diseases , Aalborg University Hospital , Denmark
| | - Jakob L Poulsen
- a Department of Gastroenterology and Hepatology, Centre for Pancreatic Diseases , Aalborg University Hospital , Denmark
| | - Asbjørn M Drewes
- a Department of Gastroenterology and Hepatology, Centre for Pancreatic Diseases , Aalborg University Hospital , Denmark
| | - Jens B Frøkjær
- b Department of Radiology , Aalborg University Hospital , Aalborg , Denmark
| | - Johanna Laukkarinen
- c Department of Gastroenterology and Alimentary Tract Surgery , Tampere University Hospital , Finland
| | - Mikael Parhiala
- c Department of Gastroenterology and Alimentary Tract Surgery , Tampere University Hospital , Finland
| | - Iben Rix
- d Department of Gastroenterology , Hvidovre University Hospital , Copenhagen , Denmark
| | - Srdan Novovic
- d Department of Gastroenterology , Hvidovre University Hospital , Copenhagen , Denmark
| | - Björn Lindkvist
- e Department of Gastroenterology , Gothenborg University Hospital , Sweden
| | - Louise Bexander
- e Department of Gastroenterology , Gothenborg University Hospital , Sweden
| | - Georg Dimcevski
- f Department of Gastroenterology , Haukeland University Hospital , Norway
| | - Trond Engjom
- f Department of Gastroenterology , Haukeland University Hospital , Norway
| | | | | | - Aldis Pukitis
- i Centre of Gastroenterology, Hepatology and Nutrition , Pauls Stradins Clinical University Hospital , Riga , Latvia
| | - Imanta Ozola-Zālīte
- i Centre of Gastroenterology, Hepatology and Nutrition , Pauls Stradins Clinical University Hospital , Riga , Latvia
| | - Stephan Haas
- j Department of Gastroenterology , Karolinska University Hospital , Stockholm , Sweden
| | - Miroslav Vujasinovic
- j Department of Gastroenterology , Karolinska University Hospital , Stockholm , Sweden
| | - J Matthias Löhr
- j Department of Gastroenterology , Karolinska University Hospital , Stockholm , Sweden
| | - Antanas Gulbinas
- k Department of Surgery , Lithuanian University of Health Sciences , Lithuania
| | - Nanna M Jensen
- l Department of Gastroenterology , Bispebjerg Hospital , Copenhagen , Denmark
| | | | - Camilla Nøjgaard
- d Department of Gastroenterology , Hvidovre University Hospital , Copenhagen , Denmark
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Collén AC, Gustafsson H, Hellgren M, Schiöler L, Bexander L, Manhem K. Cardiovascular response to stress and perceived stress is not altered 40 years after hypertensive pregnancies. Hypertens Pregnancy 2015; 34:116-24. [PMID: 25629904 DOI: 10.3109/10641955.2014.988348] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
OBJECTIVE Women experiencing hypertensive pregnancies have an increased risk for cardiovascular disease. Whether stress increase the risk is unknown. The objective was to test if cardiovascular response to stress and/or perceived stress differed in relation to blood pressure status during pregnancy 40 years earlier. METHODS Cardiovascular response was examined with mental stress test, and perceived stress was evaluated with a questionnaire in 105 women. RESULTS Resting heart rate was higher, and pulse reactivity was lower in women with previous hypertensive pregnancies. Neither blood pressure nor perceived stress differed. CONCLUSION Response to physical or psychological stress is not affected many years after pregnancy.
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Affiliation(s)
- Anna-Clara Collén
- Department of Molecular and Clinical Medicine/Cardiology, Institute of Medicine, Sahlgrenska Academy at the University of Gothenburg, Sahlgrenska University Hospital , Gothenburg , Sweden
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