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J Skovdal

Publications and source records attributed to J Skovdal.

12 recordsLinked to original sources
PubMed1995

[Intraobserver variation in the classification of diseases].

The aim of this study was to describe the variation within the observer in classification of diseases, with special regard to pregnancy, birth and maternity. Four observers A, B, C and D classified 150 random cases of pregnancy, birth and maternity on two different occasions with six months interval. The rate of agreement within the observer between the two different occasions was evaluated. The average agreement rate was 86% (71-92%) concerning diagnoses of pregnancy. 90% (84-95%) concerning maternity and 65% (53-75%) concerning delivery. The diagnostic spectrum of the observers and their criteria for the use of diagnoses were variable. The amount of variation correlated to the number of diagnoses and poorly defined diagnostic criteria. In conclusion, great variation was found within the observer in classifying diseases, especially concerning delivery, due to increased numbers of diagnoses and poorly defined diagnostic criteria. The setting-up of branch specialist committees is recommended, if we in the future want to use a public diagnostic register as a tool for research. These committees must achieve consensus concerning the need for classification within each specialty, define criteria for diagnosis and communicate recommendations and education in the system of classification.

Denmark↗
PubMed1994

[Interobserver variation in the classification of diseases].

The aim of this study was to describe the variation between observers in classification of diseases, with special regard to pregnancy, birth and maternity. Four observers A, B, C and D classified 150 random cases of pregnancy, birth and maternity. The rate of agreement between the observers and their use of diagnosis was evaluated. The total agreement-rate was 58% concerning diagnoses of pregnancy, 82% concerning maternity and 13% concerning delivery; with variation between the observers at 71-85%, 86-96% and 26-54%. The diagnostic spectrum of the observers and their criteria for the use of diagnoses were variable. In conclusion, great variation was found between observers in classifying diseases, due to different diagnostic criteria being used by the observers, and due to misunderstanding of the Classification of Diseases. The setting-up of committees of branch-specialists is recommended, if we in the future want to use a public diagnostic register as a tool for research. These committees must achieve consensus concerning the need for classification within each specialty, define criteria of diagnosis and effect recommendation or education in the system of classification.

Female↗
PubMed1993

Outpatient CO2 laser excisional conization for cervical intraepithelial neoplasia under local anesthesia.

AIM AND OBJECTIVE: To evaluate the feasibility of CO2 laser excisional conization in patients with cervical intraepithelial neoplasia (CIN) in an outpatient setting under local anesthesia. DESIGN: A prospective study of women with cervical intraepithelial neoplasia over one year recording early and late complications, cure rate, and patients' compliance. The procedure was performed with a Coherent CO2 laser connected to the colposcope with a micromanipulator. The equipment attaining 19,700 W/cm2, spot diameter 0.43 mm, focus distance 300 mm, and continuous beam. RESULTS: The material included 81 women. Seventy-eight women were treated as outpatients, while three women were admitted for 24 hours observation due to surgical and technical complications during the treatment. Sixty-six percent of the women had bleeding less than 10 ml during the treatment. One woman was admitted 24 hours after surgery due to bleeding requiring suturing. Median operation-time was 11 minutes (range 3-60). All specimens contained CIN. In 76% of the cases the pre- and postoperative diagnosis were identical. Twelve specimens had CIN in one or both margins. Abnormal cytology after conization was found in three cases (4.2%). High patient compliance was found as 92% of the treated women would choose the same kind of treatment if it had to be repeated. CONCLUSION: High success rate, few complications and high patient compliance make the procedure adequate as a routine procedure in treatment and diagnosis of CIN.

Adult↗
PubMed1992

[Acceptance of ambulatory laser conization under local anesthesia by Danish women].

The aim of the study was to evaluate the acceptability of CO2 laser excisional conization for cervical intraepithelial neoplasia under local anaesthesia in an outpatient setting. Seventy-seven patients, who underwent this procedure, were interviewed three months later concerning pain during treatment, pain and bleeding in the immediate postoperative period, and their general opinion about this procedure. The median duration of surgery was 11 minutes. The postoperative median observation time was 90 minutes. Seventy-one women experienced no discomfort during treatment. Thirty-one patients needed mild analgesics for an average of three days. Bleeding continued for a mean of 7.7 days after treatment and 73% experienced the bleeding as less, 8% as more as compared to menstrual bleeding. Ninety-two percent of the women would prefer this procedure if they had to undergo conization once again. In conclusion, we found a high acceptability in women treated with CO2 laser excisional conization under local anaesthesia in an outpatient setting.

Adult↗