Use of complementary medicine and its association with SARS-CoV-2 vaccination during the COVID-19 pandemic: a longitudinal cohort study
CONCLUSION: While complementary medicine is increasingly used, it is rarely discussed with primary care physicians. Complementary medicine use, especially for COVID-19 prevention, is associated with COVID-19 vaccination status. Communication between physicians, patients, and complementary medicine therapists is encouraged to facilitate a truly holistic approach to making a shared decision based on the best available information.PMID:38579302 | DOI:10.57187/s.3505 (Source: Swiss Medical Weekly)
Source: Swiss Medical Weekly - April 5, 2024 Category: General Medicine Authors: Mayssam Nehme Olivia Braillard Pierre-Yves Rodondi Idris Guessous Source Type: research

Prognostic impact of carotid plaque imaging using total plaque area added to SCORE2 in middle-aged subjects: the ARteris Cardiovascular Outcome (ARCO) cohort study
CONCLUSIONS: Integration of TPA post-test risk into SCORE2 adds prognostic information, supporting the use of carotid ultrasound when assessing ASCVD risk in subjects aged 40-65 years.PMID:38579303 | DOI:10.57187/s.3735 (Source: Swiss Medical Weekly)
Source: Swiss Medical Weekly - April 5, 2024 Category: General Medicine Authors: Michel Romanens Ansgar Adams Michel Wenger Walter Warmuth Isabella Sudano Source Type: research

Glycaemic outcomes in adults with type 1 diabetes transitioning towards advanced automated insulin delivery systems - a real-world analysis at a Swiss tertiary centre
CONCLUSIONS: Glucose levels significantly improved when transitioning from a (P)LGS to a hybrid-closed loop. Glucose levels improved further when switching from a hybrid-closed loop to an advanced hybrid-closed loop. However, the added benefit of an advanced hybrid-closed loop was comparably smaller. This pattern was also reflected in the subgroup analysis.PMID:38579305 | DOI:10.57187/s.3501 (Source: Swiss Medical Weekly)
Source: Swiss Medical Weekly - April 5, 2024 Category: General Medicine Authors: Vera Lehmann Franco Noti Markus Laimer Christoph Stettler Thomas Z üger Source Type: research

Historic characteristics and mortality of patients in the Swiss Amyloidosis Registry
CONCLUSION: During registry set-up, a more comprehensive work-up of our patients suffering mainly from light-chain amyloidosis and transthyretin amyloidosis was implemented. Survival rates were remarkably high and similar between light-chain amyloidosis and transthyretin amyloidosis, a finding which was noted in similar historic registries of international centres. However, further studies are needed to depict morbidity and mortality as the amyloidosis landscape is changing rapidly.PMID:38579306 | DOI:10.57187/s.3485 (Source: Swiss Medical Weekly)
Source: Swiss Medical Weekly - April 5, 2024 Category: General Medicine Authors: Sofie Brouwers Raphael Heimgartner Natallia Laptseva Adriano Aguzzi Niklas F Ehl Thomas Fehr Felicitas Hitz Hans H Jung Joel K älin Markus G Manz Beat M üllhaupt Frank Ruschitzka Harald Seeger Georg Stussi Markus Zweier Andreas J Flammer Bernhard Gerber Source Type: research

Palliative sedation - revised recommendations
Swiss Med Wkly. 2024 Feb 15;154:3590. doi: 10.57187/s.3590.ABSTRACTPalliative sedation is defined as the monitored use of medications intended to induce a state of decreased or absent awareness (unconsciousness) to relieve the burden of otherwise intractable suffering in a manner ethically acceptable to the patient, their family, and healthcare providers. In Switzerland, the prevalence of continuous deep sedation until death increased from 4.7% in 2001 to 17.5% of all deceased in 2013, depending on the research method used and on regional variations. Yet, these numbers may be overestimated due to a lack of understanding of...
Source: Swiss Medical Weekly - April 5, 2024 Category: General Medicine Authors: Michel Beauverd Marta Mazzoli Josiane Pralong Martyna Tomczyk Steffen Eychm üller Jan Gaertner Source Type: research

An economic evaluation of an early palliative care intervention among patients with advanced cancer
CONCLUSION: Although early palliative care is often presented as a cost-reducing care service, we could not show a significant effect of the SENS intervention on health care utilisation and costs in the last month of life. However, it may be that the intervention was not intensive enough, the timeframe too short or the study population too small for measurable effects. Patients appreciated the intervention. Single-structured early palliative care interventions are easy to implement in clinical practice and present low treatment costs. Further research about the economic impact of early palliative care should focus on extra...
Source: Swiss Medical Weekly - April 5, 2024 Category: General Medicine Authors: Maud Maessen Monica C Fliedner Brigitta Gahl Marina Maier Daniel M Aebersold Susanne Zwahlen Steffen Eychm üller Source Type: research

Investigations of an increased incidence of non-Aspergillus invasive mould infections in an onco-haematology unit
CONCLUSIONS: We report a significant increase in non-Aspergillus mould infections, and mainly in mucormycosis infections, since 2017. There seems to be a multifactorial origin to this increase. Epidemiological trends of invasive mould infections should be carefully monitored in onco-haematology units in order to implement potential corrective measures.PMID:38579310 | DOI:10.57187/s.3730 (Source: Swiss Medical Weekly)
Source: Swiss Medical Weekly - April 5, 2024 Category: General Medicine Authors: Elisavet Stavropoulou Anne Huguenin Giorgia Caruana Onya Opota Nancy Perrottet Dominique S Blanc Bruno Grandbastien Laurence Senn Pierre-Yves Bochud Frederic Lamoth Source Type: research

Stepwise implementation of an enhanced recovery pathway for elective total hip arthroplasty in a Swiss hospital: a cohort study
CONCLUSIONS: Almost all parameters examined in this study showed improvement, whereas the rate of adverse events was not affected and remained low. The presented data can be used as a benchmark, but details of these findings need to be confirmed in larger cohorts.PMID:38579311 | DOI:10.57187/s.3537 (Source: Swiss Medical Weekly)
Source: Swiss Medical Weekly - April 5, 2024 Category: General Medicine Authors: Simon Heinrich Simon Gratza Anke Eckardt Thomas Ilchmann Source Type: research

A cohort study of patients hospitalised with SARS-CoV-2 infection in Ontario: patient characteristics and outcomes by wave
CONCLUSION: Throughout the pandemic, sociodemographic characteristics of patients hospitalised with SARS-CoV-2 changed over time, particularly in terms of ethnic diversity, but still disproportionately affected patients from more marginalised regions. Improved survival and reduced use of critical care during the Omicron wave are reassuring.PMID:38579312 | DOI:10.57187/s.3636 (Source: Swiss Medical Weekly)
Source: Swiss Medical Weekly - April 5, 2024 Category: General Medicine Authors: Steven Habbous Anna Lambrinos Kirsten Ming Erik Hellsten Source Type: research

Evaluation of a surveillance system for Clostridioides difficile infections for Swiss hospitals
CONCLUSION: This study underscores the importance of a joint effort towards standardized surveillance practices in providing comprehensive insights into C. difficile infection epidemiology and effective prevention strategies in Swiss healthcare settings. The patient-related approach remains the gold standard for C. difficile infection surveillance, although it demands substantial resources and provides results only annually. The proposed implementation of nationwide automated laboratory-based surveillance would be pragmatic and efficient, empowering authorities and hospitals to detect outbreaks promptly and to correlate in...
Source: Swiss Medical Weekly - April 5, 2024 Category: General Medicine Authors: Ana Durovic Alexandra Ursula Scherrer David Widmer Andreas F Widmer Source Type: research

Hospital incidence, mortality, and gender disparities in patients treated for type A aortic dissections in Switzerland - a secondary data analysis of Swiss DRG statistics
CONCLUSIONS: Hospital incidence rates for the treatment of type A aortic dissection increased in both sexes over the observed decade. The mortality rate was significantly higher in women than it was in men, but it decreased in both sexes. TAAD remains a cardiovascular emergency with a high mortality rate even after emergency surgery.PMID:38579314 | DOI:10.57187/s.3499 (Source: Swiss Medical Weekly)
Source: Swiss Medical Weekly - April 5, 2024 Category: General Medicine Authors: Lorenz Meuli Benedikt Reutersberg Petar Risteski Omer Dzemali Alexander Zimmermann Source Type: research

Influenza transmission dynamics quantified from RNA in wastewater in Switzerland
DISCUSSION: Overall, we show that influenza RNA in wastewater can help monitor nationwide influenza transmission dynamics. Based on this research, we developed an online dashboard for ongoing wastewater-based influenza surveillance in Switzerland.PMID:38579316 | DOI:10.57187/s.3503 (Source: Swiss Medical Weekly)
Source: Swiss Medical Weekly - April 5, 2024 Category: General Medicine Authors: Sarah Nadeau Alexander J Devaux Claudia Bagutti Monica Alt Evelyn Ilg Hampe Melanie Kraus Eva W ürfel Katrin N Koch Simon Fuchs Sarah Tschudin-Sutter Aur élie Holschneider Christoph Ort Chaoran Chen Jana S Huisman Timothy R Julian Tanja Stadler Source Type: research

Characteristics of long-survivor metastatic melanoma after polychemotherapy and interferon: a retrospective study
CONCLUSIONS: A subset of patients with metastatic melanoma and a tumour-inflamed phenotype treated with CVD-INF survived over two years. Factors associated with prolonged survival are consistent with those previously reported in metastatic melanoma.PMID:38579317 | DOI:10.57187/s.3504 (Source: Swiss Medical Weekly)
Source: Swiss Medical Weekly - April 5, 2024 Category: General Medicine Authors: C éline Py Claudio De Vito Petros Tsantoulis G ürkan Kaya Sana Intidhar Labidi-Galy Pierre-Yves Dietrich Source Type: research

A discrete choice experiment on price and flavour effects on the appeal of nicotine products: a pilot study among young adults in Switzerland
CONCLUSIONS: Our Discrete Choice Experiment suggests that, for the Swiss context, limiting the availability of flavours for alternative smoking products has the potential to reduce their appeal to non-smokers by 86% and that a small but significant increase in prices to CHF 15 for cigarettes, ENDS and HTS could lead to a major (around 66%) decrease in their appeal.PMID:38579318 | DOI:10.57187/s.3733 (Source: Swiss Medical Weekly)
Source: Swiss Medical Weekly - April 5, 2024 Category: General Medicine Authors: Larissa Merz Milo A Puhan Miquel Serra-Burriel Source Type: research

The funding of specialised paediatric palliative care in Switzerland: a conceptualisation and modified Delphi study on obstacles and priorities
CONCLUSION: Decision- and policy-makers hoping to further develop and expand SPPC in Switzerland should be aware that current funding models are highly complex and that SPPC funding is impeded by many obstacles. Considering the steadily rising prevalence of children with life-limiting conditions and the proven benefits of SPPC, improvements in funding models are urgently needed to ensure that the needs of this highly vulnerable population are adequately met.PMID:38579319 | DOI:10.57187/s.3498 (Source: Swiss Medical Weekly)
Source: Swiss Medical Weekly - April 5, 2024 Category: General Medicine Authors: Stefan Mitterer Karin Zimmermann G ünther Fink Michael Simon Anne-Kathrin Gerber Eva Bergstr ässer Source Type: research