{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T23:56:27Z","timestamp":1777938987643,"version":"3.51.4"},"reference-count":32,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2023,6,28]],"date-time":"2023-06-28T00:00:00Z","timestamp":1687910400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,6,28]],"date-time":"2023-06-28T00:00:00Z","timestamp":1687910400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100008376","name":"Helsingin ja Uudenmaan Sairaanhoitopiiri","doi-asserted-by":"publisher","award":["Helsinki University Hospital Research Grants"],"award-info":[{"award-number":["Helsinki University Hospital Research Grants"]}],"id":[{"id":"10.13039\/100008376","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Scand J Surg"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background and objective:<\/jats:title>\n                    <jats:p>Gallbladder cancer (GBC) is a rare malignancy in the Nordic countries and no common Nordic treatment guidelines exist. This study aimed to characterize the current diagnostic and treatment strategies in the Nordic countries and disclose differences in these strategies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This was a survey study with a cross-sectional questionnaire of all 19 university hospitals providing curative-intent surgery for GBC in Sweden, Norway, Denmark, and Finland.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>In all Nordic countries except Sweden, neoadjuvant\/downstaging chemotherapy was used in GBC patients. In T1b and T2, majority of the centers (15\u201318\/19) performed extended cholecystectomy. In T3, majority of the centers (13\/19) performed cholecystectomy with resection of segments 4b and 5. In T4, majority of the centers (12\u201314\/19) chose palliative\/oncological care. The centers in Sweden extended lymphadenectomy beyond the hepatoduodenal ligament, whereas all other Nordic centers usually limited lymphadenectomy to the hepatoduodenal ligament. All Nordic centers except those in Norway used adjuvant chemotherapy routinely for GBC. There were no major differences between the Nordic centers in diagnostics and follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The surgical and oncological treatment strategies of GBC vary considerably between the Nordic centers and countries.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/14574969231181228","type":"journal-article","created":{"date-parts":[[2023,6,28]],"date-time":"2023-06-28T06:27:36Z","timestamp":1687933656000},"page":"147-156","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Practice patterns in diagnostics, staging, and management strategies of gallbladder cancer among Nordic tertiary centers"],"prefix":"10.1177","volume":"112","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1289-2523","authenticated-orcid":false,"given":"Sini","family":"Takala","sequence":"first","affiliation":[{"name":"Transplantation and Liver Surgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0039-6554","authenticated-orcid":false,"given":"Kristoffer","family":"Lassen","sequence":"additional","affiliation":[{"name":"Department of HPB Surgery, University Hospital of Oslo at Rikshospitalet, Oslo, Norway; Institute of Clinical Medicine, University of Troms\u00f8, Troms\u00f8, Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kjetil","family":"S\u00f8reide","sequence":"additional","affiliation":[{"name":"HPB Unit, Department of Gastrointestinal Surgery, Stavanger University Hospital, Stavanger, Norway"},{"name":"Department of Clinical Medicine, University of Bergen, Bergen, Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ernesto","family":"Sparrelid","sequence":"additional","affiliation":[{"name":"Division of Surgery, Department of Clinical Science, Intervention, and Technology, Karolinska Institute, Karolinska University Hospital, Stockholm, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jon-Helge","family":"Angelsen","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery, Haukeland University Hospital, Bergen, Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erling A.","family":"Bringeland","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway"},{"name":"Department of Clinical and Molecular Medicine, Faculty of Medicine and Health Sciences, NTNU\u2014Norwegian University of Science and Technology, Trondheim, Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5274-7726","authenticated-orcid":false,"given":"Malin S.","family":"Eilard","sequence":"additional","affiliation":[{"name":"Department of Surgery, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Transplantation Center, Sahlgrenska University Hospital, Gothenburg, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oskar","family":"Hemmingsson","sequence":"additional","affiliation":[{"name":"Department of Surgical and Perioperative Sciences\/Surgery, Ume\u00e5 University, Ume\u00e5, Sweden; Wallenberg Centre for Molecular Medicine, Ume\u00e5 University, Ume\u00e5, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bengt","family":"Isaksson","sequence":"additional","affiliation":[{"name":"Department of Surgical Sciences, Uppsala University, Uppsala, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heikki","family":"Karjula","sequence":"additional","affiliation":[{"name":"Department of Surgery, Oulu University Hospital, Oulu, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jukka-Pekka","family":"Lammi","sequence":"additional","affiliation":[{"name":"Department of Surgery, Kuopio University Hospital, Kuopio, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter N.","family":"Larsen","sequence":"additional","affiliation":[{"name":"Department of Surgical Gastroenterology and Transplantation, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maija","family":"Lavonius","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery, Turku University Hospital and University of Turku, Turku, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gert","family":"Lindell","sequence":"additional","affiliation":[{"name":"Department of Surgery, Sk\u00e5ne University Hospital, Lund, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frank V.","family":"Mortensen","sequence":"additional","affiliation":[{"name":"Department of Surgery, Aarhus University Hospital, Aarhus, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kim","family":"Mortensen","sequence":"additional","affiliation":[{"name":"Department of Gastrointestinal Surgery, University Hospital North Norway, Troms\u00f8, Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arno","family":"Nordin","sequence":"additional","affiliation":[{"name":"Transplantation and Liver Surgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Torsten","family":"Pless","sequence":"additional","affiliation":[{"name":"Department of Surgery, Odense University Hospital, Odense, Denmark"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8078-9528","authenticated-orcid":false,"given":"Per","family":"Sandstr\u00f6m","sequence":"additional","affiliation":[{"name":"Department of Surgery and Biomedical and Clinical Sciences, University Hospital of Link\u00f6ping, Link\u00f6ping, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oddvar","family":"Sandvik","sequence":"additional","affiliation":[{"name":"HPB Unit, Department of Gastrointestinal Surgery, Stavanger University Hospital, Stavanger, Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yrj\u00f6","family":"Vaalavuo","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Alimentary Tract Surgery, Tampere, Finland; 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