Kjetil Søreide

University of Bergen, Bergen, Hordaland, Norway

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Publications (158)475.13 Total impact

  • K Søreide
    British Journal of Surgery 09/2015; 102(10):1151-2. DOI:10.1002/bjs.9890 · 5.21 Impact Factor
  • Jon K. Narvestad · Kjetil Søreide
    Journal of Trauma and Acute Care Surgery 06/2015; 78(6):1236. DOI:10.1097/TA.0000000000000536 · 1.97 Impact Factor
  • Kjetil Søreide
    American journal of surgery 05/2015; DOI:10.1016/j.amjsurg.2014.11.020 · 2.41 Impact Factor
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    Kjetil Søreide
    Injury 05/2015; 46(5):827-829. DOI:10.1016/j.injury.2015.03.034 · 2.46 Impact Factor
  • T Veen · K Stormark · B S Nedrebø · M Berg · J A Søreide · H Kørner · Kjetil Søreide
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    ABSTRACT: In patients with a high life expectancy at the time of surgery for colorectal cancer (CRC), the long-term outcome may be influenced by factors other than their cancer. We aimed to investigate the long-term outcome and cause of death beyond a 5-year surveillance programme. We evaluated the overall survival (OS) and cancer-specific survival (CSS) of a population-based cohort of stage I-III CRC patients <75 years old who completed a systematic surveillance programme. In total, 161 patients <75 years old, 111 (69 %) of whom were node negative (pN0), were included. The median follow-up time was 12.1 years. The OS was 54 % at 15 years and differed significantly between the pN0 and pN+ patients (65 vs. 30 %; P < 0.001); CSS (72 %) also differed between the pN0 and pN+ patients (85 vs. 44 %; P < 0.001). For the 5-year survivors (n = 119), 14 (12 %) died of CRC during additional long-term follow-up (7 each for pN0 and pN+), and 6 patients (5 %; all pN0) died of other cancers. Patients aged <65 years exhibited better long-term survival (81 %), but most of the deaths were due to CRC (10/12 deaths). Only two of the 14 cancer-related deaths involved microsatellite instable (MSI) CRC. Females exhibited better OS and CSS beyond 5 years of surveillance. The long-term survival beyond 5-year survivorship for stage I-III CRC is very good. Nonetheless, cancer-related deaths are encountered in one-third of patients and occur most frequently in patients who are <65 years old at disease onset-pointing to a still persistent risk several years after surgery.
    Journal of Gastrointestinal Cancer 04/2015; 46(3). DOI:10.1007/s12029-015-9723-2 · 0.38 Impact Factor
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    ABSTRACT: The increasing incidence of prosthesis revision surgery in the Western world has led to an increased focus on the capacity for stem removal. We previously reported on a femoral stem implanted in goats with an approximate 15% reduction in retention force by drilling longitudinally orientated grooves on the side of the stem. In this current study, we aimed to histologically evaluate the bony apposition towards this stem and correlate this apposition with the pullout force. We analyzed the femora of 22 goats after stem removal. All stems remained in place for 6 months, and the goats were allowed regular loading of the hip during this time. For histological evaluation, all femora were immersed in EDTA and decalcified until sufficiently soft for standard technique preparation. We evaluated bone apposition, the presence of foreign particle debris and other factors. The apposition was evaluated with a scoring system based on semi-quantitative bone apposition in four quadrants. Kappa statistics were calculated for the score. We correlated the retention force with the amount of bone apposition. The stem drilling was the only significant factor influencing the retention force (p = 0.020). The bone apposition Kappa score comparing poor and good apposition scores was fair (κ = 0.4, 95% CI 0.00-0.88). Signs of foreign body reaction were noted in 5 of 22 goats. Based on the current findings in an experimental goat model, it appears that the effect of drilling tissue/bone out of the longitudinal grooves has a more significant impact on the retention force required to remove the stem than the amount of bone apposition outside the stem grooves. This observation may be further explored in the research of stem designs that are potentially easier to remove.
    BMC Musculoskeletal Disorders 04/2015; 16(1):102. DOI:10.1186/s12891-015-0560-z · 1.90 Impact Factor
  • PLoS ONE 04/2015; 10(4):e0122391. DOI:10.1371/journal.pone.0122391 · 3.23 Impact Factor
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    Dataset: Appendix
  • Kjetil Søreide
    Surgery 03/2015; 158(1). DOI:10.1016/j.surg.2014.12.019 · 3.11 Impact Factor
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    ABSTRACT: Ruptured infrarenal abdominal aortic aneurysms (rAAAs) represent both a life-threatening emergency for the affected patient and a considerable health burden globally. The aim of this study was to investigate the contemporary epidemiology of rAAA in a defined Norwegian population for which both hospital and autopsy data were available. This was a retrospective, single-center population-based study of rAAA. The study includes all consecutively diagnosed prehospital and in-hospital cases of rAAA in the catchment area of Stavanger University Hospital between January 2000 and December 2012. Incidence and mortality rates (crude and adjusted) were calculated using national demographic data. A total of 216 patients with primary rAAA were identified. The adjusted incidence rate for the study period was 11.0 per 100,000 per year (95% confidence interval [CI], 9.6-12.5). Twenty patients died out of the hospital, and 144 of the 196 patients (73%) admitted to the hospital underwent surgery. The intervention rate varied from 48% to 81% during the study period. The adjusted mortality rate was 7.5 per 100,000 per year (95% CI, 6.3-8.8). No differences in the incidence and mortality rates were found in comparing early and late periods. The 90-day standardized mortality ratio for the study period was 37.2 (95% CI, 31.6-43.7). The overall 90-day mortality was 68% (146 of 216 persons) and 51% (74 of 144 persons) for the patients treated for rAAA. We found a stable incidence and mortality rate during a decade. The prehospital death rate was lower (9%), the intervention rate (73%) higher, and the total mortality (68%) lower than in most other studies. Geographic and regional differences may influence the epidemiologic description of rAAA and hence should be taken into consideration in comparing outcomes for in-hospital mortality and intervention rates. Copyright © 2015 Society for Vascular Surgery. Published by Elsevier Inc. All rights reserved.
    Journal of Vascular Surgery 02/2015; 61(5). DOI:10.1016/j.jvs.2014.12.054 · 2.98 Impact Factor
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    Kjetil Søreide · Kari F Desserud
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    ABSTRACT: Becoming old is considered a privilege and results from the socioeconomic progress and improvements in health care systems worldwide. However, morbidity and mortality increases with age, and even more so in acute onset disease. With the current prospects of longevity, a considerable number of elderly patients will continue to live with good function and excellent quality of life after emergency surgical care. However, mortality in emergency surgery may be reported at 15-30%, doubled if associated with complications, and notably higher in patients over 75 years. A number of risks associated with death are reported, and a number of scores proposed for prediction of risk. Frailty, a decline in the physiological reserves that may make the person vulnerable to even the most minor of stressful event, appears to be a valid indicator and predictor of risk and poor outcome, but how to best address and measure frailty in the emergency setting is not clear. Futility may sometimes be clearly defined, but most often becomes a borderline decision between ethics, clinical predictions and patient communication for which no solid evidence currently exists. The number and severity of other underlying condition(s), as well as the treatment alternatives and their consequences, is a complex picture to interpret. Add in the onset of the acute surgical disease as a further potential detrimental factor on function and quality of life ¿ and you have a perfect storm to handle. In this brief review, some of the challenging aspects related to emergency surgery in the elderly will be discussed. More research, including registries and trials, are needed for improved knowledge to a growing health care challenge.
    Scandinavian Journal of Trauma Resuscitation and Emergency Medicine 02/2015; 23(1):10. DOI:10.1186/s13049-015-0099-x · 1.93 Impact Factor
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    Kjetil Søreide
    Scandinavian Journal of Trauma Resuscitation and Emergency Medicine 01/2015; 23(1):1. DOI:10.1186/s13049-014-0079-6 · 1.93 Impact Factor
  • Kjetil Søreide
    Diseases of the Colon & Rectum 01/2015; 58(1):3-5. DOI:10.1097/DCR.0000000000000232 · 3.20 Impact Factor
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    ABSTRACT: Many studies on gastrointestinal stromal tumors (GISTs) derive from tertiary referral centers, but few examine strictly population-based cohorts. Thus, we evaluated the clinical features, surgical treatments, clinical outcomes, and factors predicting the survival of patients with GISTs in a population-based series. Patients with GISTs diagnosed at Stavanger University Hospital over three decades (1980-2012) were analyzed. Data were retrieved from hospital records. Descriptive statistics and survival analyses (Kaplan-Meier) are presented. A limited number of colorectal GISTs (n = 6) restricted most analyses to those with a gastric or small bowel location. Among 66 patients surgically treated for GISTs, 60 patients (91 %) had either a gastric or a small bowel localization. Females comprised 61 %. The median age at diagnosis was 63 (range, 15-88) years. Clinical symptoms were recorded in 43 patients (65 %). Complete tumor resection was achieved in 85 % of the patients. During follow-up, 6 patients were surgically treated for local recurrence or metastatic disease. The median follow-up time was 6.1 years. At last follow-up, 30 patients (46 %) were deceased, 10 of whom died from GISTs. The median overall survival was 10.4 years. For GISTs with a gastric or small bowel location, a 1- and 5-year disease-specific survival of 100 and 96 %, and a relapse-free survival of 96 and 78 % were observed. Male gender, incidental diagnosis, smaller tumor size, a low mitotic rate, an intact pseudocapsule, low-risk categorization, and an early stage were significantly associated with improved outcomes. Surgery in a low-volume, population-based setting yields enhanced long-term disease and recurrence-free survival for patients with GISTs of the stomach or small bowel. Incidental diagnosis, complete tumor resection, and low-risk categorization are good predictors of long-term prognosis.
    World Journal of Surgery 10/2014; 39(2). DOI:10.1007/s00268-014-2824-4 · 2.35 Impact Factor
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    ABSTRACT: Introduction Emergency abdominal surgery outcomes represent an internationally important marker of healthcare quality and capacity. In this study, a novel approach to investigating global surgical outcomes is proposed, involving collaborative methodology using ‘snapshot’ clinical data collection over a 2-week period. The primary aim is to identify internationally relevant, modifiable surgical practices (in terms of modifiable process, equipment and clinical management) associated with best care for emergency abdominal surgery. Methods and analysis This is a multicentre, international, prospective cohort study. Any hospital in the world performing acute surgery can participate, and any patient undergoing emergency intraperitoneal surgery is eligible to enter the study. Centres will collect observational data on patients for a 14-day period during a 5-month window and required data points will be limited to ensure practicality for collaborators collecting data. The primary outcome measure is the 24 h perioperative mortality, with 30-day perioperative mortality as a secondary outcome measure. During registration, participants will undertake a survey of available resources and capacity based on the WHO Tool for Situational Analysis. Ethics and dissemination The study will not affect clinical care and has therefore been classified as an audit by the South East Scotland Research Ethics Service in Edinburgh, Scotland. Baseline outcome measurement in relation to emergency abdominal surgery has not yet been undertaken at an international level and will provide a useful indicator of surgical capacity and the modifiable factors that influence this. This novel methodological approach will facilitate delivery of a multicentre study at a global level, in addition to building international audit and research capacity. Trial registration number The study has been registered with ClinicalTrials.gov (Identifier: NCT02179112).
    BMJ Open 10/2014; 4(10):e006239. DOI:10.1136/bmjopen-2014-006239 · 2.06 Impact Factor
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    Kjetil Søreide · Jon Kristian Narvestad
    Injury 09/2014; 45(9). DOI:10.1016/j.injury.2014.05.002 · 2.46 Impact Factor
  • Dordi Lea · Sven Håland · Hanne R. Hagland · Kjetil Søreide
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    ABSTRACT: Colorectal cancer (CRC) is the third most common cancer worldwide. Survival is largely stage-dependant, guided by the tumor–node–metastases (TNM) system for TNM assessment. Histopathological evaluation, including assessment of lymph node status, is important for correct TNM staging. However, recent updates in the TNM system have resulted in controversy. A continued debate on definitions resulting in potential up- and downstaging of patients, which may obscure survival data, has led the investigators to investigate other or alternative staging tools. Consequently, additional prognostic factors have been searched for using the regular light microscopy. Among the factors evaluated by histopathology include the evaluation of tumor budding and stromal environment, angiogenesis, as well as involvement of the immune system (including the ‘Immunoscore’). We review the current role of histopathology, controversies in TNM-staging and suggested alternatives to better predict outcome for CRC patients in the era of genomic medicine.
    Scandinavian Journal of Gastroenterology 08/2014; 49(10). DOI:10.3109/00365521.2014.950692 · 2.33 Impact Factor
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    ABSTRACT: Background Since the introduction of uncemented hip implants, there has been a search for the best surface coating to enhance bone apposition in order to improve retention. The surface coating of the different stems varies between products. The aim was to assess the retention force and bone adaption in two differently coated stems in a weight-bearing goat model.Materials and methodsHydroxyapatite (HA) and electrochemically deposited calcium phosphate (CP; Bonit®) on geometrically comparable titanium-based femoral stems were implanted into 12 (CP group) and 35 (HA group) goats. The animal model included physiological loading of the implants for 6 months. The pull-out force of the stems was measured, and bone apposition was microscopically evaluated.ResultsAfter exclusion criteria were applied, the number of available goats was 4 in the CP group and 11 in the HA group. The CP-coated stems had significantly lower retention forces compared with the HA-coated ones after 6 months (CP median 47 N, HA median 1,696 N, p¿=¿0.003). Bone sections revealed a lower degree of bone apposition in the CP-coated stems, with more connective tissue in the bone/implant interface compared with the HA group.Conclusion In this study, HA had better bone apposition and needed greater pull-out force in loaded implants. The application of CP on the loaded titanium surface to enhance the apposition of bone is questioned.
    Journal of Orthopaedic Surgery and Research 08/2014; 9(1):69. DOI:10.1186/s13018-014-0069-4 · 1.58 Impact Factor
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    Kjetil Søreide · Oddvar M. Sandvik · Jon A. Søreide
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    ABSTRACT: Patients with colorectal cancer have experienced remarkable progress in a range of surgical and oncologic management strategies over the past few years, with a corresponding improvement in survival. The KRAS mutation may be a biomarker of cancer biology and prognosis, but also reflects patient selection.
    Cancer 08/2014; 120(24). DOI:10.1002/cncr.28979 · 4.90 Impact Factor
  • K Søreide
    British Journal of Surgery 07/2014; 101(8):964-5. DOI:10.1002/bjs.9500 · 5.21 Impact Factor

Publication Stats

1k Citations
475.13 Total Impact Points

Institutions

  • 2007–2015
    • University of Bergen
      • • Department of Clinical Medicine
      • • Department of Surgical Sciences
      • • The Gade Institute
      Bergen, Hordaland, Norway
  • 2005–2014
    • Stavanger University Hospital
      • • Department of Gastrointestinal Surgery
      • • Division of Surgery
      • • Department of Pathology
      Stavenger, Rogaland, Norway
  • 2010
    • University Hospital of North Norway
      • Department of Gastroenterological Surgery
      Tromsø, Troms, Norway
  • 2007–2009
    • University of Stavanger (UiS)
      • Department of Mathematics and Natural Science
      Stavenger, Rogaland, Norway