The position of Chief Editor (CE) of Acta Obtetricia et Gynecologica Scandinavica (AOGS) will be vacant from October 1, 2024. The initial appointment of the CE will be for 4 years with a possibility for extension for another 2-4 years (total period in the position cannot exceed 8 years).
AOGS is the official journal of the Nordic Federation of Societies of Obstetrics and Gynecology (NFOG), a federation of the five national societies of obstetricians and gynecologists in Denmark, Norway, Finland, Iceland, and Sweden. The Chief Editor of AOGS is appointed by the NFOG Board.
AOGS is one of the eldest journals in our specialty (founded in 1921) with its own legacy and a solid fundament. In 2021, AOGS celebrated it centenary by transiting to open access (OA) publishing. During the recent years, the journal has undergone a series of changes to improve its quality, impact, and visibility. Its current impact factor (IF) is 4.3. It has a distinguished International Editorial Board and a worldwide distribution and readership.
The current Chief Editor (CE) is supported by a full-time Editorial manager, a Deputy Chief Editor, 15 Associate Editors and one Assistant Chief Editor. The CE has the full responsibility for all editorial matters related to day to day running of the journal and is expected to advance the ranking and reputation of AOGS internationally working in close collaboration with other Editors and the publisher (currently Wiley Blackwell), and with the support of the NFOG Board.
The new CE is expected to develop short and long-term strategy for the development and growth of the journal, handle all matters related to manuscripts submitted to AOGS for consideration for publication including evaluation, peer-review, and final decision to publish (or reject), issue allocation, proof-reading, and any other matters arising before or after publications (e.g., handling complaints, allegation of misconducts and ethical issues). Additionally, the CE will arrange and conduct the editorial board meetings (2 per year), support editors in their work, and contribute towards their continuing professional development.
The CE is expected to devote the equivalent of 50 % (18-20 hours/week) of a full-time position to the journal. NFOG will compensate for this work with an honorarium. Additionally, the CE will be reimbursed for traveling expenses to attend two editorial board meetings and other professional meetings/conferences. Conditions of this compensation will be discussed and terms of the payment of honorarium will be negotiated with the successful applicant before signing a contract.
The applicants are requested to submit their application and curriculum vitae including a statement on their vision and measures they plan to implement to advance the international standing and scientific impact of AOGS. In addition, applicants should provide documentation to support their application and qualifications. Deadline for application is March 10th, 2024.
Introduction: To reduce the risk of avoidable damage to the patient when training surgeons, one must predefine what standards to achieve, as well as supervise and monitor trainees' performance. The aim of this study is to establish a quality reference, to devise comprehensive tension-free vaginal tape (TVT) learning curves and to compare trainees' results to our quality reference.
Material and methods: Using the Swedish National Quality Register for Gynecologic Surgery, we devised TVT learning curves for all Swedish TVT trainees from 2009 to 2017, covering their first 50 operations. These outcomes were compared with the results of Sweden's most experienced TVT surgeons for 14 quality variables.
Conclusions: There is a learning curve for several secondary outcomes but the small effect size makes it improbable that the difference has clinical significance. Our national Swedish results show that it is possible to train new TVT surgeons without exposing patients to noteworthy extra risk and achieve results which are equivalent to the most experienced Swedish surgeons.
Introduction: Smoking cessation, both pre- and postoperatively, is important to reduce complications associated with surgery. Identifying feasible and effective means of alerting the patient before surgery to the importance of perioperative smoking cessation is a challenge to healthcare systems.
Material and methods: A randomized registry-based trial using the web-version of the Swedish national quality register for gynecological surgery, GynOp, was performed (ClinicalTrials.gov NCT03942146). Current smokers scheduled for gynecological surgery were randomly assigned before surgery to group 1 (control group, no specific information), group 2 (web-based written information), group 3 (information to doctor that the woman was a smoker and should be recommended smoking cessation or group 4 (a combination of groups 2 and 3). Perioperative smoking habits were evaluated in a postoperative questionnaire 2 months after surgery. The treatment effect was estimated to be a 15% reduction in the number of smokers at the time of surgery. Thus, 94 women in each group were required, in total 376 women, using a one-sided test with an alpha level of 0.001 and a statistical power of 80%.
Conclusions: A combination of written information in the health declaration and a recommendation from a doctor regarding smoking cessation may be associated with higher odds of smoking cessation at 1-3 weeks pre- and postoperatively.
Pelvic organ prolapse (POP) surgery is a common gynecological procedure. Our aim was to assess the influence of obesity and other risk factors on the outcome of anterior and posterior colporrhaphy with and without mesh. Data were retrieved from the Swedish National Register for Gynecological Surgery on 18,554 women undergoing primary and repeat POP surgery without concomitant urinary incontinence (UI) surgery between 2006 and 2015. Multivariate logistic regression analyses were used to identify independent risk factors for a sensation of a vaginal bulge, de novo UI, and residual UI 1 year after surgery. The overall subjective cure rate 1 year after surgery was 80% (with mesh 86.4% vs 77.3% without mesh, p < 0.001). The complication rate was low, but was more frequent in repeat surgery that were mainly mesh related. The use of mesh was also associated with more frequent de novo UI, but patient satisfaction and cure rates were higher compared with surgery without mesh. Preoperative sensation of a vaginal bulge, severe postoperative complications, anterior colporrhaphy, prior hysterectomy, postoperative infections, local anesthesia, and body mass index (BMI) 30 were risk factors for sensation of a vaginal bulge 1 year postsurgery. Obesity had no effect on complication rates but was associated increased urinary incontinence (UI) after primary surgery. Obesity had no influence on cure or voiding status in women undergoing repeat surgery. Obesity had an impact on the sensation of a vaginal bulge and the presence of UI after primary surgery but not on complications.
BACKGROUND: Studies on the influence of body mass index, smoking, and mode of delivery on the occurrence of urinary incontinence after hysterectomy are required to provide women with information about how these factors influence continence after a hysterectomy.
OBJECTIVE: The aim was to assess the impact of lifestyle factors such as body mass index, smoking, and delivery mode (vaginal/cesarean) on the incidence and remission of urinary incontinence after hysterectomy.
STUDY DESIGN: This was a cohort study based on pre-, per-, and postoperative (1 year) data retrieved from the Swedish National Register for Gynecological Surgery on 16,182 hysterectomies performed because of a benign indication between 2006 and 2013. Multivariable logistic regression analyses were used to identify independent risk factors for de novo urinary incontinence and postoperative remission of urinary incontinence, presented as adjusted odds ratios with 95% confidence intervals.
CONCLUSION: Vaginal delivery, obesity, and daily urge symptoms without incontinence prior to surgery increased de novo urinary incontinence and had a negative influence on the rate of remission of urinary incontinence after hysterectomy, which in turn influenced patients' satisfaction with surgery.
The aim of this study was to study the impact of body mass index (BMI) and smoking on the outcome of hysterectomy and whether effects of these factors vary between abdominal, laparoscopic and vaginal hysterectomy.
Pre-, per- and postoperative (8 weeks) data were retrieved from the Swedish National Register for Gynecological Surgery on 28 537 hysterectomies performed because of a benign indication between 2004 and 2013. Multivariable logistic regression analyses were used to identify independent factors affecting the rate of complications, presented as adjusted odds ratios (adjOR) with 95% confidence intervals (CI).
Body mass index and smoking had a negative effect with all hysterectomy approaches but to a lesser extent in vaginal and laparoscopic hysterectomies. This should be taken into consideration in advance of surgery to improve outcome.
Introduction and hypothesis: The aim of this observational study was to investigate the influence of body mass index (BMI) smoking and age on the cure rate, rate of complications and patient satisfaction with mid-urethral sling (MUS) procedures.
INTRODUCTION AND HYPOTHESIS: Although midurethral slings have become standard surgical methods to treat stress urinary incontinence (SUI), little is known about women who still have urinary incontinence (UI) after surgery. This study assesses and compares the patient-reported outcome 12 months after tension-free vaginal tape (TVT), tension-free vaginal tape-obturator (TVT-O), and transobturator tape (TOT), with a special focus on women who still have urinary leakage postoperatively.
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