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HEALTHCARE QUALITY & EVIDENCE BASED MEDICINE

We are undertaking a rigorous nationwide investigation utilizing electronic health records (EHR) and conducting systematic reviews aimed at evaluating evidence-based medical practices, healthcare quality, and adherence to clinical guidelines in patient care. Our primary focus is on the field of pediatric infectious diseases and atopic diseases.

 

The upcoming FinnATOPY project will be uniquely oriented towards an in-depth exploration of conditions related to asthma, allergies, and various other atopic diseases. For further insights into this enterprise, please refer to the additional resources provided.

Bilbery (wild "European" blueberry) © Péter Csonka

Recent Publications
(Healthcare Quality & EBM)

  • Hamelmann E, Csonka P, Roberts G, Vogelberg C, Cichocka-Jarosz E, Just J, Jeseňák M. High burden of respiratory allergy in children warrants early identification and treatment with allergen immunotherapy. Respir Med. 2024 Sep 24:107812. doi: 10.1016/j.rmed.2024.107812.

  • Lee B, Turner S, Borland M, Csonka P, Grigg J, Guilbert TW, Jartti T, Oommen A, Twynam-Perkins J, Lewis S, Cunningham S. Efficacy of oral corticosteroids for acute preschool wheeze: a systematic review and individual participant data meta-analysis of randomised clinical trials. Lancet Respir Med. 2024 Mar 22:S2213-2600(24)00041-9. doi: 10.1016/S2213-2600(24)00041-9.

  • Csonka P, Hamelmann E, Turkalj M, Roberts G, Mack DP. SQ sublingual immunotherapy tablets for children with allergic rhinitis: A review of phase three trials. Acta Paediatr. 2024 Mar 26. doi: 10.1111/apa.17221.

  • Poutanen R, Korppi M, Csonka P, Pauniaho S-L, Renko M, Palmu S. Use of antibiotics contrary to guidelines in children's lower respiratory tract infections in different health care settings. Eur J Pediatr. 2023. doi: 10.1007/s00431-023-05099-6.

  • Korppi M, Palmu S, Heikkilä P, Csonka P. Antibiotic prescriptions for child sinusitis varied between specialties after Finnish guidelines were updated in 2018. Acta Paediatr. 2023;112:1041-1048. doi: 10.1111/apa.16641

  • Csonka P, Palmu S, Heikkilä P, Huhtala H, Korppi M. Outpatient Antibiotic Prescribing for 357,390 Children with otitis media. Pediatr Infect Dis J. 2022;41:947-952. doi: 10.1097/INF.0000000000003693

  • Nikkilä A, Lohi O, Nieminen N, Csonka P. Trends in ferritin measurements in children and adolescents: a Finnish 9-year observational study. Acta Paediatr. 2022;111:1933-1940. doi: 10.1111/apa.16454

  • Korppi M, Heikkilä P, Palmu S, Huhtala H, Csonka P. Antibiotic prescribing for children with upper respiratory tract infection: a Finnish nation-wide 7-year observational study. Eur J Pediatr. 2022;181:2981-2990. doi: 10.1007/s00431-022-04512-w

  • Korppi M, Heikkilä P, Palmu S, Huhtala H, Csonka P. Antibiotic prescriptions for children with lower respiratory tract infections fell from 2014-2020 but misuse was still an issue. Acta Paediatr. 2022;111:1230-1237. doi: 10.1111/apa.16323

  • Csonka P, Korppi M. Electronic health record databases provide a platform for intervention studies. Acta Paediatr. 2022;111:1104-1106. doi: 10.1111/apa.16329.

  • Csonka P, Heikkilä P, Koskela S, Palmu Sauli, Lajunen N, Riihijärvi S, Huhtala H, Korppi M. Cough and cold medicine prescription rates can be significantly reduced by active intervention. Eur J Pediatr. 2022;181:1531-1539. doi: 10.1007/s00431-021-04344-0

  • Palmu S, Heikkilä P, Kivistö JE, Poutanen R, Korppi M, Renko M, Csonka P. Cough medicine prescriptions for children were significantly reduced by a systematic intervention that reinforced national recommendations. Acta Paediatr. 2022;111:1248-1249. doi: 10.1111/apa.16284

  • Poutanen R, Virta T, Heikkilä P, Pauniaho Satu-Liisa, Csonka P, Korppi M, Renko M, Palmu S. National Current Care Guidelines for paediatric lower respiratory tract infections reduced the use of chest radiographs but local variations were observed. Acta Paediatr. 2021;110:1594-1600. doi: 10.1111/apa.15692

  • Kivistö J, Poutanen R, Protudjer JL, Csonka P, Korppi M, Renko M, Palmu S. Current Care Guidelines had no immediate effects on antitussive prescriptions to Finnish children. Acta Paediatr. 2021;110:2445-2447. doi: 10.1111/apa.15829

  • Csonka P, Tapiainen T, Mäkelä M, Lehtimäki L. Heterogeneity of emergency treatment practices in wheezing preschool children. Acta Paediatr. 2021;110:2448-2454. doi: 10.1111/apa.15915

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