1. Challenges and opportunities for falls prevention : an online survey across European healthcare professionalsLotta J. Seppala, James Frith, Dawn A. Skelton, Clemens Becker, Hubert Blain, Rose Anne Kenny, Annemiek J. Linn, Jesper Ryg, Solveig A. Arnadottir, Gülistan Bahat, Maria Bonnici, Gregor Veninšek, 2025, izvirni znanstveni članek Povzetek: Purpose: To explore the challenges and opportunities for the implementation of falls preventive services across Europe. Methods: An online cross-sectional survey among healthcare professionals was initiated by the European Geriatric Medicine Society (EuGMS) Special Interest Group on Falls and Fractures containing a Likert scale and multiple-choice questions on education and knowledge, current practices, barriers, and facilitators for falls prevention. Survey participation for healthcare professionals was encouraged by the EuGMS through an email invitation, website banner, and social media. National representatives from 24 countries further promoted it via societies, local networks, and hospital channels. Results: A total of 1669 multidisciplinary healthcare professionals participated from 34 European countries (median 47 years; 75% female; 40.6% physicians (73.3% geriatricians/trainees), 36% physiotherapists, 23.4% other healthcare professionals). Only 26.9% believed their undergraduate education adequately prepared them for clinical practice in this area. A total of 75.8% of respondents reported opportunistically screening older adults for fall risk often or always during consultations. Gait and balance assessment was considered the most important and was the most frequently performed component of the multifactorial fall risk assessment. The top-five barriers were staffing issues, lack of time, older adults' non-adherence to recommended strategies, workload related to falls prevention, and prioritizing other tasks. The top-five facilitators were more time, easy-to-use guidelines, sufficient resources, increased education and training on falls prevention, and increased collaboration. We observed regional and country-level variation in these top barriers and facilitators. Conclusion: This survey highlights the need for improved undergraduate education in falls prevention across Europe. It is essential to educate and engage governmental bodies and insurers to secure their support and prioritization of falls prevention initiatives. Furthermore, enhancing education, addressing older adults' nonadherence, interdisciplinary collaboration and providing easy-to-use guidelines seem crucial for effective implementation. The falls prevention strategy should be tailored to the local context.
Ključne besede: falls prevention, survey, helthcare professionals, geriatric medicine, implementation, injury
Objavljeno v DiRROS: 30.04.2026; Ogledov: 240; Prenosov: 196
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2. Cataract surgical training in Poland : analysis of the European Board of Ophthalmology survey resultsRémi Yaïci, Małgorzata Mirr, Lauriana Solecki, Emilia Koestel, Eugénie Bazarya, Sorcha Ní Dhubhghaill, Massira Melanie Sanogo, François Lefebvre, Wagih Aclimandos, Rimvydas Asoklis, Barbara Cvenkel, 2025, izvirni znanstveni članek Povzetek: Backgrounds/objectives: This study, part of a series, aims to present and analyze the results of the Polish cohort in a European Board of Ophthalmology (EBO) survey on cataract surgical (CS) training in Europe, highlighting national traits and contributing to the discussion on standardizing ophthalmology training. Materials and methods: This study analyses the survey results of Polish participants in the EBO examinations (2018-2022) and compared them with the largest groups of candidates (Germany, France, Swiss and Spain). Results: Out of 144 candidates, 79 (55%) answered the questionnaire. Most (70.9%) had taken the EBO exam between 2021 and 2022, with the vast majority of study participants being women (77.2%) with a median age of 34 years and came from 9 different voivodeships. Notably, 25.4% stated that they had carried out 10 or more training sessions on virtual reality simulator, 13.9% on synthetic eyes and 12.7% on animal eyes. There was a significant difference in the concrete use of SBME (more than ten sessions regardless of the simulation tool) between men and women (55.6% versus 23% respectively, p = 0.008). A notable discrepancy was observed between participants with 10 or more training sessions and those without specific training in four key areas: self-assessed confidence and ability to perform cataract surgery (p = 0.003), handling complications like posterior capsular tear (p < 0.001) and in performing corneal sutures (p = 0.015). Less than half (40.5%) of respondents had not performed any steps of cataract surgery on patients during their residency. Unlike in the EBO results, there were no gender differences found. Discussion: The results show a geographically homogenous group with an overrepresentation of Warsaw. Polish residency training is a hybrid model ensuring that all residents receive uniform surgical training. After completing their residency, Polish ophthalmologists are subsequently categorized into either surgical specialists or clinical practitioners.
Ključne besede: surgical training, simulation, phacoemulsification, survey, Poland, Europe, kirurško usposabljanje, simulacija, fakoemulzifikacija, anketa, Poljska, Evropa
Objavljeno v DiRROS: 10.04.2026; Ogledov: 249; Prenosov: 152
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3. Fellowships across Europe : insights from the European Board of Ophthalmology surveyRémi Yaïci, Helena Prior Filipe, Lauriana Solecki, Lea Dormegny, Emilia Koestel, Sorcha Ní Dhubhghaill, Rimvydas Asoklis, Huban Atilla, Catherine Creuzot-Garcher, Denise Curtin, Barbara Cvenkel, 2026, izvirni znanstveni članek Povzetek: Purpose: Analyse the results of a European Board of Ophthalmology (EBO) survey on post-residency training (fellowship) opportunities across Europe, providing insights from ophthalmic educators on the current landscape. Methods: A cross-sectional study was conducted using an anonymous 31-question online survey distributed to educators in all EBO-affiliated countries. Results: The response rate was 61% with participation of 392 ophthalmic educators. Despite broad participation, Southwestern Europe was overrepresented, while Northern and Central Europe were underrepresented, affecting regional balance. Respondents had a mean age of 51 ± 11 years, with 37.8% as professors and 46.6% as department heads. Most (54.1%) were affiliated with university hospitals. The reported median percentage of residents pursuing post-residency training was 25%, varying between 15% and 100%, with 15.3% of respondents uncertain about their existence, especially in non-university hospitals. Post-residency training durations were predominantly 1 or 2 years. National diplomas were highly valued except in the United Kingdom; language proficiency was required in 84.2% of countries. Respondents reported a median of three positions per department, with 60% filled by local residents. Surgical activity accounted for 65%, with regional variations, whereas 40% of positions involved research. Observerships remained rare (10%). Financial compensation was provided in 67% of cases. A national medical licence was deemed essential, whereas the EBO diploma and letters of recommendation were moderately valued, especially in Northern Europe. Fellowships were highly recommended by 76.2%, while 63% believed that grants would improve access to positions. Conlusion: This survey represents the largest data set on post-residency training in Europe. Results highlight a lack of cohesion in fellowship opportunities, with many respondents uncertain about national programmes. A national medical licence remains the primary requirement, while language proficiency and financial support are key factors influencing access. Institutional support for medical educators is increasing, yet challenges persist regarding time, resources and funding. Focusing on subspecialty training and research, fellowships are crucial for career progression. Expanding training opportunities through international initiatives could further enhance accessibility and standardisation across Europe.
Ključne besede: Europe, fellowship, medical education, ophthalmology, post-residency training, sub-specialisation, survey
Objavljeno v DiRROS: 09.04.2026; Ogledov: 218; Prenosov: 194
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4. State of the art and consensus statements by healthcare providers, patients, and caregivers on continuous glucose monitoring in liver glycogen storage diseasesTerry G. J. Derks, Ruben J. Overduin, Sarah C. Grünert, Alessandro Rossi, 2025, izvirni znanstveni članek Povzetek: Continuous glucose monitoring (CGM) is increasingly used although not officially registered for the management of people liv-ing with liver glycogen storage diseases (GSDs). The aims of this study were twofold: (a) to investigate the current experiencesof healthcare providers (HCPs), patients, and caregivers using CGM to monitor glucose concentrations in liver GSDs, and (b)to formulate consensus statements. Two web-based questionnaires were distributed, one for HCPs and one for patients and/ortheir caregivers. The questionnaires collected data on demographics and epidemiology, current use of CGM, and opinions andstatements about CGM in GSDs. For the statements, respondents rated their agreement on a 5-point Likert scale, and the consen-sus level was set at 75%. One Hundred Fourteen HCPs (including 87 physicians and 26 dietitians) from 28 countries responded,representing care of approximately 3800 liver GSD patients. Additionally, 148 GSD patients and/or their caregivers from 21 coun-tries responded, mainly representing GSD Ia (n = 50), GSD Ib (n = 56), GSD III (n = 14), and GSD IX (n = 18). The median age toconsider starting to use CGM was 6 and 2 months for HCPs and GSD families, respectively. Out of 16 statements common to thetwo questionnaires, HCPs and patients/caregivers reached consensus on 12 statements in both groups. Use of CGM is consideredstandard of care by both HCPs and GSD families, but reimbursement of CGM devices is challenging. Compared to diabetes melli-tus, CGM should be applied differently in liver GSDs. Consensus guidelines are warranted on the use of CGM in liver GSDs, bothin routine healthcare and in clinical trials.This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium,provided the original work is properly cited.© 2025 The Author(s). Journal of Inherited Metabolic Disease published by John Wiley & Sons Ltd on behalf of SSIEM.Terry G. J. Derks and Ruben J. Overduin are shared first authors.Sarah C. Grünert and Alessandro Rossi are shared last authors.The Members of the CGM GSD Collaborators Group are given in Appendix A.Abbreviations: CGM, continuous glucose monitoring; DM, diabetes mellitus; FBS, Fanconi-Bickel syndrome; GSD, glycogen storage disease; HCP, healthcareprovider; SMBG, self-monitoring blood glucose; TAR, time above range; TBR, time below range; TIR, time in range.
Ključne besede: glycemic control, management, rare disease. survey, CGM, GSD, glycogen storage disease
Objavljeno v DiRROS: 09.03.2026; Ogledov: 320; Prenosov: 217
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6. Survey of legislative frameworks and national recommendations governing paediatric maintenance haemodialysis in EuropeEnzo Vedrine, Claus Peter Schmitt, Johan Vande Walle, Diamant Shtiza, Klaus Arbeiter, Evelien Snauwaert, Danka Pokrajac, Gregor Novljan, 2025, izvirni znanstveni članek Povzetek: Background: The application of international recommendations for paediatric maintenance haemodialysis (HD) could be strengthened by national laws or written recommendations. Our aim was therefore to describe the national rules governing paediatric maintenance HD in European countries. Methods: A national representative, approved by the president of each paediatric nephrology society, was contacted in all 42 European countries to complete two online questionnaires. Results: Answers were received from 36 countries. The population served by HD centres varies from 83,000 to 1,197,000 residents below 18 years of age and the estimated mean number of children on HD per centre from 0.2 to 13.5. The lowest age at which a child can be dialysed in an adult centre varies from 0 to 18 years. Laws or written national recommendations specifying: this age, the need for a paediatrician as part of medical team in mixed adult-paediatric centres, the minimum number of doctors per centre and the number of patients per nurse or nurse's aide required during sessions exist in only 25, 22, 22, 44 and 8% of the countries, respectively. Similarly, dietitians, social workers, school service, psychologists and play specialists/youth workers are required by law or written national recommendations in 36, 28, 36, 31 and 14% of countries, respectively. Conclusion: Laws or written national recommendations for paediatric maintenance HD are rare in European countries and very heterogeneous when they exist. This calls for discussion among paediatric and adult nephrologists and health authorities on the organisation of safe and effective paediatric HD practices.
Ključne besede: child, legal status, maintenance haemodialysis, recommendations, survey
Objavljeno v DiRROS: 27.02.2026; Ogledov: 383; Prenosov: 211
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7. Understanding suboptimal insulin use in type 1 and type 2 diabetes : a cross-sectional survey of people with diabetesRachel S. Newson, Esther Artime, Julie Bower, Erik Spaepen, Birong Liao, Indranil Bhattacharya, Tadej Battelino, 2025, izvirni znanstveni članek Povzetek: Purpose: This analysis aimed to document suboptimal insulin dosing (missed or skipped and mistimed basal and/or bolus) in people with diabetes (PwD), including type 1 diabetes (T1D) and type 2 diabetes (T2D). Additionally, barriers and solutions for optimal insulin dosing were explored. Patients and Methods: This multinational, cross-sectional, online survey was conducted in the United States, the United Kingdom, and Germany. Eligible PwD with T1D or T2D used an analog insulin pen. Data were analyzed using descriptive statistics. Results: A total of 1150 PwD (T1D: 300; T2D: 850) were included. Overall, a proportion of PwD reported missing 1 or more basal (48.2%) or bolus dose (59.6%) in the past 30 days. Among those who reported missing doses, the average number [standard deviation] was 3.6 [3.6] basal doses and 4.6 [7.4] bolus doses. PwD reported forgetting, being too busy/distracted, and finding it too complicated or burdensome as key reasons for missed doses. A proportion of PwD reported mistiming 1 or more basal (45.7%) dose or bolus (53.6%) dose in the past 30 days. Among those who reported mistiming doses, the average was 3.9 [4.0] basal and 5.1 [8.1] bolus doses. Key reasons reported for mistiming doses included being too busy or distracted, being out of routine, or having an unexpected or earlier/later-than-expected meal. Conclusion: Suboptimal insulin use is prevalent among PwD, with nearly half of participants reporting missed or mistimed doses in the past 30 days. Results indicate the need for support to help PwD self-manage the complexity of insulin treatment and to improve outcomes due to suboptimal insulin dosing. Such support might include devices that record measurements and dosing and provide feedback.
Ključne besede: diabetes, basal, bolus, suboptimal dosing, missed doses, mistimed doses, cross-sectional survey, suboptimal insulin use, type 2 diabetes, type 1 diabetes
Objavljeno v DiRROS: 24.02.2026; Ogledov: 374; Prenosov: 221
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8. International survey on Phenylketonuria newborn screeningDomen Trampuž, Peter C. J. I. Schielen, Rolf H. Zetterström, Maurizio Scarpa, François Feillet, Viktor Kožich, Trine Tangeraas, Ana Drole Torkar, Matej Mlinarič, Daša Perko, Žiga Iztok Remec, Barbka Repič-Lampret, Tadej Battelino, Urh Grošelj, 2025, izvirni znanstveni članek Povzetek: ewborn screening for Phenylketonuria enables early detection and timely treatment with a phenylalanine-restricted diet to prevent severe neurological impairment. Although effective and in use for 60 years, screening, diagnostic, and treatment practices still vary widely across countries and centers. To evaluate the Phenylketonuria newborn screening practices internationally, we designed a survey with questions focusing on the laboratory aspect of the screening system. We analyzed 24 completed surveys from 23 countries. Most participants used the same sampling age range of 48–72 h; they used tandem mass spectrometry and commercial non-derivatized kits to measure phenylalanine (Phe), and had non-negative cut-off values (COV) set mostly at 120 µmol/L of Phe. Participants mostly used genetic analysis of blood and detailed amino acid analysis from blood plasma as their confirmatory methods and set the COV for the initiation of dietary therapy at 360 µmol/L of Phe. There were striking differences in practice as well. While most participants reported a 48–72 h range for age at sampling, that range was overall quite diverse Screening COV varied as well. Additional screening parameters, e.g., the phenylalanine/tyrosine ratio were used by some participants to determine the screening result. Some participants included testing for tetrahydrobiopterin deficiency, or galactosemia in their diagnostic process. Results together showed that there is room to select a best practice from the many practices applied. Such a best practice of PKU-NBS parameters and post-screening parameters could then serve as a generally applicable guideline.
Ključne besede: phenylketonuria, newborn, neonatal, screening, international, survey, laboratory, methods, cut-off
Objavljeno v DiRROS: 04.12.2025; Ogledov: 3797; Prenosov: 342
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9. Slovenian national food consumption survey on children (infants and toddlers) : external scientific reportUrška Blaznik, Matej Gregorič, Nataša Delfar, Metka Zaletel, Darja Lavtar, Barbara Koroušić-Seljak, Nataša Fidler Mis, Petra Golja, Katja Zdešar Kotnik, Igor Pravst, Ada Hočevar-Grom, 2019, končno poročilo o rezultatih raziskav Ključne besede: Slovenia, food consumption survey, dietary intake, infants, toddlers, children, EU Menu
Objavljeno v DiRROS: 24.11.2025; Ogledov: 1015; Prenosov: 367
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10. Slovenian national food consumption survey in adolescents, adults and elderly : external scientific reportMatej Gregorič, Urška Blaznik, Nataša Delfar, Metka Zaletel, Darja Lavtar, Barbara Koroušić-Seljak, Petra Golja, Katja Zdešar Kotnik, Igor Pravst, Nataša Fidler Mis, Stojan Kostanjevec, Majda Pajnkihar, Tamara Poklar Vatovec, Ada Hočevar-Grom, 2019, končno poročilo o rezultatih raziskav Ključne besede: Slovenia, food consumption survey, dietary intake, adults, adolescents, elderly, EU Menu
Objavljeno v DiRROS: 24.11.2025; Ogledov: 995; Prenosov: 411
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