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30 January 2018 | ARTICLE
Detecting frail, older adults and identifying their strengths: results of a mixed-methods study
BACKGROUND: The debate on frailty in later life focuses primarily on deficits and their associations with adverse (health) outcomes. In addition to deficits, it may also be important to consider the abilities and resources of older adults. This st...
Auteurs: Sarah Dury, Eva Dierckx, Anne Van Der Vorst, Michaël Van der Elst, Bram Fret, Daan Duppen, Lieve Hoeyberghs, Ellen De Roeck, Deborah Lambotte, An-Sofie Smetcoren, Jos Schols, Gertrudis Kempen, Rixt Zijlstra, Jan De Lepeleire, Birgitte Schoenmakers, Dominique Verté, Nico De Witte, Tinie Kardol, Peter Paul De Deyn, Sebastiaan Engelborghs et Liesbeth De Donder
28 January 2018 | ARTICLE
PUFA status at birth and allergy-related phenotypes in childhood: a pooled analysis of the Maastricht Essential Fatty Acid Birth (MEFAB) and RHEA birth cohorts
Lower prenatal exposure to n-3 PUFA relative to n-6 PUFA has been hypothesised to influence allergy development, but evidence remains largely inconsistent. In the Dutch Maastricht Essential Fatty Acid Birth (MEFAB) (n 293) and Greek RHEA Mother-Ch...
Auteurs: Nikos Stratakis, Marij Gielen, Katerina Margetaki, Renate HM de Groot, Maria Apostolaki, Georgia Chalkiadaki, Marina Vafeiadi, Vasiliki Leventakou, Roger W Godschalk, Manolis Kogevinas, Euripides G Stephanou, Maurice P Zeegers et Leda Chatzi
3 January 2018 | ARTICLE
Preferred prenatal counselling at the limits of viability: a survey among Dutch perinatal professionals
BACKGROUND: Since 2010, intensive care can be offered in the Netherlands at 24+0 weeks gestation (with parental consent) but the Dutch guideline lacks recommendations on organization, content and preferred decision-making of the counselling. Our a...
Auteurs: Ms Rosa Geurtzen, Arno Van Heijst, Rosella Hermens, Hubertina Scheepers, Mallory Woiski, Jos Draaisma et Marije Hogeveen
1 January 2018 | ARTICLE
Patients with multimorbidity and their treatment burden in different daily life domains: a qualitative study in primary care in the Netherlands and Belgium.
BACKGROUND: Physicians and other healthcare professionals involved in the care of patients with multimorbidity should consider the problems these patients experience in managing their own conditions. However, treatment burden from the patient's pe...
Auteurs: Tiny van Merode, Karin van de Ven et Marjan van den Akker
1 January 2018 | ARTICLE
Toward Personalised Liquid Biopsies for Urothelial Carcinoma: Characterisation of ddPCR and Urinary cfDNA for the Detection of the TERT 228 G>A/T Mutation
BACKGROUND: TERT promotor mutations are present in >75% of bladder tumours; these mutations are also detectable in urine. Previous studies have used urinary pellet DNA, and semi-quantitative methods unsuitable for detecting very low mutant allele ...
Auteurs: Ilaria J Russo, Yongwon Ju, Naheema S Gordon, Maurice P Zeegers, KK Cheng, Nicholas D James, Richard T Bryan et Douglas G Ward
1 January 2018 | ARTICLE
Theorizing the complexity of HIV disclosure in vulnerable populations: a grounded theory study
Background: HIV disclosure is an important step in delivering the right care to people. However, many people with an HIV positive status choose not to disclose. This considerably complicates the delivery of adequate health care. Methods: We conduc...
Auteurs: Subash Thapa, Karin Hannes, Anne Buve, Shivani Bhattarai et C Matheï
1 January 2018 | ARTICLE
Do general practitioners record alcohol abuse in the electronic medical records? A comparison of survey and medical record data
OBJECTIVE: Primary care professionals are encouraged to screen patients for alcohol abuse. However, patients with alcohol abuse are often under-diagnosed as well as under-registered in medical records in general practices. This study aims to repor...
Auteurs: L Abidi, A Oenema, M van den Akker et D van de Mheen
1 January 2018 | ARTICLE
The influence of coping strategies on subsequent well-being in older patients with cancer: a comparison with two control groups
OBJECTIVE: To evaluate dispositional coping strategies as predictors for changes in well-being after 1 year in older patients with cancer (OCP) and 2 control groups. METHODS: OCP were compared with 2 control groups: middle-aged patients with cance...
Auteurs: A Baitar, Frank Buntinx, Tine De Burghgraeve, L Deckx, D Schrijvers, Hans Wildiers et Marjan van den Akker
1 January 2018 | ARTICLE
Occurrence of malnutrition and associated factors in community-dwelling older adults: Those with a recent diagnosis of cancer are at higher risk
OBJECTIVES: In older adults, nutritional health is essential for good quality of life and living independently at home. Especially in cancer patients, malnutrition is common and known to complicate treatment. This study aims to evaluate the nutrit...
Auteurs: Carine Van Den Broeke, Tine De Burghgraeve, M Ummels, N Gescher, L Deckx, V Tjan-Heijnen, Frank Buntinx et Marjan van den Akker
1 January 2018 | ARTICLE
A systematic literature review on the association between loneliness and coping strategies
Loneliness is an emerging and important public health concern associated with increased risk for health disorders and even mortality. Interventions targeting coping strategies might be effective in alleviating feelings of loneliness. However, the ...
Auteurs: Laura Deckx, Marjan van den Akker, Frank Buntinx et Mieke van Driel
1 January 2018 | ARTICLE
hoe wordt COPD in Vlaanderen opgevolgd?
Auteurs: gijs Van Pottelbergh
Auteurs: Lucas Leten, Birgitte Schoenmakers et Jan De Lepeleire
1 January 2018 | ARTICLE
Diagnostic evidence cooperatives: bridging the valley of death in diagnostics development.
Background: Diagnostic tests' impact on patient outcomes and health processes is potentially large, and proper evaluations before widespread adoption are warranted. Such evaluations are challenged by the fact that tests can have multiple purposes,...
Auteurs: Ann Van den Bruel et Gail Hayward
1 January 2018 | ARTICLE
HumanMethylation450K Array-Identified Biomarkers Predict Tumour Recurrence/Progression at Initial Diagnosis of High-risk Non-muscle Invasive Bladder Cancer.
BACKGROUND: High-risk non-muscle invasive bladder cancer (HR-NMIBC) is a clinically unpredictable disease. Despite clinical risk estimation tools, many patients are undertreated with intra-vesical therapies alone, whereas others may be over-treate...
Auteurs: Mark O Kitchen, Richard T Bryan, Richard D Emes, Christopher J Luscombe, KK Cheng, Maurice P Zeegers, Nicholas D James, Lyndon M Gommersall et Anthony A Fryer
1 January 2018 | ARTICLE
The risk of fall accidents for home dwellers with dementia-A register- and population-based case-control study.
INTRODUCTION: Institutionalized people with dementia have an increased risk of fall accidents, but little is known about whether this increased risk holds for home dwellers. METHODS: This register- and population-based study comprised 115,584 case...
Auteurs: Jindong Ding Petersen, Volkert Dirk Siersma, René dePont Christensen, Maria Munch Storsveen, Connie Thurøe Nielsen et Frans Boch Waldorff
1 January 2018 | ARTICLE
SPOUSAL CAREGIVING IS ASSOCIATED WITH AN INCREASED RISK OF FRAILTY: A CASE-CONTROL STUDY
BACKGROUND: Evidence suggests that providing care for a disabled elderly person may have implications for the caregiver's own health (decreased immunity, hypertension, and depression). OBJECTIVE: Explore if older spousal caregivers are at greater ...
Auteurs: F Potier, J-M Degryse, G Aubouy, S Henrard, B Bihin, F Debacq-Chainiaux, H Martens et M de Saint-Hubert
1 January 2018 | ARTICLE
Prognostic value of short-term decline of forced expiratory volume in 1 s over height cubed (FEV1/Ht(3)) in a cohort of adults aged 80 and over
Forced expiratory volume in 1 s over height cubed (FEV1/Ht(3)) is an FEV1 expression that uses no reference values and is independently associated with adverse outcomes in older adults. No studies have reported on the prognostic value of its decli...
Auteurs: Eralda Hegendörfer, Bert Vaes, Cathy Matheï, Gijs Van Pottelbergh et Jean-Marie Degryse
1 January 2018 | ARTICLE
Health problems associated with irritable bowel syndrome: Analysis of a primary care registry

© 2018 John Wiley & Sons Ltd. Background: Associations between irritable bowel syndrome and other health problems have been described, but comprehensive reports are missing, especially in primary care. Aims: To investigate which health proble...

Auteurs: E Clevers, B Vaes, S Henrard, G Goderis, J Tack, H Törnblom, M Simrén et L Van Oudenhove
1 January 2018 | ARTICLE
Total Fluid Intake and the Risk of Recurrence in Patients With Non-Muscle Invasive Bladder Cancer: A Prospective Cohort Study
OBJECTIVES: To investigate the role of fluid intake from beverages before and after a diagnosis of bladder cancer in relation to the risk of developing bladder cancer recurrence. STUDY DESIGN: Prospective cohort study. METHODS: 716 patients with n...
Auteurs: Sylvia HJ Jochems, Frits HM van Osch, Raoul C Reulen, Mitch van Hensbergen, Duncan Nekeman, Sarah J Pirrie, Anke Wesselius, Frederik J van Schooten, Nicholas D James, D Michael A Wallace, Richard T Bryan, KK Cheng et Maurice P Zeegers
Auteurs: Miek Smeets, Bert Aertgeerts, Stefan Janssens, Joris Penders, Jan Vercammen, Wilfried Mullens et Bert Vaes
1 January 2018 | ARTICLE
Immigrant grandmothers' and mothers-in-law's cancer literacy within their family context.
Data from focus groups held in Montréal (Canada) with 13 women born in Cameroon, Colombia, and Democratic Republic of Congo were used to explore cancer knowledge among immigrant grandmothers and mothers-in-law and their influence over family cance...
Auteurs: Margareth S Zanchetta, Christine Maheu, Abinet G Gebremariam, Pascale Baribeau, Ndeye L Ndiaye, Soumya Tamouro, Manon Lemonde et Patrick Cloos
1 January 2018 | ARTICLE
Factors Associated with Acceptability, Consideration and Intention of Uptake of Direct-To-Consumer Genetic Testing: A Survey Study
BACKGROUND: With interest in personalised health care growing, so is interest in personal genetic testing. This is now offered direct-to-consumer, thereby referred to as direct-to-consumer genetic testing (DTC-GT). Criticisms have been expressed o...
Auteurs: Kelly FJ Stewart, Dasa Kokole, Anke Wesselius, Annemie MWJ Schols, Maurice P Zeegers, Hein de Vries et Liesbeth ADM van Osch
1 January 2018 | ARTICLE
Cancer Survivorship Care: Person Centered Care in a Multidisciplinary Shared Care Model
Survivors of childhood and adult-onset cancer are at lifelong risk for the development of late effects of treatment that can lead to serious morbidity and premature mortality. Regular long-term follow-up aiming for prevention, early detection and ...
Auteurs: Jacqueline J Loonen, Nicole MA Blijlevens, Judith Prins, Desiree JS Dona, Jaap Den Hartogh, Theo Senden, Eline van Dulmen-Den Broeder, Koos van der Velden et Rosella PMG Hermens
1 January 2018 | ARTICLE
High demoralization in a minority of oophorectomized BRCA1/2 mutation carriers influences quality of life
INTRODUCTION: Demoralization is a relatively neglected issue in which low morale and poor coping result from a stressor such as familial cancer risk. Female BRCA1/2 mutation carriers are highly susceptible for developing breast and ovarian cancer....
Auteurs: Marieke Arts-de Jong, Cor AJ DeJong, Rosella P Hermens, David W Kissane, Leon M Massuger, Nicoline Hoogerbrugge, Judith B Prins et Joanne A deHullu
1 January 2018 | ARTICLE
Dietary exposure of the Belgian population to emulsifiers E481 (sodium stearoyl-2-lactylate) and E482 (calcium stearoyl-2-lactylate)
A dietary exposure assessment of food emulsifiers E481 (sodium stearoyl-2-lactylate) and E482 (calcium stearoyl-2-lactylate) in the Belgian population was performed. Nationally representative food consumption data from the Belgian National Food Co...
Auteurs: Sarah Bel, Thomas Struyf, Tine Fierens, Griet Jacobs, Christine Vinkx, Mia Bellemans, Stefan Voorspoels et Karin De Ridder
1 January 2018 | ARTICLE
Factors Influencing the Implementation of Screening and Brief Interventions for Alcohol Use in Primary Care Practices: A Systematic Review Protocol
INTRODUCTION: Alcohol is a leading risk factor contributing to the global burden of disease. National and international agencies recommend evidence-based screening and brief interventions in primary care settings in order to reduce alcohol consump...
Auteurs: Frederico Rosario, Maria Ines Santos, Kathryn Angus, Leo Pas et Niamh Fitzgerald
1 January 2018 | ARTICLE
Lifestyle for Brain Health (LIBRA): a new model for dementia prevention
OBJECTIVE: Modifiable risk factors for dementia were recently identified and compiled in a systematic review. The 'Lifestyle for Brain Health' (LIBRA) score, reflecting someone's potential for dementia prevention, was studied in a large longitudin...
Auteurs: Olga JG Schiepers, Kay Deckers, Marjan van den Akker, Frans RJ Verhey et Stephanie JB Vos
1 January 2018 | ARTICLE
Behavioural changes, sharing behaviour and psychological responses after receiving direct-to-consumer genetic test results: a systematic review and meta-analysis
It has been hypothesised that direct-to-consumer genetic tests (DTC-GTs) could stimulate health behaviour change. However, genetic testing may also lead to anxiety and distress or unnecessarily burden the health care system. The aim is to review a...
Auteurs: Kelly FJ Stewart, Anke Wesselius, Maartje AC Schreurs, Annemie MWJ Schols et Maurice P Zeegers
1 January 2018 | ARTICLE
Accuracy, user-friendliness and usefulness of the Cobas h232 point-of-care test for NT-proBNP in primary care
N-terminal pro-B-type natriuretic peptide (NT-proBNP) has been shown to be useful for ruling out heart failure in primary care. In this study, we examined the accuracy of the Cobas h232 point-of-care (POC) instrument in primary care compared with ...
Auteurs: Chiel Hex, Miek Smeets, Joris Penders, Viviane Van Hoof, Jan Verbakel, Frank Buntinx et Bert Vaes
1 January 2018 | ARTICLE
Exploring the Cost of ‘Ageing in Place’: Expenditures of Community-Dwelling Older Adults in Belgium
© 2018, Springer Science+Business Media, LLC, part of Springer Nature. This paper aims to give an overview of the different sources of income and the expenditures of community-dwelling older adults and to what extent they can make ends meet to exp...
Auteurs: B Fret, B Mondelaers, L De Donder, L Switsers, AS Smetcoren, D Verté, AS Smetcoren, S Dury, E Dierckx, D Lambotte, D Duppen, M Kardol, L Hoeyberghs, N De Witte, E De Roeck, S Engelborghs, PP De Deyn, M Van der Elst, J De Lepeleire, B Schoenmakers, A van der Vorst, R Zijlstra, G Kempen et J Schols