Publicaties

Context: Meer en meer palliatieve patiënten wensen thuis te overlijden. Dit is pas mogelijk wanneer een goede mantelzorg beschikbaar is en wanneer continuïteit van zorgen wordt voorzien. Het is dan ook belangrijk om na te gaan welke factoren ervoo...

Context: Urineweginfecties (UWI) bij ouderen vormen een frequent probleem en vertegenwoordigen een hoog percentage van infecties waarvoor antibiotica voorgeschreven worden. Gebrek aan goed onderbouwde diagnostische en therapeutische richtlijnen v...

Context: Bij residenten in woonzorgcentra (WZC) zijn urineweginfecties (UWI) vaak de reden voor het voorschrijven van antibiotica. Verkeerdelijk gebruik van antibiotica is een gevaar voor de volksgezondheid omwille van toenemende bacteriële resis...

A meta-analysis of epidemiological studies reported no increased risk for cancer in users of thiazolidinediones; however, subanalyses showed a small 1.1- to 1.2-fold increased risk for bladder cancer with thiazolidinedione use. This analysis was p...

OBJECTIVES: Measuring the exact glomerular filtration rate (GFR) is difficult. Iohexol can be used instead of inulin or labeled EDTA or DTPA. In recent years, different studies have validated GFR-estimating equations in adults. Validation of these...

Intrauterine factors important for cognitive development, such as birth weight, chorionicity and umbilical cord characteristics were investigated. A total of 663 twin pairs completed the Wechsler Intelligence Scale for Children-Revised and scores ...

The diagnosis and outcome of chronic kidney disease The prevalence of chronic kidney disease (CKD) is increasing with aging. Approximately 1 out of 2 persons with CKD meets the criteria of CKD (an eGFR<60 ml/min). In this thesis we try to answer ...

BACKGROUND: The relationship between low socioeconomic status (SES) and depressive symptoms is well described, also in older persons. Although studies have found associations between low SES and unhealthy lifestyle factors, and between unhealthy l...

OBJECTIVES: To picture the 10-year evolution of renal function in patients with type 2 diabetes mellitus (T2DM) and chronic kidney disease (CKD) and to describe the risk factors for severe decline. SETTING: Primary registration network with 97 gen...

ACHTERGROND In de forfaitaire groepspraktijk ‘De Bres’ werd als praktijkverbeterend project het preventieconsult, op basis van de Gezondheidsgids van Domus Medica, gedelegeerd aan de praktijkverpleegkundigen. DOELSTELLING De preventieve zorg voor ...

Background: Assessing the spiritual well-being of palliative patients is often perceived as difficult by professional caregivers. Previous research has shown that general practitioners would appreciate a directive for spiritual conversations, if t...

Palliative care for people with dementia Patients dying from dementia have been shown to need healthcare comparable to those of patients with cancer. Patients with dementia have unquestionably a decreased survival rate compared with those without ...

BACKGROUND: Guideline developers use different consensus methods to develop evidence-based clinical practice guidelines. Previous research suggests that existing guideline development techniques are subject to methodological problems and are logis...

Within the clinical and palliative care movement, the patients' spirituality has been a core component since its modern inception by the English physician Cicely Saunders. Most patients with advanced disease consider spirituality an important dime...

Adult cardiorespiratory fitness and muscle strength are related to all-cause and cardiovascular mortality. Both are possibly related to birth weight, but it is unclear what the importance is of genetic, maternal and placental factors in these asso...

Background Care pathways are widely used in hospitals for a structured and detailed planning of the care process. There is a growing interest in extending care pathways into primary care to improve quality of care by increasing care coordination. ...

Context: Vroegtijdige zorgplanning (VZP) is een communicatieproces waarbij de patiënt (bijgestaan door familie) en de zorgverlener tijdig de zorg voor de toekomst bespreken en plannen. VZP vormt de sokkel waarop een kwaliteitsvolle zorgverlening a...

Context Vroegtijdige zorgplanning is een belangrijk onderdeel van de zorg rond het levenseinde. Het is een continu communicatie- en reflectieproces over toekomstige medische zorgdoelen tussen de patiënt, zorgverlener en de naasten. WZC’s worden s...

This chapter describes the effect of using the personal computer (e.g. reading or adding information in the electronic medical record) during clinical consultations. The effects relate to the quality of the doctor-patient communication and to the ...