Publicaties

ABSTRACT: BACKGROUND: In coming decades the proportion of very elderly people living in the Western world will dramatically increase. This forthcoming "grey epidemic" will lead to an explosion of chronic diseases. In order to anticipate booming he...

Doeltreffende Antwoorden op de Klinische Uitdagingen in de Chronische Zo rg: Bevindingen van het Diabetes Project Leuven. De laatste 20 jaar werd een dramatisch sterke stijging van de prevalenti e van Diabetes Mellitus Type 2 waargenomen. De z...

INTRODUCTION: Dementia caregivers suffer a considerable care burden. More than in comparable groups of caregivers or peers, they are confronted with feelings of depression and decreased physical health. Although many studies are set up to determin...

Background: Published prevalence studies on multimorbidity present diverse data collection methods, sources of data, targeted age groups, diagnoses considered and study populations, making the comparability of prevalence estimates questionable. Th...

This paper discusses the legal implications of setting up two new biobanks in Belgium. The first is hospital-based and will archive tissue from patients with haematologic cancer, whereas the second is linked to a general practice based morbidity r...

Objective. Caring for a patient with cognitive decline has an important impact on the general well-being of family caregivers. Although highly appreciated, interventions in dementia home care remain mainly ineffective in terms of well-being. Conse...

Health-care delivery according to clinical practice guidelines is thought to be critical in achieving optimal outcomes. This study aimed to assess the extent to which practice performance in intrauterine insemination (IUI) care is consistent with ...

Suïcidaliteit is een complex en multifactorieel probleem. Centraal staat een onevenwicht tussen beschermende en risicoverhogende factoren. Dit derde artikel in de reeks over suïcidepreventie wil huisartsen een leidraad bieden om suïcidaliteit bij ...

Dit onderzoek evalueerde de ‘normale’ diabeteszorg in de regio Leuven, voorafgaand aan het kwaliteitsverbeteringsprogramma van het ‘Diabetes Project Leuven’. De resultaten van deze studie pleiten voor een betere integratie van de verschillende zor...

Deze systematische review bevestigt dat er een belangrijke diversiteit is in de diabeteszorgprogramma’s en de gerelateerde kwaliteitsindicatoren. Geen enkel conceptueel raamwerk biedt een volledig beeld van de attributen van hoogkwalitatieve diabe...

OBJECTIVE: Although the effect of fruit and vegetables on the risk of bladder cancer has been widely studied, little is known about their micronutrient components. Our aim was to investigate associations between minerals and vitamins and bladder c...

BACKGROUND: Profound knowledge of pressure ulcers is important to enable good prevention. Validity and reliability of instruments assessing pressure ulcer knowledge are limited evaluated in previous research. AIMS AND OBJECTIVES: To develop a vali...

AIMS: To evaluate the effectiveness of a two-arm quality improvement program (QIP) to support general practice with limited tradition in chronic care on type 2 diabetes patient outcomes. METHODS: During 18 months, we performed a cluster randomized...

Background Our aim was to identify which clinical features have value in confi rming or excluding the possibility of serious infection in children presenting to ambulatory care settings in developed countries. Methods In this systematic review, we...

Detailed molecular insights into bladder cancer biology might allow more detailed prognostication and optimization of treatment with the objective of improving patient outcome and quality of life. However, in bladder cancer research the search for...

OBJECTIVE To describe the rationale and design of the Bladder Cancer Prognosis Programme (BCPP), and to demonstrate the capability of this design. METHODS There is a need to understand the determinants of bladder cancer to help reduce recurrence, ...

Social inequalities in health are not a priority in the Caribbean region. However, a few studies suggested such disparities and indicators show important socioeconomic disparities between and within countries. There are indications that government...

We introduce a primary care practice model for caring for patients with multimorbidity. Primary care for these patients requires flexibility and ongoing coordination, and it often must be tailored to individual circumstances. Such complex and flex...

BACKGROUND: Although an increased risk for death after hip fracture is well established, whether this excess mortality persists over time is unclear. PURPOSE: To determine the magnitude and duration of excess mortality after hip fracture in older ...

BACKGROUND: Low-back pain with leg pain (sciatica) may be caused by a herniated intervertebral disc exerting pressure on the nerve root. Most patients will respond to conservative treatment, but in carefully selected patients, surgical discectomy ...

Recurrent miscarriage (RM) is a multifactorial clinical problem. Guidelines have been published to guide evidence-based clinical practice in RM. To measure adherence to these guidelines in daily practice and to monitor quality of care delivered in...

To determine the efficacy of once-yearly intravenous zoledronic acid (ZOL) 5 mg in reducing risk of clinical vertebral, nonvertebral, and any clinical fractures in elderly osteoporotic postmenopausal women.

PURPOSE: To estimate the effect of reducing intraocular pressure (IOP) on: (i) the incidence of primary open-angle glaucoma (POAG) in patients with ocular hypertension (OH), and (ii) the progression of glaucoma. METHODS: A meta-analysis of relevan...

PURPOSE: To identify the attitude of occupational health physicians toward evidence-based occupational health (EBOH) and clinical practice guidelines (CPGs); to determine their ability to access, retrieve and appraise the health evidence and the b...