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1 September 2009 | ARTICLE
Integrated disease management improves one-year quality of life in primary care COPD patients: a controlled clinical trial.
UNLABELLED: AIMD: To assess the long-term effectiveness of an integrated disease management (IDM) program (consisting of optimal medication, reactivation, education, and exacerbation management) in primary care patients with chronic obstructive pu...
Auteurs: Niels H Chavannes, Marlous Grijsen, Marjan van den Akker, Huub Schepers, Maddy Nijdam, Brian Tiep et Jean Muris
1 September 2009 | ARTICLE
A prognostic index for progression-free survival in malignant mesothelioma with application to the design of phase II trials: A combined analysis of 10 EORTC trials
PURPOSE: For cytostatic agents or when the response assessment is difficult, adaptations to phase II designs may allow a better assessment of therapeutic activity: first by using the progression-free survival rate (PFSR) as primary end-point inste...
Auteurs: J Francart, E Vaes, S Henrard, C Legrand, P Baas, R Gaafar, JP van Meerbeeck, R Sylvester et A Robert
Auteurs: Marijke Alen, Suzanne Kaptein, Tine De Burghgraeve, Johan Neyts, Jan Balzarini et Dominique Schols
1 September 2009 | ARTICLE
Effectiveness of nonresuscitative first aid training in laypersons: a systematic review
STUDY OBJECTIVE: This study reviewed evidence on the effects of nonresuscitative first aid training on competence and helping behavior in laypersons. METHODS: We identified randomized and nonrandomized controlled trials and interrupted time series...
Auteurs: Stijn Van de Velde, Annemie Heselmans, Ann Roex, Philippe Vandekerckhove, Dirk Ramaekers et Bert Aertgeerts
Auteurs: Guido Pieters, Karin Hannes, Jo Goedhuys et Bert Aertgeerts
Auteurs: M Fortin, C Hudon, J Haggerty, M van den Akker et J Almirall
1 August 2009 | ARTICLE
Personality and health as predictors of income decrease in old age: Findings from the longitudinal SMILE study
BACKGROUND: There is much evidence for the influence of low socio-economic status on poor health. It is, however, also important to study the ways in which people attain and retain their socio-economic status and the factors that predict changes i...
Auteurs: DAI Groffen, H Bosma, M van den Akker, GIJM Kempen et J Th M van Eijk
1 August 2009 | ARTICLE
Pregnancy Outcomes among Adult Survivors of Childhood Cancer in the British Childhood Cancer Survivor Study
PURPOSE: We used data from the first large-scale overwhelmingly population-based study (a) to quantify the risk of adverse pregnancy outcomes in survivors of childhood cancer in relation to cancer type and treatment and (b) to assess live birth ra...
Auteurs: Raoul C Reulen, Maurice P Zeegers, W Hamish B Wallace, Clare Frobisher, Aliki J Taylor, Emma R Lancashire, Dave L Winter et Mike M Hawkins
1 August 2009 | ARTICLE
Can pharmacological treatment of behavioural disturbances in elderly patients with dementia lower the burden of their family caregiver?
Family caregivers of a community-dwelling demented relative experience significant burden in their caregiving role. In particular, behavioural disturbances are expected to be responsible for high caregiver distress and burden. Above, in approximat...
Auteurs: Birgitte Schoenmakers, Frank Buntinx et Jan De Lepeleire
22 July 2009 | ARTICLE
Barriers and facilitators to evidence based care of type 2 diabetes patients: experiences of general practitioners participating to a quality improvement program
ABSTRACT: OBJECTIVE To evaluate the barriers and facilitators to high quality diabetes care as experienced by General Practitioners (GPs) who participated in an 18-month quality improvement program (QIP). This QIP was implemented to promote compli...
Auteurs: Geert Goderis, Liesbeth Borgermans, Chantal Mathieu, Carine Van Den Broeke, Karin Hannes, Jan Heyrman et Richard Grol
1 July 2009 | ARTICLE
IMPACT OF AN INTEGRATED CARE PROGRAM FOR PATIENTS WITH HEAD AND NECK CANCER ON THE QUALITY OF CARE
BACKGROUND: The management of patients with head and neck cancer is complex, and implementation of an integrated care program might improve the quality of care. METHODS: A prospective before-after study was performed in 1 clinic for head and neck ...
Auteurs: Marielle MMTJ Ouwens, Rosella RPMG Hermens, Marlies MEJL Hulscher, Matthias AW Merkx, Frank JA van den Hoogen, Richard P Grol, Hub CH Wollersheim et Henri AM Marres
1 July 2009 | ARTICLE
GP's reasons for referral of patients with chest pain: a qualitative study
BACKGROUND: Prompt diagnosis of an acute coronary syndrome is very important and urgent referral to a hospital is imperative because fast treatment can be life-saving and increase the patient's life expectancy and quality of life. The aim of our s...
Auteurs: Rudy Bruyninckx, Ann Van Den Bruel, Karin Hannes, Frank Buntinx et Bert Aertgeerts
1 July 2009 | ARTICLE
The relation between care giving and the mental health of caregivers of demented relatives: A cross-sectional study
Background: Increasing numbers of family caregivers are confronted with caring for a demented, community-dwelling relative. Living with, caring for, and supervising a demented older relative places a heavy burden on the involved family members. In...
Auteurs: Birgitte Schoenmakers, Frank Buntinx et Jan De Lepeleire
24 June 2009 | ARTICLE
Analysis of Germline Variants in < /i>CDH1< //i>, < /i>IGFBP3< //i>, < /i>MMP1< //i>, < /i>MMP3< //i>, < /i>STK15< //i> and < /i>VEGF< //i> in Familial and Sporadic Renal Cell Carcinoma
BACKGROUND: The investigation of rare familial forms of kidney cancer has provided important insights into the biology of sporadic renal cell carcinoma (RCC). In particular, the identification of the von Hippel Lindau (VHL) familial cancer syndrom...
Auteurs: Christopher Ricketts, Maurice P Zeegers, Jan Lubinski et Eamonn R Maher
19 June 2009 | ARTICLE
Subject-specific hip geometry and hip joint center location affects calculated contact forces at the hip during gait
Hip loading affects the development of hip osteoarthritis, bone remodelling and osseointegration of implants. In this study, we analyzed the effect of subject-specific modelling of hip geometry and hip joint centre (HJC) location on the quantifica...
Auteurs: Gerlinde Lenaerts, Ward Bartels, Frederik Gelaude, Michiel Mulier, Arthur Spaepen, Georges Van der Perre et Ilse Jonkers
1 June 2009 | ARTICLE
Association between subjective memory complaints and nursing home placement: a four-year follow-up
OBJECTIVE: In order to evaluate whether elderly persons with subjective memory complaints may be regarded as a group of potentially vulnerable patients who need close follow-up, we investigated the risk of nursing home placement during a 4-year fo...
Auteurs: Frans Boch Waldofff, Volkert Siersma et Gunhild Waldemar
1 June 2009 | ARTICLE
Information provision in fertility care: a call for improvement
BACKGROUND: Adequate information provision is a crucial dimension of high-quality fertility care. Clinical practice guidelines containing consensus-based recommendations may standardize practice between settings. This study was designed for three ...
Auteurs: SM Mourad, RPMG Hermens, T Cox-Witbraad, RPTM Grol, WLDM Nelen et JAM Kremer
1 May 2009 | ARTICLE
The process of definitive institutionalization of community dwelling demented vs non demented elderly: data obtained from a network of sentinel general practitioners
OBJECTIVE: The aim of the present study was to investigate the differences between characteristics of community dwelling demented and non demented elderly and their caregivers at the moment of definitive institutionalization. METHODS: The study is...
Auteurs: Birgitte Schoenmakers, Frank Buntinx, Dirk Devroey, Viviane Van Casteren et Jan De Lepeleire
1 May 2009 | OTHER
Care Diagnosis: quality improvement of care for people with dementia
Background. The large majority of people with dementia lives at home, alone or with their partner. Availability, coherence and continuity of formal and informal care providers are necessary conditions for qualitative care. Integration and cooperat...
Auteurs: Mieke Vermandere et Jan De Lepeleire
1 May 2009 | ARTICLE
Clinical relevance of a raised plasma N-terminal pro-brain natriuretic peptide level in a population-based cohort of nonagenarians
OBJECTIVES: To investigate whether plasma N-terminal pro-brain natriuretic peptide (NT-proBNP) remains a specific marker of cardiac illness in very old age and can be used to identify very elderly people at high risk for death independent of the p...
Auteurs: Bert Vaes, Wouter de Ruijter, Jean-Marie Degryse, Rudi GJ Westendorp et Jacobijn Gussekloo
1 May 2009 | ARTICLE
Kansen en problemen bij door huisartsen opgezette geneesmiddelenstudies in België
Achtergrond: Sinds het invoeren van de Wet van 7 mei 2004 inzake experimenten op de menselijke persoon (WEM) diende geen enkele huisarts een aanvraag in om een geneesmiddelentrial op te starten. Tijdens het uitschrijven van een eigen gerandomiseer...
Auteurs: Maria emmanuela Goossens, Bert Aertgeerts, Stefaan Callens et Frank Buntinx
1 May 2009 | OTHER
The positive impact of an intense follow-up of patients with Alzheimer's disease on the caregivers' burden: first results of a randomized study
Objective Caring for a dementia patient has an important negative impact on the general wellbeing of family caregivers. Although highly appreciated by carers, interventions in dementia home care remain mainly ineffective in terms of lowering burde...
Auteurs: Birgitte Schoenmakers et Jan De Lepeleire
1 May 2009 | ARTICLE
Substituted imidazopyridines as potent inhibitors of HCV replication
BACKGROUND/AIMS: Following lead optimization, a set of substituted imidazopyridines was identified as potent and selective inhibitors of in vitro HCV replication. The particular characteristics of one of the most potent compounds in this series (5...
Auteurs: Inge Vliegen, Jan Paeshuyse, Tine De Burghgraeve, Laura S Lehman, Matthew Paulson, I-Hung Shih, Eric Mabery, Nina Boddeker, Erik De Clercq, Hans Reiser, David Oare, William A Lee, Weidong Zhong, Steven Bondy, Gerhard Pürstinger et J Neyts
Auteurs: Marijke Alen, Suzanne Kaptein, Tine De Burghgraeve, Johan Neyts, Jan Balzarini et Dominique Schols
1 April 2009 | ARTICLE
Implementation of integrated care for patients with cancer: a systematic review of interventions and effects
PURPOSE: To review integrated care interventions and their effects on the quality of care for patients with cancer. DATA SOURCES: Search in Medline and Cochrane Library databases from January 1996 to October 2006. STUDY SELECTION: Randomized contr...
Auteurs: Marielle Ouwens, Marlies Hulscher, Rosella Hermens, Marjan Faber, Henri Marres, Hub Wollersheim et Richard Grol
Auteurs: Geert Goderis, Liesbeth Borgermans, Carine Van Den Broeke, Jan Heyrman et C Mathieu
1 April 2009 | ARTICLE
Why does the general practitioner refer patients with chest pain not-urgently to the specialist or urgently to the emergency department? Influence of the certainty of the initial diagnosis
BACKGROUND: Chest pain is an initial symptom for several minor diseases but acute myocardial infarction (AMI) should not be missed. AIM: To assess the influence of initial diagnosis and degree of certainty of this initial diagnosis on the referral...
Auteurs: Rudi Bruyninckx, Ann Van Den Bruel, Bert Aertgeerts, Viviane Van Casteren et Frank Buntinx
1 April 2009 | ARTICLE
The effectiveness and safety of proton radiation therapy for indications of the eye : a systematic review
BACKGROUND AND PURPOSE: : Proton radiation has been used for the treatment of uveal melanoma since 1975, but few studies have been conducted to assess its efficacy and safety. This paper aims to systematically review the effects and side effects o...
Auteurs: Trudy Bekkering, Anne WS Rutjes, Vasiliy V Vlassov, Daniel M Aebersold, Konrade von Bremen, Peter Jüni et Jos Kleijnen
1 April 2009 | ARTICLE
Can birthweight discordancy within monozygotic twin pairs be used as an indicator of chorionicity?
Both zygosity and chorionicity provide important information in twin research. The East Flanders Prospective Twin Survey (EFPTS) determines zygosity and chorionicity at birth and therefore provides a gold standard for the testing of diagnostic par...
Auteurs: M Gielen, Cathérine Derom, Robert Derom, Robert Vlietinck et Maurice P Zeegers