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1 January 2009 | ARTICLE
Progression and improvement after mild cognitive impairment
Objective We studied progression to dementia and improvement rates of mild cognitive impairment (MCI) to help clinicians decide whether or not to screen older people for MCI. Method Prospective cohort study in which 156 vulnerable patients with (...
Auteurs: Frank Buntinx, Louis Paquay, Michel Ylieff et Jan De Lepeleire
Auteurs: Alessandra Carriero, Amy Zavatsky, Julie Stebbins, Tim Theologis, Gerlinde Lenaerts, Ilse Jonkers et Sandra Shefelbine
Auteurs: Sabine Van Houdt, Jan Heyrman et Walter Sermeus
1 January 2009 | ARTICLE
Elective high-frequency oscillatory ventilation in preterm infants with respiratory distress syndrome: an individual patient data meta-analysis
BACKGROUND: Despite the considerable amount of evidence from randomized controlled trials and meta-analyses, uncertainty remains regarding the efficacy and safety of high-frequency oscillatory ventilation as compared to conventional ventilation in...
Auteurs: Filip Cools, Lisa M Askie et Martin Offringa
1 January 2009 | ARTICLE
Interdisciplinary diabetes care teams operating on the interface between primary and specialty care are associated with improved outcomes of care: findings from the Leuven Diabetes Project
BACKGROUND: Type 2 diabetes mellitus is a complex, progressive disease which requires a variety of quality improvement strategies. Limited information is available on the feasibility and effectiveness of interdisciplinary diabetes care teams (IDCT...
Auteurs: Liesbeth Borgermans, Geert Goderis, Carine Van Den Broeke, Geert Verbeke, An Carbonez, Anna Ivanova, Chantal Mathieu, Bert Aertgeerts, Jan Heyrman et Richard Grol
1 January 2009 | ARTICLE
Ernstige infecties bij kinderen. De diagnostische waarde van symptomen en tekens in de eerste lijn
Ernstige infecties bij kinderen (sepsis, meningitis, pneumonie, pylonefritis, osteomyelitis en cellulitis) veroorzaken een belangrijke mortaliteit en morbiditeit. Aan de hand van accurate symptomen en tekens moeten deze ernstige infecties van mind...
Auteurs: Ann Van Den Bruel, Bert Aertgeerts, R Bruyninckx, M Aerts et Frank Buntinx
1 January 2009 | ARTICLE
Online-on-the-spot zoeken verhoogt het gebruik van EBM tijdens consultaties
Online-on-the -spot of kortweg OOS is het zoeken op internet in een aantal EBM-databanken naar een antwoord op de vraag in aanwezigheid van de patiënt tijdens de consultatie. Methode: Wij ontwikkelden OOS als een kwaliteitsverbeteringsproject in o...
Auteurs: Dirk Van Duppen, Bert Aertgeerts, Karin Hannes, J Neirinckx, L Seuntjens, F Goossens et A Van Linden
Auteurs: Stijn Van de Velde, Paul Broos, Marc Van Bouwelen, R De Win, An Sermon, J Verduyckt, A Van Tichelen, Door Lauwaert, Barbara Vantroyen, C Tobback, P Van den Steene, S Villere, C Urkia Mieres, G Göbl, S Schunder, Koen Monsieurs, Joost Bierens, P Cassan, E Davoli, Marc Sabbe, G Lo, M De Vries et Bert Aertgeerts
1 December 2008 | ARTICLE
Perceived barriers to elective single embryo transfer among IVF professionals: a national survey
BACKGROUND: After initial years of improvement, the multiple pregnancy rate after in vitro fertilization (IVF) in Europe now remains stable at 23% with single embryo transfer (SET) constituting 19% of all IVF cycles. Although elective SET prevents...
Auteurs: AM van Peperstraten, RPMG Hermens, WLDM Nelen, PFM Stalmeier, GJ Scheffer, RPTM Grol et JAM Kremer
1 December 2008 | BOOK CHAPTER
Integrated care for patients with chronic diseases
Chronic diseases such as cancer, heart disease, stroke, arthritis, diabetes mellitus, mental illness and obstructive pulmonary diseases are now the leading causes of illness, disability and death. Meeting the complex needs of a growing group of pa...
Auteurs: MMMTJ Ouwens, RRP Hermens, MME Hulscher, HAM Marres, P Richard et HJ Wollersheim
1 December 2008 | ARTICLE
[Procedures and methods of benefit assessments for medicines in Germany].
The Federal Joint Committee (FJC; Gemeinsamer Bundesausschuss, G-BA) defines the health-care elements that are to be reimbursed by sickness funds. To define a directive, the FJC can commission benefit assessments, which provide an overview of the ...
Auteurs: GE Bekkering et J Kleijnen
1 December 2008 | ARTICLE
[Procedures and methods of benefit assessments for medicines in Germany]
The Federal Joint Committee (FJC; Gemeinsamer Bundesausschuss, G-BA) defines the health-care elements that are to be reimbursed by sickness funds. To define a directive, the FJC can commission benefit assessments, which provide an overview of the ...
Auteurs: Trudy Bekkering et J Kleijnen
1 December 2008 | ARTICLE
Relation between subject-specific hip joint oading, stress distribution in the proximal femur and bone mineral density changes after total hip replacement
In the prediction of bone remodelling processes after total hip replacement (THR), modelling of the subject-specific geometry is now state-of-the-art. In this study, we demonstrate that inclusion of subject-specific loading conditions drastically ...
Auteurs: Ilse Jonkers, Nicolas Sauwen, Gerlinde Lenaerts, Michiel Mulier, Georges Van der Perre et Siegfried Jaecques
1 December 2008 | ARTICLE
Half of the patients with chest pain that are urgently referred are transported in unsafe conditions
Background: patients with an acute coronary syndrome should be referred to hospital urgently to start reperfusion therapy as soon as possible. Owing to the risks of ventricular fibrillation and pulseless ventricular tachycardia, urgent transport s...
Auteurs: Rudi Bruyninckx, Ann Van Den Bruel, Bert Aertgeerts, Viviane Van Casteren et Frank Buntinx
Auteurs: DAWM Van Der Windt, E Simons, I Riphagen, C Ammendolia, AP Verhagen, M Laslett, W Devillé, B Aertgeerts, RA Deyo, LM Bouter et HCW De Vet
5 November 2008 | DISSERTATION
Morbidity research in primary care, using semi-automatic data collection from electronic medical records in general practices in Flanders
De bedoeling van dit doctoraatsonderzoek is een structuur op te zetten voor de verwerking van data van het elektronisch medisch dossier van huisartsen tot epidemiologische informatie en dit op een semi-automatische wijze. Hiervoor is het noodzakel...
Auteurs: Stephaan Bartholomeeusen
1 November 2008 | ARTICLE
Variation in subfertility care measured by guideline-based performance indicators
BACKGROUND: About 30-40% of patients do not receive care based on available scientific evidence. For subfertility, this may imply unnecessary and expensive diagnostic tests and treatments. It is therefore important to identify gaps in performance ...
Auteurs: SM Mourad, WLDM Nelen, RPMG Hermens, LF Bancsi, DDM Braat, GA Zielhuis, RPTM Grol et JAM Kremer
1 November 2008 | ARTICLE
Quality of life in older Belgian people: comparison between people with dementia, mild cognitive impairment, and controls
OBJECTIVES: To assess the sensitivity of the 'Alzheimer's Disease Related Quality of Life' instrument (ADRQL) applied to Belgian people with dementia (n = 357), mild cognitive impairment (MCI) (n = 36), and controls (n = 72). We also determined th...
Auteurs: Pierre Missotten, Gilles Squelard, Michel Ylieff, David Di Notte, Louis Paquay, Jan De Lepeleire et Ovide Fontaine
1 November 2008 | ARTICLE
Sequence variant on 8q24 confers susceptibility to urinary bladder cancer
We conducted a genome-wide SNP association study on 1,803 urinary bladder cancer (UBC) cases and 34,336 controls from Iceland and The Netherlands and follow up studies in seven additional case-control groups (2,165 cases and 3,800 controls). The s...
Auteurs: Lambertus A Kiemeney, Steinunn Thorlacius, Patrick Sulem, Frank Geller, Katja KH Aben, Simon N Stacey, Julius Gudmundsson, Margret Jakobsdottir, Jon T Bergthorsson, Asgeir Sigurdsson, Thorarinn Blondal, J Alfred Witjes, Sita H Vermeulen, Christina A Hulsbergen-van de Kaa, Dorine W Swinkels, Martine Ploeg, Erik B Cornel, Henk Vergunst, Thorgeir E Thorgeirsson, Daniel Gudbjartsson, Sigurjon A Gudjonsson, Gudmar Thorleifsson, Kari T Kristinsson, Magali Mouy, Steinunn Snorradottir, Donatella Placidi, Marcello Campagna, Cecilia Arici, Kvetoslava Koppova, Eugene Gurzau, Peter Rudnai, Eliane Kellen, Silvia Polidoro, Simonetta Guarrera, Carlotta Sacerdote, Manuel Sanchez, Berta Saez, Gabriel Valdivia, Charlotta Ryk, Petra de Verdier, Annika Lindblom, Klaus Golka, D Timothy Bishop, Margaret A Knowles, Sigfus Nikulasson, Vigdis Petursdottir, Eirikur Jonsson, Gudmundur Geirsson, Baldvin Kristjansson, Jose I Mayordomo, Gunnar Steineck, Stefano Porru, Frank Buntinx, Maurice P Zeegers, Tony Fletcher, Rajiv Kumar, Giuseppe Matullo, Paolo Vineis, Anne E Kiltie, Jeffrey R Gulcher, Unnur Thorsteinsdottir, Augustine Kong, Thorunn Rafnar et Kari Stefansson
Auteurs: Marijke Alen, Suzanne Kaptein, Tine De Burghgraeve, Johan Neyts, Jan Balzarini et Dominique Schols
1 November 2008 | ARTICLE
The investigation of a geographical cluster of bladder cancer
Previous analyses of the Limburg Cancer registry (LIKAR) indicated the existence of a geographical cluster of bladder cancer incidence, particularly transitional cell carcinomas, amongst males in the surrounding area of the Belgian cities Hasselt ...
Auteurs: E Kellen, MP Zeegers, L Bruckers et Frank Buntinx
1 November 2008 | ARTICLE
A comparison between the force of infection estimates for blood-borne viruses in injecting drug user populations across the European Union: a modelling study
A number of studies have been conducted in injecting drug user (IDU) populations in Europe, in which the prevalence of human immunodeficiency virus (HIV), hepatitis B virus (HBV) and hepatitis C virus (HCV) was measured together with demographic a...
Auteurs: AJ Sutton, VD Hope, Cathy Matheï, V Mravcik, H Sebakova, F Vallejo, B Suligoi, MT Brugal, F Ncube, L Wiessing et M Kretzschmar
1 November 2008 | ARTICLE
GPs' experiences with loneliness
BACKGROUND: Loneliness has a negative influence on health. General practitioners are confronted with lonely patients in their daily practice, but there is little information about how GPs deal with loneliness. METHODS: A qualitative study using se...
Auteurs: Hiske van Ravesteijn, Peter Lucassen et Marian van der Akker
6 October 2008 | ARTICLE
A cluster randomized trial to improve adherence to evidence-based guidelines on diabetes and reduce clinical inertia in primary care physicians in Belgium: study protocol [NTR 1369]
ABSTRACT: BACKGROUND: Most quality improvement programs in diabetes care incorporate aspects of clinician education, performance feedback, patient education, care management, and diabetes care teams to support primary care physicians. Few studies ...
Auteurs: Liesbeth Borgermans, Geert Goderis, Carine Van Den Broeke, Chantal Mathieu, Bert Aertgeerts, Geert Verbeke, An Carbonez, Anna Ivanova, Richard Grol et Jan Heyrman
Auteurs: Jean-Marie Degryse et Bert Vaes
1 October 2008 | ARTICLE
A compendium of familial relative risks of cancer among first degree relatives: A population-based study
Familial clustering of cancer is expected to occur at practically all anatomical sites. However, few studies have had sufficient size to investigate different sites simultaneously and with adjustment for confounders. We evaluated familial clusteri...
Auteurs: Maurice P Zeegers, Leo J Schouten, R Alexandra Goldbohm et Piet A van den Brandt
1 October 2008 | ARTICLE
An overview of patients' preference for, and satisfaction with, care provided by general practitioners and nurse practitioners
AIM AND OBJECTIVES: To assess patients' views on the care provided by nurse practitioners compared with that provided by general practitioners and to determine factors influencing these views. BACKGROUND: Many countries have sought to shift aspect...
Auteurs: Miranda GH Laurant, Rosella PMG Hermens, Joze CC Braspenning, Reinier P Akkermans, Bonnie Sibbald et Richard PTM Grol
1 October 2008 | ARTICLE
Possibilities for transborder cooperation in breast cancer care in Europe: A comparative analysis regarding the content, quality and evidence use of breast cancer guidelines
To encourage transborder cooperation in breast cancer care in Europe, we explored possibilities with the German-Dutch border area as an example. Evidence-based breast cancer guidelines were searched and compared on the: (1) methodological quality ...
Auteurs: L Wennekes, RPMG Hermens, K van Heumen, V Runde, H Schoelen, HCH Wollersheim, RPTM Grol, PHM de Mulder et PB Ottevanger
1 October 2008 | ARTICLE
Anthropometry, carbohydrate and lipid metabolism in the East Flanders Prospective Twin Survey: linkage of candidate genes using two sib-pair based variance components analyses
Insulin resistance and obesity are underlying causes of type 2 diabetes and therefore much interest is focused on the potential genes involved. A series of anthropometric and metabolic characteristic were measured in 240 MZ and 112 DZ twin pairs r...
Auteurs: Nicole Y Souren, Maurice P Zeegers, Rob GJH Janssen, Anja Steyls, M Gielen, Ruth JF Loos, Gaston Beunen, Robert Fagard, Alphons PM Stassen, Jeroen Aerssens, Cathérine Derom, Robert Vlietinck et Aimee DC Paulussen
1 October 2008 | ARTICLE
Recent developments in the management of postmenopausal osteoporosis with bisphosphonates: enhanced efficacy by enhanced compliance
Bisphosphonates are the current mainstay of treatment for postmenopausal osteoporosis. Although daily oral dosing is effective, it is associated with poor compliance, partly because of the pre and postdose fasting and posture requirements. This ne...
Auteurs: Steven Boonen, Dirk Vanderschueren, Katrien Venken, Koen Milisen, Michel Delforge et Patrick Haentjens