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15 June 2021 | TEXT RESOURCE
SARS-COV-2 SEROPREVALENCE AMONG NURSING HOME RESIDENTS AND STAFF IN BELGIUM - SCOPE
MAIN FINDINGS From February 1st until March 24th, 2021, the SCOPE study measured the proportion of residents and staff members in Belgian nursing homes (NH) that had anti-SARS-CoV-2 antibodies (seroprevalence). In total, 1,572 residents and 1,253...
Auteurs: Eline Meyers, Ellen Deschepper, Els Duysburgh, Liselore De Rop, Tine De Burghgraeve, Pauline Van Ngoc, Marina Di Gregorio, Simon Delogne, Anja Coen, Nele Declercq, Laëtitia Buret, Samuel Coenen, An De Sutter, Beatrice Scholtes, Jan Verbakel, Piet Cools en Stefan Heytens
11 June 2021 | ARTICLE
Changes in social, psychological and physical well-being in the last 5 years of life of older people with cancer: a longitudinal study
BACKGROUND: older people with cancer are at risk of complex and fluctuating health problems, but little is known about the extent to which their well-being changes in the last years of life. OBJECTIVE: to examine changes in physical, psychological...
Auteurs: Lara Pivodic, Tine De Burghgraeve, Jos Twisk, Marjan van den Akker, Frank Buntinx en Lieve Van den Block
Auteurs: Jennifer Frances Barcroft, Nicolas Galazis, Benjamin P Jones, Natalie Getreu, Timothy Bracewell-Milnes, Karen J Grewal, Flavia Sorbi, Joseph Yazbek, Kostas Lathouras, J Richard Smith, Paul Hardiman, Meen-Yau Thum, Jara Ben-Nagi, Sadaf Ghaem-Maghami, Jan Verbakel en Srdjan Saso
1 June 2021 | ARTICLE
An alternative approach for bioanalytical assay optimization for wastewater-based epidemiology of SARS-CoV-2
Wastewater-based epidemiology of SARS-CoV-2 could play a role in monitoring the spread of the virus in the population and controlling possible outbreaks. However, sensitive sample preparation and detection methods are necessary to detect trace lev...
Auteurs: Tim Boogaerts, Lotte Jacobs, Naomi De Roeck, Siel Van den Bogaert, Bert Aertgeerts, Lies Lahousse, Alexander LN van Nuijs en Peter Delputte
26 May 2021 | DISSERTATION
Automated audit and feedback as a tool to measure and improve the quality of primary care
Summary This thesis investigated automated audit and feedback towards patients and professionals as a tool to measure and improve the quality of primary care for diabetes type 2 and chronic kidney disease. Introduction Although audit and feedback ...
Auteurs: Steve Van den Bulck
25 May 2021 | ARTICLE
Effectiveness of Iron Supplementation With or Without Erythropoiesis-Stimulating Agents on Red Blood Cell Utilization in Patients With Preoperative Anaemia Undergoing Elective Surgery: A Systematic Review and Meta-Analysis
Patient Blood Management (PBM) is an evidence-based, multidisciplinary, patient-centred approach to optimizing the care of patients who might need a blood transfusion. This systematic review aimed to collect the best available evidence on the effe...
Auteurs: Hans Van Remoortel, Jorien Laermans, Bert Avau, Geertruida Bekkering, Jorgen Georgsen, Paola Maria Manzini, Patrick Meybohm, Yves Ozier, Emmy De Buck, Veerle Compernolle en Philippe Vandekerckhove
22 May 2021 | ARTICLE
Managing diabetes mellitus with comorbidities in primary healthcare facilities in urban settings: a qualitative study among physicians in Odisha, India
AIM: To explore the perceived barriers and facilitators in the management of the patients having diabetes with comorbidities by primary care physicians. METHODS: A qualitative In-Depth Interview study was conducted among the primary care physician...
Auteurs: Sandipana Pati, Sanghamitra Pati, Marjan van den Akker, FG Schellevis, Krushna Chandra Sahoo en Jako S Burgers
Auteurs: Michael Ceulemans, Laure Sillis, Kristel Van Calsteren, Anne Smits, Titia Hompes, Annick Bogaerts, Karel Allegaert, Maarten De Vos, Jan Verbakel en Veerle Foulon
17 May 2021 | ARTICLE
Identification and treatment of viral hepatitis C in persons who use drugs: a prospective, multicenter outreach study in Flanders, Belgium
BACKGROUND: Targeted screening for hepatitis C viral (HCV) infection is not yet widely executed in Belgium. When performed in people who use drugs (PWUD), it is mainly focused on those receiving opiate agonist therapy (OAT). We wanted to reach out...
Auteurs: Dana Busschots, Cecile Kremer, Rob Bielen, Ozgur Muhammet Koc, Leen Heyens, Eefje Dercon, Rita Verrando, Tessa Windelinckx, Griet Maertens, Stefan Bourgeois, Niel Hens, Catharina Mathei en Geert Robaeys
11 May 2021 | ARTICLE
SGLT-2 inhibitors or GLP-1 receptor agonists for adults with type 2 diabetes: a clinical practice guideline
CLINICAL QUESTION: What are the benefits and harms of sodium-glucose cotransporter 2 (SGLT-2) inhibitors and glucagon-like peptide 1 (GLP-1) receptor agonists when added to usual care (lifestyle interventions and/or other diabetes drugs) in adults...
Auteurs: Sheyu Li, Per Olav Vandvik, Lyubov Lytvyn, Gordon H Guyatt, Suetonia C Palmer, Rene Rodriguez-Gutierrez, Farid Foroutan, Thomas Agoritsas, Reed AC Siemieniuk, Michael Walsh, Lawrie Frere, David J Tunnicliffe, Evi Nagler, Veena Manja, Bjorn Olav Asvold, Viveekanand Jha, Mieke Vermandere, Karim Gariani, Qian Zhao, Yan Ren, Emma Jane Cartwright, Patrick Gee, Alan Wickes, Linda Ferns, Robin Wright, Ling Li, Qiukui Hao en Reem A Mustafa
1 May 2021 | ARTICLE
Do homemade or cloth face masks work as a preventive measure for respiratory virus transmission?
A short-cut review of the available medical literature was carried out to establish whether homemade or cloth face masks can prevent respiratory virus transmission or clinical illness. After abstract review, twelve papers were found to answer this...
Auteurs: Jan Yvan Jos Verbakel, Nicolas Delvaux en Bert Aertgeerts
Auteurs: Stef Feijen, Thomas Struyf, Kevin Kuppens, Angela Tate en Filip Struyf
1 May 2021 | ARTICLE
Clinical prediction tools to identify patients at highest risk of myeloma in primary care: a retrospective open cohort study
BACKGROUND: Patients with myeloma experience substantial delays in their diagnosis, which can adversely affect their prognosis. AIM: To generate a clinical prediction rule to identify primary care patients who are at highest risk of myeloma. DESIG...
Auteurs: Constantinos Koshiaris, Ann Van den Bruel, Brian D Nicholson, Sarah Lay-Flurrie, Fd Richard Hobbs en Jason L Oke
5 April 2021 | ARTICLE
The effect of automated audit and feedback on data completeness in the electronic health record of the general physician: protocol for a cluster randomized controlled trial

BACKGROUND: The electronic health record (EHR) of the general physician (GP) is an important tool that can be used to assess and improve the quality of healthcare. However, there are some problems when (re) using the data gathered in the EHR fo...

Auteurs: Steve van den Bulck, Tine De Burghgraeve, Willem Raat, Pavlos Mamouris, Patrick Coursier, Patrik Vankrunkelsven, Geert Goderis, Rosella Hermens, Gijs Van Pottelbergh en Bert Vaes
Auteurs: Vasiliki Andreou, Sanne Peters, Jan Eggermont en Birgitte Schoenmakers
1 April 2021 | ARTICLE
Uptake of hepatitis C virus screening and treatment in persons under opioid substitution therapy between 2008 and 2013 in Belgium
BACKGROUND: Hepatitis C is a viral infection caused by the hepatitis C virus (HCV) with people who inject drugs as the main group at risk worldwide. AIM: This study investigated the differences in uptake for HCV screening and treatment between per...
Auteurs: D Busschots, A Arain, R Bielen, OM Koc, L Bruckers, T Rakhmawati, K Corten, C Lebbe, K Cornelis, C Mathei, F Buntinx, N Hens en G Robaeys
1 April 2021 | ARTICLE
A Heart Rate Monitoring App (FibriCheck) for Atrial Fibrillation in General Practice: Pilot Usability Study
BACKGROUND: Atrial fibrillation (AF) is a major risk factor for stroke. The current opportunistic screening procedure consists of pulse palpation and an electrocardiogram when an irregular rhythm is found. Smartphone apps that measure heart rhythm...
Auteurs: Simon Gabriel Beerten, Tine Proesmans en Bert Vaes
1 April 2021 | ARTICLE
Pudendal Neuralgia: The Need for a Holistic Approach--Lessons From a Case Report.
Pudendal neuralgia is a form of chronic pelvic pain, although the validity of this diagnosis has not been firmly established. It is characterized by unilateral pain in the pudendal nerve dermatome, mostly while sitting. In this case report, a 76-y...
Auteurs: Simon Beerten en Rocco Salvatore Calabrò
1 April 2021 | ARTICLE
Validity and Reliability of the Multidimensional Dyspnoea Profile in Older Adults
Breathlessness is a common and distressing symptom in older adults and an independent predictor of adverse outcomes and yet its multidimensional assessment has not been validated in older adults. We apply and validate the Multidimensional Dyspnoea...
Auteurs: Eralda Hegendörfer, Jan Degryse en Alexander Doukhopelnikoff
31 March 2021 | ARTICLE
Obstetric risk factors for anorectal dysfunction after delivery: a systematic review and meta-analysis
INTRODUCTION AND HYPOTHESIS: Pregnancy and childbirth are considered risk factors for pelvic floor dysfunction, including anorectal dysfunction. We aimed to assess the effect of obstetric events on anal incontinence and constipation after delivery...
Auteurs: Laura Cattani, Liesbeth Neefs, Jan Y Verbakel, Jan Bosteels en Jan Deprest
29 March 2021 | ARTICLE
Cellular Immune Phenotypes and Worsening Scores of Frailty-Associated Parameters Over an 18-Month Period in the Very Old
Frailty has been related to inflammaging and certain immune parameters. In previous analyses of participants older than 80 years of age in the longitudinal BELFRAIL cohort study, the main focus was on T-cell phenotypes and the association with cyt...
Auteurs: David Goldeck, Wim Adriaensen, Lilly Oettinger, Bert Vaes, Gijs van Pottelbergh, Jean-Marie Degryse, Klaus Hamprecht, Catharina Mathei en Graham Pawelec
26 March 2021 | ARTICLE
Co-location of out of hours primary care and emergency department in Belgium: patients’ and physicians’ view
BACKGROUND: In Belgium, General Practitioner Cooperatives (GPC) aim to improve working conditions for unplanned care and to reduce the number of low acuity emergency visits. Although this system is well organized, the number of low acuity visits d...
Auteurs: Birgitte Schoenmakers
15 March 2021 | ARTICLE
The implementation of the nationwide out-of-hours phone number 1733 in Belgium: analysis of efficiency and safety
BACKGROUND: Belgium has a problem with inappropriate use of emergency services. The government installed the number 1733 for out-of-hours care. Through a dry run test, we learned that 30% of all calls were allocated to the protocol 'unclear proble...
Auteurs: Birgitte Schoenmakers, Marc Sabbe, Chris Van der Mullen, Lukas Delmeiren, Marco Janssens en Sjors Pietermans
1 March 2021 | ARTICLE
Diagnosing serious infections in older adults presenting to ambulatory care: a systematic review
OBJECTIVES: to summarise all available evidence on the accuracy of clinical features and blood tests for diagnosing serious infections in older patients presenting to ambulatory care. METHODS: systematic review, searching seven databases using a c...
Auteurs: Thomas Struyf, Hanne A Boon, Alma C van de Pol, Jos Tournoy, Alexander Schuermans, Theo JM Verheij, Jan Y Verbakel en Ann Van den Bruel
1 March 2021 | ARTICLE
Polypharmacy and excessive polypharmacy in community-dwelling middle aged and aged adults between 2011 and 2015

AIMS: We aimed to assess the prevalence, components and evolution of polypharmacy and to evaluate risk factors associated with polypharmacy. METHODS: A retrospective dynamic cohort study was performed, using a primary healthcare database compri...

Auteurs: Laura Hellemans, Shauni Nuyts, Julie Hias, Marjan van den Akker, Gijs Van Pottelbergh, Xavier Rygaert, Isabel Spriet, Bert Vaes, Jos Tournoy en Lorenz van der Linden
23 February 2021 | ARTICLE
Cardiologists' perceptions on multidisciplinary collaboration in heart failure care - a qualitative study
BACKGROUND: Cardiologists play a key role in multidisciplinary care by guiding heart failure (HF) management in the hospital and in the community. Regional implementation of multidisciplinary health care interventions depends on how they perceive ...
Auteurs: Willem Raat, Miek Smeets, Isolde Vandewal, Lien Broekx, Sanne Peters, Stefan Janssens, Bert Vaes en Bert Aertgeerts
15 February 2021 | ARTICLE
Fertility treatment and cancers-the eternal conundrum: a systematic review and meta-analysis
STUDY QUESTION: Does fertility treatment (FT) significantly increase the incidence of breast, ovarian, endometrial or cervical cancer? SUMMARY ANSWER: Overall, FT does not significantly increase the incidence of breast, ovarian or endometrial canc...
Auteurs: Jennifer Frances Barcroft, Nicolas Galazis, Benjamin P Jones, Natalie Getreu, Timothy Bracewell-Milnes, Karen J Grewal, Flavia Sorbi, Joseph Yazbek, Kostas Lathouras, J Richard Smith, Paul Hardiman, Meen-Yau Thum, Jara Ben-Nagi, Sadaf Ghaem-Maghami, Jan Verbakel en Srdjan Saso
8 February 2021 | OTHER
Studie over de beoordeling van acuut zieke kinderen: huisartsen gezocht
Vindt u het soms moeilijk om een ernstige infectie bij een acuut ziek kind uit te sluiten of juist te behandelen? De onderzoeksgroep EPI-Centre aan het ACHG wil huisartsen ondersteunen in de beoordeling van acuut zieke kinderen met een evidence-ba...
Auteurs: Ruben Burvenich en jan Verbakel