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10 results on '"Geurts, J.W."'

2. Multidisciplinaire behandeling van aangezichtspijn

Author

Geurts, J.W., Haumann, Johan, van Kleef, Maarten, MUMC+: CAKZ Pijnkennis Ane (9), MUMC+: MA Anesthesiologie (9), Anesthesiologie, and RS: MHeNs - R3 - Neuroscience

Abstract

The diagnosis and treatment of orofacial pain can be complex. The differential diagnosis is very extensive. Therefore, multidisciplinary diagnosis and treatment are often indicated. The diagnosis of chronic pain also entails the investigation of psychological factors. This is because psychological problems can play a role in the chronification of pain, but they can also be a consequence of chronic pain. Patients with persistent orofacial complaints should be seen by a medical team consisting of an oral and maxillofacial surgeon, a neurologist, an anaesthesiologist/pain specialist, a dentist-gnathologist, an orofacial physical therapist, and a psychologist or psychiatrist specialising in orofacial pain. Treatment options should be discussed, taking into account literature concerning their effectiveness. The general conclusion is that much research remains to be done into the causes of, and treatments for, orofacial pain.

Published
2016

4. Lagerugpijn en lumbosacraal radiculair syndroom

Author

Willems, P.C., Geurts, J.W., van Boxem, K., van Kleef, M., Huygen, F.J.P.M., Kleef, M. van, Vissers, K.C.P., Zuurmond, W.W.A., Orthopedie, MUMC+: KIO Kemta (9), Anesthesiologie, and RS: CAPHRI School for Public Health and Primary Care

Published
2014

5. Radiofrequency Procedures for Chronic Spinal Pain: An Update

Author

van Kleef, M., Geurts, J.W., Raja, S.N., Sommer, C.L., Anesthesiologie, MUMC+: KIO Kemta (9), RS: CAPHRI School for Public Health and Primary Care, RS: CAPHRI - Health Technology Assessment, and RS: MHeNs - R3 - Neuroscience

Published
2014

6. Prevalence and predictors of postoperative pain in (ENT) patients

Author

Sommer, M., Geurts, J.W., Stessel, B., Kessels, A.G.H., Peters, M.L., Patijn, J., van Kleef, M., Kremer, B., Marcus, M.A.E., MUMC+: KIO Kemta (9), Clinical Psychological Science, Anesthesiologie, Keel-, Neus- en Oorheelkunde, and RS: FPN CPS I

Subjects
otorhinolaryngologic diseases
Abstract

Objective: To determine postoperative pain in different types of ear, nose, and throat (ENT) surgery and their psychological preoperative predictors. Design: Prospective cohort study. Setting: Academic hospital. Patients: A total of 217 patients undergoing ENT surgery. Interventions: All ENT, neck, and salivary gland surgery. Main Outcome Measures: Postoperative pain and predictors for postoperative pain. Results: Fifty percent of the patients undergoing surgery on the oral, pharyngeal, and laryngeal region and on the neck and salivary gland region had a visual analog scale score higher than 40 mm on day 1. In the patients who underwent oropharyngeal region operations the VAS score remained high on all 4 days. A VAS pain score higher than 40 mm was found in less than 30% of patients after endoscopic procedures and less than 20% after ear and nose surgery. After bivariate analysis, 6 variables-age, sex, preoperative pain, expected pain, short-term fear, and pain catastrophizing-had a predictive value. Multivariate analysis showed only preoperative pain, pain catastrophizing, and anatomical site of operation as independent predictors. Conclusions: Differences exist in the prevalence of unacceptable postoperative pain between ENT operations performed on different anatomical sites. A limited set of variables can be used to predict the occurrence of unacceptable postoperative pain after ENT surgery.

Published
2009

8. Predictors of Acute Postoperative Pain After Elective Surgery

Author

Sommer, M., Sommer, M., de Rijke, M.M., van Kleef, M., Kessels, A.G.H., Peters, M.L., Geurts, J.W., Patijn, J., Gramke, H., Marcus, M.A.E., Sommer, M., Sommer, M., de Rijke, M.M., van Kleef, M., Kessels, A.G.H., Peters, M.L., Geurts, J.W., Patijn, J., Gramke, H., and Marcus, M.A.E.

Abstract

Objectives: Objectives: Despite efforts to improve acute postoperative pain management, a substantial number of patients still experience moderate to severe pain during the immediate postoperative days. The purpose of the present study was to identify predictors of moderate to severe acute postoperative pain. Methods: Methods: A total of 1490 patients undergoing heterogeneous Surgical procedures recorded their pain 3 times a day oil a 100-mm visual analog scale front the day before the operation until 5 days postoperation. For each postoperative day, pain intensity was classified as moderate when the mean pain score was 41 to 74mm and as "severe when the mean pain score was 75 to 100 turn. Using logistic regression analyses. we examined the predictive value of a comprehensive set of preoperative and perioperative variables for moderate to severe pain. Results: Results: The most important predictors seemed to be; preoperative pain, expected pain, Surgical fear, and pain catastrophizing. Discussion: Discussion: Several predictive factors of postoperative pain were identified in this study. These factors could be taken into account in postoperative pain management.

Published
2010

10. Clinical course of non-specific low back pain: A systematic review of prospective cohort studies set in primary care.

Author

Itz, C.J., Geurts, J.W., Kleef, M., and Nelemans, P.

Subjects
TREATMENT of backaches, SYSTEMATIC reviews, COHORT analysis, LONGITUDINAL method, PRIMARY care, PROGNOSIS, RANDOM effects model
Abstract

Background and objective Non-specific low back pain is a relatively common and recurrent condition for which at present there is no effective cure. In current guidelines, the prognosis of acute non-specific back pain is assumed to be favourable, but this assumption is mainly based on return to function. This systematic review investigates the clinical course of pain in patients with non-specific acute low back pain who seek treatment in primary care. Databases and data treatment Included were prospective studies, with follow-up of at least 12 months, that studied the prognosis of patients with low back pain for less than 3 months of duration in primary care settings. Proportions of patients still reporting pain during follow-up were pooled using a random-effects model. Subgroup analyses were used to identify sources of variation between the results of individual studies. Results A total of 11 studies were eligible for evaluation. In the first 3 months, recovery is observed in 33% of patients, but 1 year after onset, 65% still report pain. Subgroup analysis reveals that the pooled proportion of patients still reporting pain after 1 year was 71% at 12 months for studies that considered total absence of pain as a criterion for recovery versus 57% for studies that used a less stringent definition. The pooled proportion for Australian studies was 41% versus 69% for European or US studies. Conclusions The findings of this review indicate that the assumption that spontaneous recovery occurs in a large majority of patients is not justified. There should be more focus on intensive follow-up of patients who have not recovered within the first 3 months. [ABSTRACT FROM AUTHOR]

Published
2013
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