Search

Your search keyword '"Muris, J."' showing total 515 results
Start Over Author "Muris, J."
515 results on '"Muris, J."'

1. Effect of COVID-19 lockdown on maternity care and maternal outcome in the Netherlands: a national quasi-experimental study

Author

Ambrosino, E., Auweele, K.V., Been, J., Beijers, R., Bertens, L., Bloemenkamp, K., Boderie, N., Burdorf, L., Ochoa, L.B., de Jonge, A., de Weerth, C., Franx, A., Harper, S., Kazemier, B.M., Klein, P.P., Kretz, D., Labrecque, J., Mol, B.W., Muris, J., Nieuwenhuijze, M., Obermann, S., Oudijk, M., Peters, L., Ramerman, L., Ravelli, A., Schonewille-Rosman, A., Struijs, J., Torij, H., Van Beukering, M., van den Akker, T., van den Heuvel, M., van Dillen, J., van Lenthe, F., Van Ourti, T., Verhoeff, A., Vermeulen, M., Visser, N., Willers, S., Schoenmakers, S., Zainularab, Z., Gravesteijn, B.Y., Boderie, N.W., Bertens, L.C.M., Burgos Ochoa, L., Klein, P.P.F., Kwint-Reijnders, I., Labrecque, J.A., Obermann-Borst, S.A., Ravelli, A.C.J., Rosman, A., Been, J.V., and de Groot, C.J.

Published
2024
Full Text
View/download PDF

4. Diarree

Author

Muris, J. W. M., Keszthelyi, D., de Jongh, T.O.H., editor, de Vries, H., editor, Knottnerus, B.J., editor, Keurlings, P.A.J., editor, Damen, J., editor, and Reinders, M.E., editor

Published
2021
Full Text
View/download PDF

5. Obstipatie

Author

Muris, J. W. M., Mathus-Vliegen, E. M. H., de Jongh, T.O.H., editor, de Vries, H., editor, Knottnerus, B.J., editor, Keurlings, P.A.J., editor, Damen, J., editor, and Reinders, M.E., editor

Published
2021
Full Text
View/download PDF

6. Chronische buikpijn

Author

van der Horst, H. E., Muris, J. W. M., Masclee, A. A. M., de Jongh, T.O.H., editor, de Vries, H., editor, Knottnerus, B.J., editor, Keurlings, P.A.J., editor, Damen, J., editor, and Reinders, M.E., editor

Published
2021
Full Text
View/download PDF

8. Effect of COVID-19 lockdown on maternity care and maternal outcome in the Netherlands: A national quasi-experimental study

Author

Gravesteijn, B., Boderie, N.W., van den Akker, T., Bertens, L.C.M., Bloemenkamp, K., Ochoa, L. Burgos, Jonge, Ank De, Kazemier, B.M., Klein, P.P., Kwint-Reijnders, I., Labrecque, J.A., Mol, B.W., Obermann-Borst, Sylvia, Peters, Lilian L, Ravelli, Anita, Rosman, A., Been, Jasper, de Groot, Christianne, Ambrosino, E., Auweele, K.V., Been, J., Beijers, R., Bertens, L., Boderie, N., Burdorf, L., Ochoa, L.B., de Jonge, A., de Weerth, C., Franx, A., Harper, S., Kretz, D., Labrecque, J., Muris, J., Nieuwenhuijze, M., Obermann, S., Oudijk, M., Peters, L., Ramerman, L., Ravelli, A., Schonewille-Rosman, A., Struijs, J., Torij, H., Beukering, M. Van, van den Heuvel, M., van Dillen, J., van Lenthe, F., Gravesteijn, B., Boderie, N.W., van den Akker, T., Bertens, L.C.M., Bloemenkamp, K., Ochoa, L. Burgos, Jonge, Ank De, Kazemier, B.M., Klein, P.P., Kwint-Reijnders, I., Labrecque, J.A., Mol, B.W., Obermann-Borst, Sylvia, Peters, Lilian L, Ravelli, Anita, Rosman, A., Been, Jasper, de Groot, Christianne, Ambrosino, E., Auweele, K.V., Been, J., Beijers, R., Bertens, L., Boderie, N., Burdorf, L., Ochoa, L.B., de Jonge, A., de Weerth, C., Franx, A., Harper, S., Kretz, D., Labrecque, J., Muris, J., Nieuwenhuijze, M., Obermann, S., Oudijk, M., Peters, L., Ramerman, L., Ravelli, A., Schonewille-Rosman, A., Struijs, J., Torij, H., Beukering, M. Van, van den Heuvel, M., van Dillen, J., and van Lenthe, F.

Abstract

Objectives The COVID-19 pandemic and associated lockdowns disrupted health care worldwide. High-income countries observed a decrease in preterm births during lockdowns, but maternal pregnancy–related outcomes were also likely affected. This study investigates the effect of the first COVID-19 lockdown (March–June 2020) on provision of maternity care and maternal pregnancy–related outcomes in the Netherlands. Study design National quasi-experimental study. Methods Multiple linked national registries were used, and all births from a gestational age of 24+0 weeks in 2010–2020 were included. In births starting in midwife-led primary care, we assessed the effect of lockdown on provision of care. In the general pregnant population, the impact on characteristics of labour and maternal morbidity was assessed. A difference-in-regression-discontinuity design was used to derive causal estimates for the year 2020. Results A total of 1,039,728 births were included. During the lockdown, births to women who started labour in midwife-led primary care (49%) more often ended at home (27% pre-lockdown, +10% [95% confidence interval: +7%, +13%]). A small decrease was seen in referrals towards obstetrician-led care during labour (46%, −3% [−5%,−0%]). In the overall group, no significant change was seen in induction of labour (27%, +1% [−1%, +3%]). We found no significant changes in the incidence of emergency caesarean section (9%, −1% [−2%, +0%]), obstetric anal sphincter injury (2%, +0% [−0%, +1%]), episiotomy (21%, −0% [−2%, +1%]), or post-partum haemorrhage: >1000 ml (6%, −0% [−1%, +1%]). Conclusions During the first COVID-19 lockdown in the Netherlands, a substantial increase in homebirths was seen. There was no evidence for changed available maternal outcomes, suggesting that a maternity care system with a strong midwife-led primary care system may flexibly and safely adapt to external disruptions.

Published
2024

9. Effect of COVID-19 lockdown on maternity care and maternal outcome in the Netherlands: a national quasi-experimental study

Author

Epi Infectieziekten Team 1, MS Verloskunde, Child Health, Arts-assistenten DV&B, Onderzoeksgroep 2, Zorgeenheid Vaatchirurgie Medisch, Team Onderzoek, Brain, Onderzoeksgroep 6, CMM Sectie Molecular Cancer Research, Opleiding Neurologie, Gravesteijn, B. Y., Boderie, N. W., van den Akker, T., Bertens, L. C.M., Bloemenkamp, K., Burgos Ochoa, L., de Jonge, A., Kazemier, B. M., Klein, P. P., Kwint-Reijnders, I., Labrecque, J., Mol, B. W., Obermann, S., Peters, L., Ravelli, A. C.J., Rosman, A., Been, J., de Groot, C. J., Ambrosino, E., Auweele, K. V., Beijers, R., Boderie, N., Burdorf, L., Ochoa, L. B., de Weerth, C., Franx, A., Harper, S., Kretz, D., Muris, J., Nieuwenhuijze, M., Oudijk, M., Ramerman, L., Ravelli, A., Schonewille-Rosman, A., Struijs, J., Torij, H., Van Beukering, M., van den Heuvel, M., van Dillen, J., van Lenthe, F., Van Ourti, T., Verhoeff, A., Vermeulen, M., Visser, N., Willers, S., Schoenmakers, S., Zainularab, Z., Epi Infectieziekten Team 1, MS Verloskunde, Child Health, Arts-assistenten DV&B, Onderzoeksgroep 2, Zorgeenheid Vaatchirurgie Medisch, Team Onderzoek, Brain, Onderzoeksgroep 6, CMM Sectie Molecular Cancer Research, Opleiding Neurologie, Gravesteijn, B. Y., Boderie, N. W., van den Akker, T., Bertens, L. C.M., Bloemenkamp, K., Burgos Ochoa, L., de Jonge, A., Kazemier, B. M., Klein, P. P., Kwint-Reijnders, I., Labrecque, J., Mol, B. W., Obermann, S., Peters, L., Ravelli, A. C.J., Rosman, A., Been, J., de Groot, C. J., Ambrosino, E., Auweele, K. V., Beijers, R., Boderie, N., Burdorf, L., Ochoa, L. B., de Weerth, C., Franx, A., Harper, S., Kretz, D., Muris, J., Nieuwenhuijze, M., Oudijk, M., Ramerman, L., Ravelli, A., Schonewille-Rosman, A., Struijs, J., Torij, H., Van Beukering, M., van den Heuvel, M., van Dillen, J., van Lenthe, F., Van Ourti, T., Verhoeff, A., Vermeulen, M., Visser, N., Willers, S., Schoenmakers, S., and Zainularab, Z.

Published
2024

10. Effect of COVID-19 lockdown on maternity care and maternal outcome in the Netherlands:a national quasi-experimental study

Author

Gravesteijn, B. Y., Boderie, N., van den Akker, T., Bertens, L. C.M., Bloemenkamp, K., Burgos Ochoa, L., de Jonge, A., Kazemier, B. M., Klein, P. P., Kwint-Reijnders, I., Labrecque, J. A., Mol, B. W., Obermann-Borst, S. A., Peters, L., Ravelli, A. C.J., Schonewille-Rosman, A., Been, J., de Groot, C. J., Ambrosino, E., Auweele, K. V., Beijers, R., Burdorf, L., de Weerth, C., Franx, A., Harper, S., Kretz, D., Muris, J., Nieuwenhuijze, M., Oudijk, M., Ramerman, L., Ravelli, A., Struijs, J., Torij, H., Van Beukering, M., van den Heuvel, M., van Dillen, J., van Lenthe, F., Van Ourti, T., Verhoeff, A., Vermeulen, M., Visser, N., Willers, S., Schoenmakers, S., Zainularab, Z., Gravesteijn, B. Y., Boderie, N., van den Akker, T., Bertens, L. C.M., Bloemenkamp, K., Burgos Ochoa, L., de Jonge, A., Kazemier, B. M., Klein, P. P., Kwint-Reijnders, I., Labrecque, J. A., Mol, B. W., Obermann-Borst, S. A., Peters, L., Ravelli, A. C.J., Schonewille-Rosman, A., Been, J., de Groot, C. J., Ambrosino, E., Auweele, K. V., Beijers, R., Burdorf, L., de Weerth, C., Franx, A., Harper, S., Kretz, D., Muris, J., Nieuwenhuijze, M., Oudijk, M., Ramerman, L., Ravelli, A., Struijs, J., Torij, H., Van Beukering, M., van den Heuvel, M., van Dillen, J., van Lenthe, F., Van Ourti, T., Verhoeff, A., Vermeulen, M., Visser, N., Willers, S., Schoenmakers, S., and Zainularab, Z.

Abstract

OBJECTIVES:The COVID-19 pandemic and associated lockdowns disrupted health care worldwide. High-income countries observed a decrease in preterm births during lockdowns, but maternal pregnancy-related outcomes were also likely affected. This study investigates the effect of the first COVID-19 lockdown (March-June 2020) on provision of maternity care and maternal pregnancy-related outcomes in the Netherlands.STUDY DESIGN: National quasi-experimental study.METHODS: Multiple linked national registries were used, and all births from a gestational age of 24+0 weeks in 2010-2020 were included. In births starting in midwife-led primary care, we assessed the effect of lockdown on provision of care. In the general pregnant population, the impact on characteristics of labour and maternal morbidity was assessed. A difference-in-regression-discontinuity design was used to derive causal estimates for the year 2020.RESULTS: A total of 1,039,728 births were included. During the lockdown, births to women who started labour in midwife-led primary care (49%) more often ended at home (27% pre-lockdown, +10% [95% confidence interval: +7%, +13%]). A small decrease was seen in referrals towards obstetrician-led care during labour (46%, -3% [-5%,-0%]). In the overall group, no significant change was seen in induction of labour (27%, +1% [-1%, +3%]). We found no significant changes in the incidence of emergency caesarean section (9%, -1% [-2%, +0%]), obstetric anal sphincter injury (2%, +0% [-0%, +1%]), episiotomy (21%, -0% [-2%, +1%]), or post-partum haemorrhage: >1000 ml (6%, -0% [-1%, +1%]).CONCLUSIONS: During the first COVID-19 lockdown in the Netherlands, a substantial increase in homebirths was seen. There was no evidence for changed available maternal outcomes, suggesting that a maternity care system with a strong midwife-led primary care system may flexibly and safely adapt to ext

Published
2024

11. A global research priority agenda to advance public health responses to fatty liver disease

Author

Lazarus, J, Mark, H, Allen, A, Arab, J, Carrieri, P, Noureddin, M, Alazawi, W, Alkhouri, N, Alqahtani, S, Arrese, M, Bataller, R, Berg, T, Brennan, P, Burra, P, Castro-Narro, G, Cortez-Pinto, H, Cusi, K, Dedes, N, Duseja, A, Francque, S, Hagstrom, H, Huang, T, Wajcman, D, Kautz, A, Kopka, C, Krag, A, Miller, V, Newsome, P, Rinella, M, Romero, D, Sarin, S, Silva, M, Spearman, C, Tsochatzis, E, Valenti, L, Villota-Rivas, M, Zelber-Sagi, S, Schattenberg, J, Wong, V, Younossi, Z, Aberg, F, Adams, L, Al-Naamani, K, Albadawy, R, Alexa, Z, Allison, M, Alnaser, F, Alswat, K, Alvares-da-Silva, M, Alvaro, D, Alves-Bezerra, M, Andrade, R, Anstee, Q, Awuku, Y, Baatarkhuu, O, Baffy, G, Bakieva, S, Bansal, M, Barouki, R, Batterham, R, Behling, C, Belfort-DeAguiar, R, Berzigotti, A, Betel, M, Bianco, C, Bosi, E, Boursier, J, Brunt, E, Bugianesi, E, Byrne, C, Cabrera Cabrejos, M, Caldwell, S, Carr, R, Castellanos Fernandez, M, Castera, L, Castillo-Lopez, M, Caussy, C, Cerda-Reyes, E, Ceriello, A, Chan, W, Chang, Y, Charatcharoenwitthaya, P, Chavez-Tapia, N, Chung, R, Colombo, M, Coppell, K, Cotrim, H, Craxi, A, Crespo, J, Dassanayake, A, Davidson, N, De Knegt, R, de Ledinghen, V, Demir, M, Desalegn, H, Diago, M, Dillon, J, Dimmig, B, Dirac, M, Dirchwolf, M, Dufour, J, Dvorak, K, Ekstedt, M, El-Kassas, M, Elsanousi, O, Elsharkawy, A, Elwakil, R, Eskridge, W, Eslam, M, Esmat, G, Fan, J, Ferraz, M, Flisiak, R, Fortin, D, Fouad, Y, Freidman, S, Fuchs, M, Gadano, A, Gastaldelli, A, Geerts, A, Geier, A, George, J, Gerber, L, Ghazinyan, H, Gheorghe, L, Kile, D, Girala, M, Boon Bee, G, Goossens, N, Graupera, I, Gronbaek, H, Hamid, S, Hebditch, V, Henry, Z, Hickman, I, Hobbs, L, Hocking, S, Hofmann, W, Idilman, R, Iruzubieta, P, Isaacs, S, Isakov, V, Ismail, M, Jamal, M, Jarvis, H, Jepsen, P, Jornayvaz, F, Sudhamshu, K, Kakizaki, S, Karpen, S, Kawaguchi, T, Keating, S, Khader, Y, Kim, S, Kim, W, Kleiner, D, Koek, G, Joseph Komas, N, Kondili, L, Koot, B, Korenjak, M, Kotsiliti, E, Koulla, Y, Kugelmas, C, Kugelmas, M, Labidi, A, Lange, N, Lavine, J, Lazo, M, Leite, N, Lin, H, Lkhagvaa, U, Long, M, Lopez-Jaramillo, P, Lozano, A, Macedo, M, Malekzadeh, R, Marchesini, G, Marciano, S, Martinez, K, Martinez Vazquez, S, Mateva, L, Mato, J, Nlombi, C, Mccary, A, Mcintyre, J, Mckee, M, Mendive, J, Mikolasevic, I, Miller, P, Milovanovic, T, Milton, T, Moreno-Alcantar, R, Morgan, T, Motala, A, Muris, J, Musso, C, Nava-Gonzalez, E, Negro, F, Nersesov, A, Neuschwander-Tetri, B, Nikolova, D, Norris, S, Novak, K, Ocama, P, Ong, J, Ong-Go, A, Onyekwere, C, Padilla, M, Pais, R, Pan, C, Panduro, A, Panigrahi, M, Papatheodoridis, G, Paruk, I, Patel, K, Goncalves, C, Figueroa, M, Perez-Escobar, J, Pericas, J, Perseghin, G, Pessoa, M, Petta, S, Marques Souza de Oliveira, C, Prabhakaran, D, Pyrsopoulous, N, Rabiee, A, Ramji, A, Ratziu, V, Ravendhran, N, Ray, K, Roden, M, Romeo, S, Romero-Gomez, M, Rotman, Y, Rouabhia, S, Rowe, I, Sadirova, S, Alkhatry, M, Salupere, R, Satapathy, S, Schwimmer, J, Sebastiani, G, Seim, L, Seki, Y, Serme, A, Shapiro, D, Sharvadze, L, Shaw, J, Shawa, I, Shenoy, T, Shibolet, O, Shimakawa, Y, Shubrook, J, Singh, S, Sinkala, E, Skladany, L, Skrypnyk, I, Song, M, Sookoian, S, Sridharan, K, Stefan, N, Stine, J, Stratakis, N, Sheriff, D, Sundaram, S, Svegliati-Baroni, G, Swain, M, Tacke, F, Taheri, S, Tan, S, Tapper, E, Targher, G, Tcaciuc, E, Thiele, M, Tiniakos, D, Tolmane, I, Torre, A, Torres, E, Treeprasertsuk, S, Trenell, M, Turcan, S, Turcanu, A, Valantinas, J, van Kleef, L, Velarde Ruiz Velasco, J, Vesterhus, M, Vilar-Gomez, E, Waked, I, Wattacheril, J, Wedemeyer, H, Wilkins, F, Willemse, J, Wong, R, Yilmaz, Y, Yki-Jarvinen, H, Yu, M, Yumuk, V, Zeybel, M, Zheng, K, Zheng, M, Lazarus J. V., Mark H. E., Allen A. M., Arab J. P., Carrieri P., Noureddin M., Alazawi W., Alkhouri N., Alqahtani S. A., Arrese M., Bataller R., Berg T., Brennan P. N., Burra P., Castro-Narro G. E., Cortez-Pinto H., Cusi K., Dedes N., Duseja A., Francque S. M., Hagstrom H., Huang T. T. -K., Wajcman D. I., Kautz A., Kopka C. J., Krag A., Miller V., Newsome P. N., Rinella M. E., Romero D., Sarin S. K., Silva M., Spearman C. W., Tsochatzis E. A., Valenti L., Villota-Rivas M., Zelber-Sagi S., Schattenberg J. M., Wong V. W. -S., Younossi Z. M., Aberg F., Adams L., Al-Naamani K., Albadawy R. M., Alexa Z., Allison M., Alnaser F. A., Alswat K., Alvares-da-Silva M. R., Alvaro D., Alves-Bezerra M., Andrade R. J., Anstee Q. M., Awuku Y. A., Baatarkhuu O., Baffy G., Bakieva S., Bansal M. B., Barouki R., Batterham R. L., Behling C., Belfort-DeAguiar R., Berzigotti A., Betel M., Bianco C., Bosi E., Boursier J., Brunt E. M., Bugianesi E., Byrne C. J., Cabrera Cabrejos M. C., Caldwell S., Carr R., Castellanos Fernandez M. I., Castera L., Castillo-Lopez M. G., Caussy C., Cerda-Reyes E., Ceriello A., Chan W. -K., Chang Y., Charatcharoenwitthaya P., Chavez-Tapia N., Chung R. T., Colombo M., Coppell K., Cotrim H. P., Craxi A., Crespo J., Dassanayake A., Davidson N. O., De Knegt R., de Ledinghen V., Demir M., Desalegn H., Diago M., Dillon J. F., Dimmig B., Dirac M. A., Dirchwolf M., Dufour J. -F., Dvorak K., Ekstedt M., El-Kassas M., Elsanousi O. M., Elsharkawy A. M., Elwakil R., Eskridge W., Eslam M., Esmat G., Fan J. -G., Ferraz M. L., Flisiak R., Fortin D., Fouad Y., Freidman S. L., Fuchs M., Gadano A., Gastaldelli A., Geerts A., Geier A., George J., Gerber L. H., Ghazinyan H., Gheorghe L., Kile D. G., Girala M., Boon Bee G. G., Goossens N., Graupera I., Gronbaek H., Hamid S., Hebditch V., Henry Z., Hickman I. J., Hobbs L. A., Hocking S. L., Hofmann W. P., Idilman R., Iruzubieta P., Isaacs S., Isakov V. A., Ismail M. H., Jamal M. H., Jarvis H., Jepsen P., Jornayvaz F., Sudhamshu K. C., Kakizaki S., Karpen S., Kawaguchi T., Keating S. E., Khader Y., Kim S. U., Kim W., Kleiner D. E., Koek G., Joseph Komas N. P., Kondili L. A., Koot B. G., Korenjak M., Kotsiliti E., Koulla Y., Kugelmas C., Kugelmas M., Labidi A., Lange N. F., Lavine J. E., Lazo M., Leite N., Lin H. -C., Lkhagvaa U., Long M. T., Lopez-Jaramillo P., Lozano A., Macedo M. P., Malekzadeh R., Marchesini G., Marciano S., Martinez K., Martinez Vazquez S. E., Mateva L., Mato J. M., Nlombi C. M., McCary A. G., McIntyre J., McKee M., Mendive J. M., Mikolasevic I., Miller P. S., Milovanovic T., Milton T., Moreno-Alcantar R., Morgan T. R., Motala A., Muris J., Musso C., Nava-Gonzalez E. J., Negro F., Nersesov A. V., Neuschwander-Tetri B. A., Nikolova D., Norris S., Novak K., Ocama P., Ong J. P., Ong-Go A., Onyekwere C., Padilla M., Pais R., Pan C., Panduro A., Panigrahi M. K., Papatheodoridis G., Paruk I., Patel K., Goncalves C. P., Figueroa M. P., Perez-Escobar J., Pericas J. M., Perseghin G., Pessoa M. G., Petta S., Marques Souza de Oliveira C. P., Prabhakaran D., Pyrsopoulous N., Rabiee A., Ramji A., Ratziu V., Ravendhran N., Ray K., Roden M., Romeo S., Romero-Gomez M., Rotman Y., Rouabhia S., Rowe I. A., Sadirova S., Alkhatry M. S., Salupere R., Satapathy S. K., Schwimmer J. B., Sebastiani G., Seim L., Seki Y., Serme A. K., Shapiro D., Sharvadze L., Shaw J. E., Shawa I. T., Shenoy T., Shibolet O., Shimakawa Y., Shubrook J. H., Singh S. P., Sinkala E., Skladany L., Skrypnyk I., Song M. J., Sookoian S., Sridharan K., Stefan N., Stine J. G., Stratakis N., Sheriff D. S., Sundaram S. S., Svegliati-Baroni G., Swain M. G., Tacke F., Taheri S., Tan S. -S., Tapper E. B., Targher G., Tcaciuc E., Thiele M., Tiniakos D., Tolmane I., Torre A., Torres E. A., Treeprasertsuk S., Trenell M., Turcan S., Turcanu A., Valantinas J., van Kleef L. A., Velarde Ruiz Velasco J. A., Vesterhus M., Vilar-Gomez E., Waked I., Wattacheril J., Wedemeyer H., Wilkins F., Willemse J., Wong R. J., Yilmaz Y., Yki-Jarvinen H., Yu M. -L., Yumuk V., Zeybel M., Zheng K. I., Zheng M. -H., Lazarus, J, Mark, H, Allen, A, Arab, J, Carrieri, P, Noureddin, M, Alazawi, W, Alkhouri, N, Alqahtani, S, Arrese, M, Bataller, R, Berg, T, Brennan, P, Burra, P, Castro-Narro, G, Cortez-Pinto, H, Cusi, K, Dedes, N, Duseja, A, Francque, S, Hagstrom, H, Huang, T, Wajcman, D, Kautz, A, Kopka, C, Krag, A, Miller, V, Newsome, P, Rinella, M, Romero, D, Sarin, S, Silva, M, Spearman, C, Tsochatzis, E, Valenti, L, Villota-Rivas, M, Zelber-Sagi, S, Schattenberg, J, Wong, V, Younossi, Z, Aberg, F, Adams, L, Al-Naamani, K, Albadawy, R, Alexa, Z, Allison, M, Alnaser, F, Alswat, K, Alvares-da-Silva, M, Alvaro, D, Alves-Bezerra, M, Andrade, R, Anstee, Q, Awuku, Y, Baatarkhuu, O, Baffy, G, Bakieva, S, Bansal, M, Barouki, R, Batterham, R, Behling, C, Belfort-DeAguiar, R, Berzigotti, A, Betel, M, Bianco, C, Bosi, E, Boursier, J, Brunt, E, Bugianesi, E, Byrne, C, Cabrera Cabrejos, M, Caldwell, S, Carr, R, Castellanos Fernandez, M, Castera, L, Castillo-Lopez, M, Caussy, C, Cerda-Reyes, E, Ceriello, A, Chan, W, Chang, Y, Charatcharoenwitthaya, P, Chavez-Tapia, N, Chung, R, Colombo, M, Coppell, K, Cotrim, H, Craxi, A, Crespo, J, Dassanayake, A, Davidson, N, De Knegt, R, de Ledinghen, V, Demir, M, Desalegn, H, Diago, M, Dillon, J, Dimmig, B, Dirac, M, Dirchwolf, M, Dufour, J, Dvorak, K, Ekstedt, M, El-Kassas, M, Elsanousi, O, Elsharkawy, A, Elwakil, R, Eskridge, W, Eslam, M, Esmat, G, Fan, J, Ferraz, M, Flisiak, R, Fortin, D, Fouad, Y, Freidman, S, Fuchs, M, Gadano, A, Gastaldelli, A, Geerts, A, Geier, A, George, J, Gerber, L, Ghazinyan, H, Gheorghe, L, Kile, D, Girala, M, Boon Bee, G, Goossens, N, Graupera, I, Gronbaek, H, Hamid, S, Hebditch, V, Henry, Z, Hickman, I, Hobbs, L, Hocking, S, Hofmann, W, Idilman, R, Iruzubieta, P, Isaacs, S, Isakov, V, Ismail, M, Jamal, M, Jarvis, H, Jepsen, P, Jornayvaz, F, Sudhamshu, K, Kakizaki, S, Karpen, S, Kawaguchi, T, Keating, S, Khader, Y, Kim, S, Kim, W, Kleiner, D, Koek, G, Joseph Komas, N, Kondili, L, Koot, B, Korenjak, M, Kotsiliti, E, Koulla, Y, Kugelmas, C, Kugelmas, M, Labidi, A, Lange, N, Lavine, J, Lazo, M, Leite, N, Lin, H, Lkhagvaa, U, Long, M, Lopez-Jaramillo, P, Lozano, A, Macedo, M, Malekzadeh, R, Marchesini, G, Marciano, S, Martinez, K, Martinez Vazquez, S, Mateva, L, Mato, J, Nlombi, C, Mccary, A, Mcintyre, J, Mckee, M, Mendive, J, Mikolasevic, I, Miller, P, Milovanovic, T, Milton, T, Moreno-Alcantar, R, Morgan, T, Motala, A, Muris, J, Musso, C, Nava-Gonzalez, E, Negro, F, Nersesov, A, Neuschwander-Tetri, B, Nikolova, D, Norris, S, Novak, K, Ocama, P, Ong, J, Ong-Go, A, Onyekwere, C, Padilla, M, Pais, R, Pan, C, Panduro, A, Panigrahi, M, Papatheodoridis, G, Paruk, I, Patel, K, Goncalves, C, Figueroa, M, Perez-Escobar, J, Pericas, J, Perseghin, G, Pessoa, M, Petta, S, Marques Souza de Oliveira, C, Prabhakaran, D, Pyrsopoulous, N, Rabiee, A, Ramji, A, Ratziu, V, Ravendhran, N, Ray, K, Roden, M, Romeo, S, Romero-Gomez, M, Rotman, Y, Rouabhia, S, Rowe, I, Sadirova, S, Alkhatry, M, Salupere, R, Satapathy, S, Schwimmer, J, Sebastiani, G, Seim, L, Seki, Y, Serme, A, Shapiro, D, Sharvadze, L, Shaw, J, Shawa, I, Shenoy, T, Shibolet, O, Shimakawa, Y, Shubrook, J, Singh, S, Sinkala, E, Skladany, L, Skrypnyk, I, Song, M, Sookoian, S, Sridharan, K, Stefan, N, Stine, J, Stratakis, N, Sheriff, D, Sundaram, S, Svegliati-Baroni, G, Swain, M, Tacke, F, Taheri, S, Tan, S, Tapper, E, Targher, G, Tcaciuc, E, Thiele, M, Tiniakos, D, Tolmane, I, Torre, A, Torres, E, Treeprasertsuk, S, Trenell, M, Turcan, S, Turcanu, A, Valantinas, J, van Kleef, L, Velarde Ruiz Velasco, J, Vesterhus, M, Vilar-Gomez, E, Waked, I, Wattacheril, J, Wedemeyer, H, Wilkins, F, Willemse, J, Wong, R, Yilmaz, Y, Yki-Jarvinen, H, Yu, M, Yumuk, V, Zeybel, M, Zheng, K, Zheng, M, Lazarus J. V., Mark H. E., Allen A. M., Arab J. P., Carrieri P., Noureddin M., Alazawi W., Alkhouri N., Alqahtani S. A., Arrese M., Bataller R., Berg T., Brennan P. N., Burra P., Castro-Narro G. E., Cortez-Pinto H., Cusi K., Dedes N., Duseja A., Francque S. M., Hagstrom H., Huang T. T. -K., Wajcman D. I., Kautz A., Kopka C. J., Krag A., Miller V., Newsome P. N., Rinella M. E., Romero D., Sarin S. K., Silva M., Spearman C. W., Tsochatzis E. A., Valenti L., Villota-Rivas M., Zelber-Sagi S., Schattenberg J. M., Wong V. W. -S., Younossi Z. M., Aberg F., Adams L., Al-Naamani K., Albadawy R. M., Alexa Z., Allison M., Alnaser F. A., Alswat K., Alvares-da-Silva M. R., Alvaro D., Alves-Bezerra M., Andrade R. J., Anstee Q. M., Awuku Y. A., Baatarkhuu O., Baffy G., Bakieva S., Bansal M. B., Barouki R., Batterham R. L., Behling C., Belfort-DeAguiar R., Berzigotti A., Betel M., Bianco C., Bosi E., Boursier J., Brunt E. M., Bugianesi E., Byrne C. J., Cabrera Cabrejos M. C., Caldwell S., Carr R., Castellanos Fernandez M. I., Castera L., Castillo-Lopez M. G., Caussy C., Cerda-Reyes E., Ceriello A., Chan W. -K., Chang Y., Charatcharoenwitthaya P., Chavez-Tapia N., Chung R. T., Colombo M., Coppell K., Cotrim H. P., Craxi A., Crespo J., Dassanayake A., Davidson N. O., De Knegt R., de Ledinghen V., Demir M., Desalegn H., Diago M., Dillon J. F., Dimmig B., Dirac M. A., Dirchwolf M., Dufour J. -F., Dvorak K., Ekstedt M., El-Kassas M., Elsanousi O. M., Elsharkawy A. M., Elwakil R., Eskridge W., Eslam M., Esmat G., Fan J. -G., Ferraz M. L., Flisiak R., Fortin D., Fouad Y., Freidman S. L., Fuchs M., Gadano A., Gastaldelli A., Geerts A., Geier A., George J., Gerber L. H., Ghazinyan H., Gheorghe L., Kile D. G., Girala M., Boon Bee G. G., Goossens N., Graupera I., Gronbaek H., Hamid S., Hebditch V., Henry Z., Hickman I. J., Hobbs L. A., Hocking S. L., Hofmann W. P., Idilman R., Iruzubieta P., Isaacs S., Isakov V. A., Ismail M. H., Jamal M. H., Jarvis H., Jepsen P., Jornayvaz F., Sudhamshu K. C., Kakizaki S., Karpen S., Kawaguchi T., Keating S. E., Khader Y., Kim S. U., Kim W., Kleiner D. E., Koek G., Joseph Komas N. P., Kondili L. A., Koot B. G., Korenjak M., Kotsiliti E., Koulla Y., Kugelmas C., Kugelmas M., Labidi A., Lange N. F., Lavine J. E., Lazo M., Leite N., Lin H. -C., Lkhagvaa U., Long M. T., Lopez-Jaramillo P., Lozano A., Macedo M. P., Malekzadeh R., Marchesini G., Marciano S., Martinez K., Martinez Vazquez S. E., Mateva L., Mato J. M., Nlombi C. M., McCary A. G., McIntyre J., McKee M., Mendive J. M., Mikolasevic I., Miller P. S., Milovanovic T., Milton T., Moreno-Alcantar R., Morgan T. R., Motala A., Muris J., Musso C., Nava-Gonzalez E. J., Negro F., Nersesov A. V., Neuschwander-Tetri B. A., Nikolova D., Norris S., Novak K., Ocama P., Ong J. P., Ong-Go A., Onyekwere C., Padilla M., Pais R., Pan C., Panduro A., Panigrahi M. K., Papatheodoridis G., Paruk I., Patel K., Goncalves C. P., Figueroa M. P., Perez-Escobar J., Pericas J. M., Perseghin G., Pessoa M. G., Petta S., Marques Souza de Oliveira C. P., Prabhakaran D., Pyrsopoulous N., Rabiee A., Ramji A., Ratziu V., Ravendhran N., Ray K., Roden M., Romeo S., Romero-Gomez M., Rotman Y., Rouabhia S., Rowe I. A., Sadirova S., Alkhatry M. S., Salupere R., Satapathy S. K., Schwimmer J. B., Sebastiani G., Seim L., Seki Y., Serme A. K., Shapiro D., Sharvadze L., Shaw J. E., Shawa I. T., Shenoy T., Shibolet O., Shimakawa Y., Shubrook J. H., Singh S. P., Sinkala E., Skladany L., Skrypnyk I., Song M. J., Sookoian S., Sridharan K., Stefan N., Stine J. G., Stratakis N., Sheriff D. S., Sundaram S. S., Svegliati-Baroni G., Swain M. G., Tacke F., Taheri S., Tan S. -S., Tapper E. B., Targher G., Tcaciuc E., Thiele M., Tiniakos D., Tolmane I., Torre A., Torres E. A., Treeprasertsuk S., Trenell M., Turcan S., Turcanu A., Valantinas J., van Kleef L. A., Velarde Ruiz Velasco J. A., Vesterhus M., Vilar-Gomez E., Waked I., Wattacheril J., Wedemeyer H., Wilkins F., Willemse J., Wong R. J., Yilmaz Y., Yki-Jarvinen H., Yu M. -L., Yumuk V., Zeybel M., Zheng K. I., and Zheng M. -H.

Abstract

Background & aims: An estimated 38% of adults worldwide have non-alcoholic fatty liver disease (NAFLD). From individual impacts to widespread public health and economic consequences, the implications of this disease are profound. This study aimed to develop an aligned, prioritised fatty liver disease research agenda for the global health community. Methods: Nine co-chairs drafted initial research priorities, subsequently reviewed by 40 core authors and debated during a three-day in-person meeting. Following a Delphi methodology, over two rounds, a large panel (R1 n = 344, R2 n = 288) reviewed the priorities, via Qualtrics XM, indicating agreement using a four-point Likert-scale and providing written feedback. The core group revised the draft priorities between rounds. In R2, panellists also ranked the priorities within six domains: epidemiology, models of care, treatment and care, education and awareness, patient and community perspectives, and leadership and public health policy. Results: The consensus-built fatty liver disease research agenda encompasses 28 priorities. The mean percentage of ‘agree’ responses increased from 78.3 in R1 to 81.1 in R2. Five priorities received unanimous combined agreement (‘agree’ + ‘somewhat agree’); the remaining 23 priorities had >90% combined agreement. While all but one of the priorities exhibited at least a super-majority of agreement (>66.7% ‘agree’), 13 priorities had [removed]90% combined agreement. Conclusions: Adopting this multidisciplinary consensus-built research priorities agenda can deliver a step-change in addressing fatty liver disease, mitigating against its individual and societal harms and proactively altering its natural history through prevention, identification, treatment, and care. This agenda should catalyse the global health community's efforts to advance and accelerate responses to this widespread and fast-growing public health threat. Impact and implications: An estimated 38% of adults and 13% o

Published
2023

13. Diagnostiek van metaalallergie geassocieerd met tandheelkundige restauraties

Author

Muris, J., Brand, H.S., D'Hondt, N., Ghaeminia, H., E. Gerritsen, A., Witteman, L., Kreps, B., Kruijt Spanjer, E.C., L. Laine, M., Niesten, D., Phoa, K. H., Politis, C., van Riet, T.C.T., van der Ven, J.M., Van de Casteele, E., Vanhove, W., Willems, G., Adriaensens, S., Schoenaers, J., Naert, I., Vriesema, M., Linssen, M.L.E., Hopman, A.J.G., Baart, J.A., van Es, R.J.J., Muris, J., Rajasekharan, S., Martens, L.C., Cauwels, R.G.E.C., Verbeeck, R.M.H., Storms, A., Zogheib, T., Bral, C., Ting, J.W., Sheikh Rashid, M., Dreschler, W.A., Bart, G.E., Shaheen, E., Sun, Y., EzEldeen, M., Shahbazian, M., Daems, L., Legrand, P., Geers, S., Vermylen, Y., Aelbrecht, K., van Pelt, A.W.J., Creugers, N.H.J., Witter, D.J., Deveugele, M., Geelen, W., Vertriest, S., Aps, J.K.M., editor, De Bruyne, M., editor, Jacobs, R., editor, Nienhuijs, M.E.L., editor, and van der Meer, W.J., editor

Published
2015
Full Text
View/download PDF

14. Buikpijn, chronische

Author

van der Horst, H. E., Muris, J. W. M., Hameeteman, W., de Jongh, drs. T.O.H., editor, de Vries, Prof. dr. H., editor, Grundmeijer, dr. H.G.L.M., editor, and Knottnerus, dr. B.J., editor

Published
2016
Full Text
View/download PDF

16. Cancer detection during the COVID-19 pandemic-Experiences in primary care and recommendations for the future

Author

Van den Berg, MFRS, Grant, M, van Erp, N, van Gils, CH, Muris, J, Brandenbarg, D, van Asselt, KM, de Wit, NJ, Helsper, CW, Van den Berg, MFRS, Grant, M, van Erp, N, van Gils, CH, Muris, J, Brandenbarg, D, van Asselt, KM, de Wit, NJ, and Helsper, CW

Abstract

BACKGROUND: To describe general practitioners (GPs) experiences with the impact COVID-19 on the duration of cancer detection. METHODS: Cross-sectional survey study among Dutch GPs. RESULTS: Fifty-eight GPs participated. During the first wave, COVID-19-related delays were experienced by 88%, 52%, and 67% of GPs in the contact-seeking, primary care, and referral phases, respectively. GPs reported delays due to telehealth consultations, longer waiting times and patient's concerns of COVID infections and overburdening GPs. CONCLUSIONS: The majority of GPs experienced delays in cancer diagnostic processes during the beginning of the COVID pandemic, which was most prominent in the timeliness in which patients sought GP care.

Published
2023

17. What can we learn from experiences in general practice during the COVID-19 pandemic? A qualitative study

Author

Rijpkema, C., Bos, Nanne, Brandenbarg, D., Homburg, M., Beugel, G., Barkema, W.S., Olde Hartman, T.C., Muris, J., Peters, Lilian, Berger, M., Verheij, R.A., Ramerman, L., Rijpkema, C., Bos, Nanne, Brandenbarg, D., Homburg, M., Beugel, G., Barkema, W.S., Olde Hartman, T.C., Muris, J., Peters, Lilian, Berger, M., Verheij, R.A., and Ramerman, L.

Abstract

Contains fulltext : 296206.pdf (Publisher’s version ) (Open Access), BACKGROUND: Experiences with organizational changes in daytime general practices and out-of-hours (OOH) services during the COVID-19 pandemic may help to address the challenges in general practice care that were already a concern before the crisis. This study aimed to describe these experiences and the potential usefulness of the organizational changes for future general practice care and any future pandemics. METHODS: Semi-structured interviews were performed among 11 directors of OOH services, and 19 (locum) general practitioners (GPs) or practice managers, who were purposively sampled. Video or telephone interviews were performed in two rounds: between November 2020 and January 2021 and between May 2021 and August 2021. The data were analyzed using thematic analysis methods. RESULTS: Three themes emerged from the data: (1) Changes in the triage procedures; in GP practices and OOH services, stricter triage criteria were implemented, and GPs were more actively involved in the triage process. These measures helped to reduce the number of 'low urgency' face-to-face consultations. (2) Changes in GP care; there was a shift towards video and telephone consultations, allowing GPs to spend more time with patients during the remaining face-to-face consultations. For chronic patients, the shift towards telemonitoring appeared to encourage self-care, and postponing face-to-face consultations for regular checkups appeared to be unproblematic for stable patients. (3) Coordination of GP care and information communication flow during the COVID-19 pandemic; OOH directors perceived a lack of consistency in the information from various governmental and non-governmental parties on containment measures and guidelines related to COVID-19, making it difficult to act on them. The COVID-19 pandemic intensified collaboration between GPs, OOH services, and other healthcare professionals. CONCLUSIONS: The results of this study indicate that some of the organizational changes, such as strict

Published
2023

18. A Natural Language Processing Model for COVID-19 Detection Based on Dutch General Practice Electronic Health Records by Using Bidirectional Encoder Representations From Transformers:Development and Validation Study

Author

Homburg, M, Meijer, E, Berends, M, Kupers, T, Hartman, TO, Muris, J, de Schepper, E, Velek, P, Kuiper, J, Berger, M, Peters, L, Homburg, M, Meijer, E, Berends, M, Kupers, T, Hartman, TO, Muris, J, de Schepper, E, Velek, P, Kuiper, J, Berger, M, and Peters, L

Abstract

Background: Natural language processing (NLP) models such as bidirectional encoder representations from transformers (BERT) hold promise in revolutionizing disease identification from electronic health records (EHRs) by potentially enhancing efficiency and accuracy. However, their practical application in practice settings demands a comprehensive and multidisciplinary approach to development and validation. The COVID-19 pandemic highlighted challenges in disease identification due to limited testing availability and challenges in handling unstructured data. In the Netherlands, where general practitioners (GPs) serve as the first point of contact for health care, EHRs generated by these primary care providers contain a wealth of potentially valuable information. Nonetheless, the unstructured nature of free-text entries in EHRs poses challenges in identifying trends, detecting disease outbreaks, or accurately pinpointing COVID-19 cases. Objective: This study aims to develop and validate a BERT model for detecting COVID-19 consultations in general practice EHRs in the Netherlands. Methods: The BERT model was initially pretrained on Dutch language data and fine-tuned using a comprehensive EHR data set comprising confirmed COVID-19 GP consultations and non–COVID-19–related consultations. The data set was partitioned into a training and development set, and the model’s performance was evaluated on an independent test set that served as the primary measure of its effectiveness in COVID-19 detection. To validate the final model, its performance was assessed through 3 approaches. First, external validation was applied on an EHR data set from a different geographic region in the Netherlands. Second, validation was conducted using results of polymerase chain reaction (PCR) test data obtained from municipal health services. Lastly, correlation between predicted outcomes and COVID-19–related hospitalizations in the Netherlands was ass

Published
2023

19. Dutch GP healthcare consumption in COVID-19 heterogeneous regions: An interregional time-series approach in 2020-2021

Author

Homburg, M.T., Berger, M., Berends, M., Meijer, E., Kupers, T., Ramerman, L., Rijpkema, C., de Schepper, E., Olde Hartman, T. C., Muris, J., Verheij, R.A., Peters, L., Homburg, M.T., Berger, M., Berends, M., Meijer, E., Kupers, T., Ramerman, L., Rijpkema, C., de Schepper, E., Olde Hartman, T. C., Muris, J., Verheij, R.A., and Peters, L.

Abstract

Background Many countries observed a sharp decline in the use of general practice services after the outbreak of the COVID-19 pandemic. However, research has not yet considered how changes in healthcare consumption varied among regions with the same restrictive measures but different COVID-19 prevalence. Aim To investigate how the COVID-19 pandemic affected healthcare consumption in Dutch general practice during 2020 and 2021, among regions with known heterogeneity in COVID-19 prevalence, from a pre-pandemic baseline in 2019. Design Population-based cohort study using electronic health records. Setting Dutch general practices involved in regional research networks. Methods Interrupted time-series analysis of changes in healthcare consumption from before to during the pandemic. Descriptive statistics on the number of potential COVID-19 related contacts, reason for contact and type of contact. Results The study covered 3 627 597 contacts (425 639 patients), 3 532 693 contacts (433 340 patients), and 4 134 636 contacts (434 872 patients) in 2019, 2020, and 2021, respectively. Time-series analysis revealed a significant decrease in healthcare consumption after the outbreak of the pandemic. Despite interregional heterogeneity in COVID-19 prevalence, healthcare consumption decreased comparably over time in the three regions, before rebounding to a level significantly higher than baseline in 2021. Physical consultations transitioned to phone or digital over time. Conclusions Healthcare consumption decreased irrespective of the regional prevalence of COVID-19 from the start of the pandemic, with the Delta variant triggering a further decrease. Overall, changes in care consumption appeared to reflect contextual factors and societal restrictions rather than infection rates.

Published
2023

20. Care by general practitioners for patients with asthma or COPD during the COVID-19 pandemic.

Author

Rijpkema, C., Ramerman, L., Homburg, M., Meijer, E., Muris, J., olde Hartman, T., Berger, M., Peters, L., Verheij, R.A., Rijpkema, C., Ramerman, L., Homburg, M., Meijer, E., Muris, J., olde Hartman, T., Berger, M., Peters, L., and Verheij, R.A.

Abstract

The impact of the COVID-19 pandemic on general practitioners’ (GP) care for patients with asthma and/or COPD is largely unknown. To describe the impact of the pandemic on asthma or COPD-related GP care, we analysed routinely recorded electronic health records data from Dutch general practices and out-of-hours (OOH) services. During the COVID-19 pandemic (2020), the contact rates for asthma and/or COPD were significantly lower in GP practices and OOH services compared with the pre-pandemic period (2019) (respectively, 15% lower and 28% lower). The proportion of telephone contacts increased significantly with 13%-point in GP practices and 12%-point at OOH services, while the proportion of face-to-face contacts decreased. Furthermore, the proportion of high urgent contacts with OOH services decreased by 8.5%-point. To conclude, the overall contact rates in GP practices and OOH services decreased, while more contacts were remote. Lower contact rates have, after a short follow-up, not resulted in more patients with exacerbations in OOH care. However, this might still be expected after a longer follow-up.

Published
2023

22. Quality of Life in Elderly Dyspnea Patients

Author

Hooshiaran, A., Horst, F. van der, Wesseling, G., Strik, J. J. M. H., Knottnerus, J. A., Gorgels, A., Fastenau, A., Akker, M. van den, Muris, J. W. M., Preedy, Victor R., editor, and Watson, Ronald R., editor

Published
2010
Full Text
View/download PDF

23. United European Gastroenterology (UEG) and European Society for Neurogastroenterology and Motility (ESNM) consensus on functional dyspepsia

Author

Wauters, L., Dickman, R., Drug, V., Mulak, A., Serra, J., Enck, P., Tack, J., Accarino, A., Barbara, G., Bor, S., Coffin, B., Corsetti, M., De Schepper, H., Dumitrascu, D., Farmer, A., Gourcerol, G., Hauser, G., Hausken, T., Karamanolis, G., Keszthelyi, D., Malagelada, C., Milosavljevic, T., Muris, J., O'Morain, C., Papathanasopoulos, A., Pohl, D., Rumyantseva, D., Sarnelli, G., Savarino, E., Schol, J., Sheptulin, A., Smet, A., Stengel, A., Storonova, O., Storr, M., Tornblom, H., Vanuytsel, T., Velosa, M., Waluga, M., Zarate, N., Zerbib, F., Kestzhelyi, D., Interne Geneeskunde, MUMC+: MA Maag Darm Lever (9), RS: NUTRIM - R2 - Liver and digestive health, RS: CAPHRI - R5 - Optimising Patient Care, Family Medicine Education, Hopital Saint-Louis [AP-HP] (AP-HP), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Université de Paris - UFR Médecine Paris Centre [Santé] (UP Médecine Paris Centre), Université de Paris (UP), Nutrition, inflammation et dysfonctionnement de l'axe intestin-cerveau (ADEN), Université de Rouen Normandie (UNIROUEN), Normandie Université (NU)-Normandie Université (NU)-Institut National de la Santé et de la Recherche Médicale (INSERM), Institute for Research and Innovation in Biomedicine (IRIB), Normandie Université (NU)-Normandie Université (NU)-Centre National de la Recherche Scientifique (CNRS)-Institut National de la Santé et de la Recherche Médicale (INSERM), UNIROUEN - UFR Santé (UNIROUEN UFR Santé), Normandie Université (NU)-Normandie Université (NU), Service de physiologie digestive, urinaire, respiratoire et de l'exercice [CHU Rouen], Hôpital Charles Nicolle [Rouen]-CHU Rouen, Normandie Université (NU)-Normandie Université (NU)-Université de Rouen Normandie (UNIROUEN), Normandie Université (NU), ESNM FD Consensus Grp, Wauters L., Dickman R., Drug V., Mulak A., Serra J., Enck P., Tack J., Accarino A., Barbara G., Bor S., Coffin B., Corsetti M., De Schepper H., Dumitrascu D., Farmer A., Gourcerol G., Hauser G., Hausken T., Karamanolis G., Keszthelyi D., Malagelada C., Milosavljevic T., Muris J., O'Morain C., Papathanasopoulos A., Pohl D., Rumyantseva D., Sarnelli G., Savarino E., Schol J., Sheptulin A., Smet A., Stengel A., Storonova O., Storr M., Tornblom H., Vanuytsel T., Velosa M., Waluga M., Zarate N., Zerbib F., ESNM FD Consensus Group, Wauters, L., Dickman, R., Drug, V., Mulak, A., Serra, J., Enck, P., Tack, J., Accarino, A., Barbara, G., Bor, S., Coffin, B., Corsetti, M., De Schepper, H., Dumitrascu, D., Farmer, A., Gourcerol, G., Hauser, G., Hausken, T., Karamanolis, G., Keszthelyi, D., Malagelada, C., Milosavljevic, T., Muris, J., O'Morain, C., Papathanasopoulos, A., Pohl, D., Rumyantseva, D., Sarnelli, G., Savarino, E., Schol, J., Sheptulin, A., Smet, A., Stengel, A., Storonova, O., Storr, M., Tornblom, H., Vanuytsel, T., Velosa, M., Waluga, M., Zarate, N., and Zerbib, F.

Subjects
Male, Proton Pump Inhibitor, Delphi Technique, IRRITABLE-BOWEL-SYNDROME, Gastrointestinal Diseases, Physiology, [SDV]Life Sciences [q-bio], Placebo-controlled study, GASTROESOPHAGEAL-REFLUX DISEASE, Sex Factor, PLACEBO-CONTROLLED TRIAL, Epigastric pain, Endoscopy, Gastrointestinal, DOUBLE-BLIND, 0302 clinical medicine, Quality of life, Risk Factors, QUALITY-OF-LIFE, UPPER GASTROINTESTINAL SYMPTOMS, Irritable bowel syndrome, Societies, Medical, BIOMEDICINA I ZDRAVSTVO. Kliničke medicinske znanosti. Interna medicina, evidence‐based medicine, based medicine, Gastroenterology, Neurogastroenterology, Postprandial Period, 3. Good health, consensus, endoscopy, evidence‐based medicine, functional dyspepsia, proton pump inhibitors, Europe, Oncology, Neurology, 030220 oncology & carcinogenesis, Anxiety, 030211 gastroenterology & hepatology, Original Article, Female, medicine.symptom, Symptom Assessment, proton pump inhibitors, evidence-based medicine, consensus, endoscopy, functional dyspepsia, Human, medicine.medical_specialty, Consensu, Satiation, evidence&#8208, Helicobacter Infections, 03 medical and health sciences, Sex Factors, HELICOBACTER-PYLORI, Internal medicine, IMPAIRED GASTRIC ACCOMMODATION, medicine, Humans, DUODENAL ACID EXPOSURE, Dyspepsia, BIOMEDICINE AND HEALTHCARE. Clinical Medical Sciences. Internal Medicine, Gastric emptying, Helicobacter pylori, Endocrine and Autonomic Systems, business.industry, Risk Factor, Evidence-based medicine, NATURAL-HISTORY, NONULCER DYSPEPSIA, medicine.disease, HELICOBACTER-PYLORI INFECTION, Abdominal Pain, Quality of Life, Human medicine, business, Helicobacter Infection
Abstract

Background Functional dyspepsia (FD) is one of the most common conditions in clinical practice. In spite of its prevalence, FD is associated with major uncertainties in terms of its definition, underlying pathophysiology, diagnosis, treatment, and prognosis. Methods A Delphi consensus was initiated with 41 experts from 22 European countries who conducted a literature summary and voting process on 87 statements. Quality of evidence was evaluated using the grading of recommendations, assessment, development, and evaluation (GRADE) criteria. Consensus (defined as >80% agreement) was reached for 36 statements. Results The panel agreed with the definition in terms of its cardinal symptoms (early satiation, postprandial fullness, epigastric pain, and epigastric burning), its subdivision into epigastric pain syndrome and postprandial distress syndrome, and the presence of accessory symptoms (upper abdominal bloating, nausea, belching), and overlapping conditions. Also, well accepted are the female predominance of FD, its impact on quality of life and health costs, and acute gastrointestinal infections, and anxiety as risk factors. In terms of pathophysiological mechanisms, the consensus supports a role for impaired gastric accommodation, delayed gastric emptying, hypersensitivity to gastric distention, Helicobacter pylori infection, and altered central processing of signals from the gastroduodenal region. There is consensus that endoscopy is mandatory for establishing a firm diagnosis of FD, but that in primary care, patients without alarm symptoms or risk factors can be managed without endoscopy. There is consensus that H. pylori status should be determined in every patient with dyspeptic symptoms and H. pylori positive patients should receive eradication therapy. Also, proton pump inhibitor therapy is considered an effective therapy for FD, but no other treatment approach reached a consensus. The long‐term prognosis and life expectancy are favorable. Conclusions and Inferences A multinational group of European experts summarized the current state of consensus on the definition, diagnosis and management of FD., Key summary Current knowledge Functional dyspepsia is one of the most common conditions encountered in clinical practice.There is a lack of guidance for clinicians in guiding diagnosis and treatment of this prevalent condition.No treatments are currently approved for the treatment of functional dyspepsia in Europe. What is new here A Delphi panel consisting of 41 experts from 22 European countries established the level of consensus on 87 statements regarding functional dyspepsia.The statements reaching consensus serve to guide clinicians in recognizing, diagnosing and treating FD in clinical practice.Endoscopy is mandatory for establishing a firm diagnosis of functional dyspepsia D, but in primary care patients without alarm symptoms or risk factors can be managed without endoscopy. Helicobacter pylori status should be determined in every patient with dyspeptic symptoms and H. Pylori positive patients should receive eradication therapy.Proton pump inhibitor‐therapy is considered an effective therapy for FD, but no other treatment approach reached consensus support.

Published
2021
Full Text
View/download PDF

25. The Impact of the COVID Pandemic on the Incidence of Presentations with Cancer-Related Symptoms in Primary Care

Author

Grant, MP, Helsper, CW, Stellato, R, van Erp, N, van Asselt, KM, Slottje, P, Muris, J, Brandenbarg, D, de Wit, NJ, van Gils, CH, Grant, MP, Helsper, CW, Stellato, R, van Erp, N, van Asselt, KM, Slottje, P, Muris, J, Brandenbarg, D, de Wit, NJ, and van Gils, CH

Abstract

Introduction: In the Netherlands, the onset of the coronavirus pandemic saw shifts in primary health service provision away from physical consultations, cancer-screening programs were temporarily halted, and government messaging focused on remaining at home. In March and April 2020, weekly cancer diagnoses decreased to 73% of their pre-COVID levels, and 39% for skin cancer. This study aims to explore the effect of the COVID pandemic on patient presentations for cancer-related symptoms in primary care in The Netherlands. Methods: Retrospective cohort study using routine clinical primary care data. Monthly incidences of patient presentations for cancer-related symptoms in five clinical databases in The Netherlands were analysed from March 2018 to February 2021. Results: Data demonstrated reductions in the incidence of cancer-related symptom presentations to primary care during the first COVID wave (March-June 2020) of -34% (95% CI: -43 to -23%) for all symptoms combined. In the second wave (October 2020-February 2021) there was no change in incidence observed (-8%, 95% CI -20% to 6%). Alarm-symptoms demonstrated decreases in incidence in the first wave with subsequent incidences that continued to rise in the second wave, such as: first wave: breast lump -17% (95% CI: -27 to -6%) and haematuria -15% (95% CI -24% to -6%); and second wave: rectal bleeding +14% (95% CI: 0 to 30%) and breast lump +14% (95% CI: 2 to 27%). Presentations of common non-alarm symptom such as tiredness and naevus demonstrated decreased in-cidences in the first wave of 45% (95% CI: -55% to -33%) and 37% (95% CI -47% to -25%). In the second wave, tiredness incidence was reduced by 20% (95% CI: -33% to -3%). Subgroup analy-sis did not demonstrate difference in incidence according to sex, age groups, comorbidity status, or previous history of cancer. Conclusions: These data describe large-scale primary care avoidance that did not increase until the end of the first COVID year for many cancer-related

Published
2022

30. Het tandheelkundig jaar 2016

Author

Brand, H.S., primary, D'Hondt, N., additional, Ghaeminia, H., additional, E. Gerritsen, A., additional, Witteman, L., additional, Kreps, B., additional, Kruijt Spanjer, E.C., additional, L. Laine, M., additional, Niesten, D., additional, Phoa, K. H., additional, Politis, C., additional, van Riet, T.C.T., additional, van der Ven, J.M., additional, Van de Casteele, E., additional, Vanhove, W., additional, Willems, G., additional, Adriaensens, S., additional, Schoenaers, J., additional, Naert, I., additional, Vriesema, M., additional, Linssen, M.L.E., additional, Hopman, A.J.G., additional, Baart, J.A., additional, van Es, R.J.J., additional, Muris, J., additional, Rajasekharan, S., additional, Martens, L.C., additional, Cauwels, R.G.E.C., additional, Verbeeck, R.M.H., additional, Storms, A., additional, Zogheib, T., additional, Bral, C., additional, Ting, J.W., additional, Sheikh Rashid, M., additional, Dreschler, W.A., additional, Bart, G.E., additional, Shaheen, E., additional, Sun, Y., additional, EzEldeen, M., additional, Shahbazian, M., additional, Daems, L., additional, Legrand, P., additional, Geers, S., additional, Vermylen, Y., additional, Aelbrecht, K., additional, van Pelt, A.W.J., additional, Creugers, N.H.J., additional, Witter, D.J., additional, Deveugele, M., additional, Geelen, W., additional, and Vertriest, S., additional

Published
2015
Full Text
View/download PDF

34. Afname in zorggebruik van zwangeren en pas bevallen vrouwen in de huisartsenpraktijk en de huisartsenpost aan het begin van de coronapandemie.: Factsheet 2: huisartsenzorg voor zwangeren en pas bevallen vrouwen

Author

Dijkshoorn, Linda, Rijpkema, C, Ramerman, L, Homburg, Maarten, Bos, N, Beugel, Gina, Groenhof, Feikje, Schouwenaars, Nynke, olde Hartman, T, Muris, J, Jansen, Danielle, Feijen-de Jong, Esther, Verheij, R, Berger, Marjolein, Peters, Lilian L., Public Health Research, Sociologisch Instituut (Gronings Centrum voor Sociaal-Wetenschappelijk Onderzoek), and Life Course Epidemiology

Published
2021

35. United European Gastroenterology (UEG) and European Society for Neurogastroenterology and Motility (ESNM) consensus on functional dyspepsia

Author

Wauters, L. Dickman, R. Drug, V. Mulak, A. Serra, J. Enck, P. Tack, J. Accarino, A. Barbara, G. Bor, S. Coffin, B. Corsetti, M. De Schepper, H. Dumitrascu, D. Farmer, A. Gourcerol, G. Hauser, G. Hausken, T. Karamanolis, G. Keszthelyi, D. Malagelada, C. Milosavljevic, T. Muris, J. O’Morain, C. Papathanasopoulos, A. Pohl, D. Rumyantseva, D. Sarnelli, G. Savarino, E. Schol, J. Sheptulin, A. Smet, A. Stengel, A. Storonova, O. Storr, M. Törnblom, H. Vanuytsel, T. Velosa, M. Waluga, M. Zarate, N. Zerbib, F. ESNM FD Consensus Group

Abstract

Background: Functional dyspepsia (FD) is one of the most common conditions in clinical practice. In spite of its prevalence, FD is associated with major uncertainties in terms of its definition, underlying pathophysiology, diagnosis, treatment, and prognosis. Methods: A Delphi consensus was initiated with 41 experts from 22 European countries who conducted a literature summary and voting process on 87 statements. Quality of evidence was evaluated using the grading of recommendations, assessment, development, and evaluation (GRADE) criteria. Consensus (defined as >80% agreement) was reached for 36 statements. Results: The panel agreed with the definition in terms of its cardinal symptoms (early satiation, postprandial fullness, epigastric pain, and epigastric burning), its subdivision into epigastric pain syndrome and postprandial distress syndrome, and the presence of accessory symptoms (upper abdominal bloating, nausea, belching), and overlapping conditions. Also, well accepted are the female predominance of FD, its impact on quality of life and health costs, and acute gastrointestinal infections, and anxiety as risk factors. In terms of pathophysiological mechanisms, the consensus supports a role for impaired gastric accommodation, delayed gastric emptying, hypersensitivity to gastric distention, Helicobacter pylori infection, and altered central processing of signals from the gastroduodenal region. There is consensus that endoscopy is mandatory for establishing a firm diagnosis of FD, but that in primary care, patients without alarm symptoms or risk factors can be managed without endoscopy. There is consensus that H. pylori status should be determined in every patient with dyspeptic symptoms and H. pylori positive patients should receive eradication therapy. Also, proton pump inhibitor therapy is considered an effective therapy for FD, but no other treatment approach reached a consensus. The long-term prognosis and life expectancy are favorable. Conclusions and Inferences: A multinational group of European experts summarized the current state of consensus on the definition, diagnosis and management of FD. © 2021 The Authors. United European Gastroenterology Journal published by Wiley Periodicals LLC on behalf of United European Gastroenterology.

Published
2021

36. Identifying Entrustable Professional Activities for Shared Decision Making in Postgraduate Medical Education: A National Delphi Study

Author

Baghus, A., Giroldi, E., Muris, J., Stiggelbout, A., Pol, M.H.J. van de, Timmerman, A., Weijden, T.T. van der, Baghus, A., Giroldi, E., Muris, J., Stiggelbout, A., Pol, M.H.J. van de, Timmerman, A., and Weijden, T.T. van der

Abstract

Contains fulltext : 229849.pdf (publisher's version ) (Open Access), PURPOSE: Although shared decision making (SDM) is considered the preferred approach in medical decision making, it is currently not routinely used in clinical practice. To bridge the transfer gap between SDM training and application, the authors aimed to reach consensus on entrustable professional activities (EPAs) for SDM and associated behavioral indicators as a framework to support self-directed learning during postgraduate medical education. METHOD: Using existing literature on SDM frameworks and competencies; input from an interview study with 17 Dutch experts in SDM, doctor-patient communication, and medical education; and a national SDM expert meeting as a starting point, in 2017, the authors conducted a modified online Delphi study with a multidisciplinary Dutch panel of 32 experts in SDM and medical education. RESULTS: After 3 Delphi rounds, consensus was reached on 4 EPAs-(1) the resident discusses the desirability of SDM with the patient, (2) the resident discusses the options for management with the patient, (3) the resident explores the patient's preferences and deliberations, and (4) the resident takes a well-argued decision together with the patient. Consensus was also reached on 18 associated behavioral indicators. Of the 32 experts, 30 (94%) agreed on this list of SDM EPAs and behavioral indicators. CONCLUSIONS: The authors succeeded in developing EPAs and associated behavioral indicators for SDM for postgraduate medical education to improve the quality of SDM training and the application of SDM in clinical practice. These EPAs are characterized as process EPAs for SDM in contrast with content EPAs related to diverse medical complaints. A next step is the implementation of the SDM EPAs in existing competency-based workplace curricula.

Published
2021

37. The prevalence and related factors of fatigue in patients with COPD: a systematic review

Author

Ebadi, Z., Goërtz, Y.M.J., Herck, M. Van, Janssen, D.J., Spruit, M.A., Burtin, C., Thong, M.S.Y., Muris, J., Otker, J., Looijmans, M., Vlasblom, C., Bastiaansen, J., Prins, J.B., Wouters, E.F.M., Vercoulen, J.H.M.M., Peters, J., Ebadi, Z., Goërtz, Y.M.J., Herck, M. Van, Janssen, D.J., Spruit, M.A., Burtin, C., Thong, M.S.Y., Muris, J., Otker, J., Looijmans, M., Vlasblom, C., Bastiaansen, J., Prins, J.B., Wouters, E.F.M., Vercoulen, J.H.M.M., and Peters, J.

Abstract

Contains fulltext : 242634.pdf (Publisher’s version ) (Open Access), BACKGROUND: Fatigue is a distressing symptom in patients with COPD. Little is known about the factors that contribute to fatigue in COPD. This review summarises existing knowledge on the prevalence of fatigue, factors related to fatigue and the instruments most commonly used to assess fatigue in COPD. METHODS: Pubmed, PsycINFO, EMBASE, Cochrane and CINAHL databases were searched for studies from inception up to 7 January 2020 using the medical subject headings "COPD" and "Fatigue". Studies were reviewed in accordance with PRISMA guidelines. RESULTS: 196 studies were evaluated. The prevalence of fatigue ranged from 17-95%. Age (r=-0.23 to r=0.27), sex (r=0.11), marital status (r=-0.096), dyspnoea (r=0.13 to r=0.78), forced expiatory volume in 1 s % predicted (r=-0.55 to r=-0.076), number of exacerbations (r=0.27 to r=0.38), number of comorbidities (r=0.10), number of medications (r=0.35), anxiety (r=0.36 to r=0.61), depression (r=0.41 to r=0.66), muscle strength (r=-0.78 to r=-0.45), functional capacity (r=-0.77 to r=-0.14) and quality of life (r=0.48 to r=0.77) showed significant associations with fatigue. CONCLUSIONS: Fatigue is a prevalent symptom in patients with COPD. Multiple physical and psychological factors seem to be associated with fatigue. Future studies are needed to evaluate these underlying factors in integral analyses in samples of patients with COPD.

Published
2021

38. Afname in zorggebruik van zwangeren en pas bevallen vrouwen in de huisartsenpraktijk en de huisartsenpost aan het begin van de coronapandemie.:Factsheet 2: huisartsenzorg voor zwangeren en pas bevallen vrouwen.

Author

Dijkshoorn, Linda, Dijkshoorn, Linda, Rijpkema, C, Ramerman, L, Homburg, Maarten, Bos, N, Beugel, Gina, Groenhof, Feikje, Schouwenaars, Nynke, olde Hartman, T, Muris, J, Jansen, Danielle, Feijen-de Jong, Esther, Verheij, R, Berger, Marjolein, Peters, Lilian L., Dijkshoorn, Linda, Dijkshoorn, Linda, Rijpkema, C, Ramerman, L, Homburg, Maarten, Bos, N, Beugel, Gina, Groenhof, Feikje, Schouwenaars, Nynke, olde Hartman, T, Muris, J, Jansen, Danielle, Feijen-de Jong, Esther, Verheij, R, Berger, Marjolein, and Peters, Lilian L.

Published
2021

44. Misselijkheid: artikel voor onderwijs en opleiding

Author

Conchillo, J M, van den Beuken-van Everdingen, M H J, Muris, J W M, Masclee, A A M, Interne Geneeskunde, MUMC+: MA Maag Darm Lever (9), RS: NUTRIM - R2 - Liver and digestive health, RS: MHeNs - R3 - Neuroscience, MUMC+: TPZ Palliatieve Zorg (9), Family Medicine Education, RS: CAPHRI - R5 - Optimising Patient Care, and RS: GROW - R3 - Innovative Cancer Diagnostics & Therapy

Subjects
Diagnosis, Differential, Antiemetics/therapeutic use, General Practitioners, Internal Medicine, Educational Status, Humans, Medical History Taking, Physical Examination, Diagnostic Techniques and Procedures, Nausea/diagnosis, Specialization
Abstract

Nausea is a common presenting symptom in medical care with a broad differential diagnosis. In this teaching article we provide practical information on many aspects of nausea including pathophysiology and differential diagnosis, history and physical examination, and diagnostic tests and treatment. This was done by means of answering several questions from the daily practice of general practitioners, specialists in internal medicine and surgeons. In a patient with nausea a provisional diagnosis can be made based on medical history, careful history-taking and age. Diagnostic testing is only performed on clinical suspicion and depends on the provisional diagnosis and presence of alarm symptoms. Tailored medical treatment of nausea is based on the provisional diagnosis and on the mechanism of action of the intended antiemetic agent.

Published
2020

45. A TASMAN Expedition: Development of a Questionnaire to Assess Specific Self-Management Abilities

Author

Voorhaar, M, Tiemensma, J, Asijee, G M, Slok, A H M, Muris, J W M, Kaptein, A A, Family Medicine, RS: CAPHRI - R5 - Optimising Patient Care, Family Medicine Education, and Anesthesiology

Subjects
Male, validation, self-management, personalized medicine, International Journal of Chronic Obstructive Pulmonary Disease, patient-reported outcome, ACTIVATION, Pulmonary Disease, Chronic Obstructive, Cross-Sectional Studies, QUALITY-OF-LIFE, Surveys and Questionnaires, Expeditions, Humans, COPD, Female, chronic disease, Original Research
Abstract

M Voorhaar,1 J Tiemensma,2 GM Asijee,1 AHM Slok,1 JWM Muris,1 AA Kaptein3 1Department of Family Medicine, Maastricht University, CAPHRI Care and Public Health Research Institute, Maastricht, the Netherlands; 2Department of Anesthesiology, Erasmus University Medical Center, Rotterdam, the Netherlands; 3Department of Medical Psychology, Leiden University Medical Centre, Leiden, the NetherlandsCorrespondence: M Voorhaar Email m.voorhaar@maastrichtuniversity.nlIntroduction: Self-management (SM) is a core component of well-being and perceived health for patients with chronic obstructive pulmonary disease (COPD). Most theories on SM share that self-efficacy, illness-perception and coping are determinants of SM behavior. Optimal support to improve SM should be tailored to the individual patient’s level of these determinants as SM abilities vary between patients. To tailor SM support, it is therefore necessary to assess the scores on these determinants. Unfortunately, no such instrument exists for clinical use. Therefore, the first goal of this study was to verify presumed correlations between SM and the determinants thereof. The second goal was to develop an instrument to assess the SM abilities.Methods: In this cross-sectional, observational study, COPD patients completed the General Self-Efficacy Scale (GSES), Brief Illness Perception Questionnaire (B-IPQ) and the Utrecht Proactive Coping Competence measure (UPCC) as well as the Self-Management Ability Scale (SMAS-30). Correlations between the questionnaires were assessed and a principal component analysis (PCA) was performed to identify the best-fitting items in the three independent variables related to SM. These items were used to create an instrument to assess SM abilities.Results: Hundred COPD patients (58 males, 41 females, 1 unknown) were included. The correlation between SM and self-efficacy, illness perception on concerns and proactive coping was moderate and significant (r=0.318, p< 0.01; r=− .230, p< 0.05; r=.426, p< 0.01, respectively). PCA identified six UPCC items and nine GSES items that met the predefined criteria. These items were supplemented with the B-IPQ concerns item to establish the new instrument to assess SM abilities.Keywords: self-management, validation, patient-reported outcome, chronic disease, personalized medicine

Published
2020

46. Profiling of Patients with COPD for Adequate Referral to Exercise-Based Care: The Dutch Model

Author

Spruit, Martijn A., Hul, A.J. van 't, Vreeken, H.L., Beekman, E., Post, M.H.T., Meerhoff, G.A., Valk, A.L. Van der, Zagers, C., Sillen, M.J., Vooijs, M., Custers, J, Muris, J., Langer, D., Donkers, J., Bregman, M., Tissink, L., Bergkamp, E., Wempe, J., Houben-Wilke, S., Augustin, I.M., Vaate, E. Bij de, Franssen, F.F.J., Ranst, D. van, Vaart, H. van der, Antons, J.C., Doormaal, M. Van, Koolen, E.H., Wees, P.J. van der, Snippenburg, R. Van, Janssen, D.J., Simons, S., Spruit, Martijn A., Hul, A.J. van 't, Vreeken, H.L., Beekman, E., Post, M.H.T., Meerhoff, G.A., Valk, A.L. Van der, Zagers, C., Sillen, M.J., Vooijs, M., Custers, J, Muris, J., Langer, D., Donkers, J., Bregman, M., Tissink, L., Bergkamp, E., Wempe, J., Houben-Wilke, S., Augustin, I.M., Vaate, E. Bij de, Franssen, F.F.J., Ranst, D. van, Vaart, H. van der, Antons, J.C., Doormaal, M. Van, Koolen, E.H., Wees, P.J. van der, Snippenburg, R. Van, Janssen, D.J., and Simons, S.

Abstract

Contains fulltext : 225497.pdf (Publisher’s version ) (Open Access), A loss of physical functioning (i.e., a low physical capacity and/or a low physical activity) is a common feature in patients with chronic obstructive pulmonary disease (COPD). To date, the primary care physiotherapy and specialized pulmonary rehabilitation are clearly underused, and limited to patients with a moderate to very severe degree of airflow limitation (GOLD stage 2 or higher). However, improved referral rates are a necessity to lower the burden for patients with COPD and for society. Therefore, a multidisciplinary group of healthcare professionals and scientists proposes a new model for referral of patients with COPD to the right type of exercise-based care, irrespective of the degree of airflow limitation. Indeed, disease instability (recent hospitalization, yes/no), the burden of disease (no/low, mild/moderate or high), physical capacity (low or preserved) and physical activity (low or preserved) need to be used to allocate patients to one of the six distinct patient profiles. Patients with profile 1 or 2 will not be referred for physiotherapy; patients with profiles 3-5 will be referred for primary care physiotherapy; and patients with profile 6 will be referred for screening for specialized pulmonary rehabilitation. The proposed Dutch model has the intention to get the right patient with COPD allocated to the right type of exercise-based care and at the right moment.

Published
2020

48. Time to diagnosis of symptomatic gastric and oesophageal cancer in the Netherlands: Where is the room for improvement?

Author

HAG Oncologie, Cancer, JC onderzoeksprogramma Cancer, HAG Netwerken, Epi Kanker Team 1, Epi Kanker Team A, Julius Centrum, General Practice & Nursing Science, Child Health, JC Overig onderzoek, van Erp, N. F., Helsper, C. W., Slottje, P., Brandenbarg, D., Büchner, F. L., van Asselt, K. M., Muris, J. W.M., Kortekaas, M. F., Peeters, P. H.M., de Wit, N. J., HAG Oncologie, Cancer, JC onderzoeksprogramma Cancer, HAG Netwerken, Epi Kanker Team 1, Epi Kanker Team A, Julius Centrum, General Practice & Nursing Science, Child Health, JC Overig onderzoek, van Erp, N. F., Helsper, C. W., Slottje, P., Brandenbarg, D., Büchner, F. L., van Asselt, K. M., Muris, J. W.M., Kortekaas, M. F., Peeters, P. H.M., and de Wit, N. J.

Published
2020

Catalog

Books, media, physical & digital resources
See catalog results