- Helicobacter pylori-related gastroenterology studies
- Chronic Disease Management Strategies
- Gastrointestinal motility and disorders
- Gastroesophageal reflux and treatments
- Health Systems, Economic Evaluations, Quality of Life
- Frailty in Older Adults
- Health Promotion and Cardiovascular Prevention
- Primary Care and Health Outcomes
- Eosinophilic Esophagitis
- Clinical practice guidelines implementation
- Palliative Care and End-of-Life Issues
- Healthcare cost, quality, practices
- Patient-Provider Communication in Healthcare
- Pharmaceutical Practices and Patient Outcomes
- Global Cancer Incidence and Screening
- Cancer survivorship and care
- Colorectal Cancer Screening and Detection
- Healthcare Systems and Technology
- Interprofessional Education and Collaboration
- Complementary and Alternative Medicine Studies
- Geriatric Care and Nursing Homes
- Patient Safety and Medication Errors
- Health disparities and outcomes
- Psychosomatic Disorders and Their Treatments
- Emergency and Acute Care Studies
University Medical Center Utrecht
2016-2025
Utrecht University
2014-2024
University Medical Center
2008-2023
Huisarts en Wetenschap
2011-2023
Oklahoma State University Center for Health Sciences
2008-2023
University Hospital and Clinics
2023
Leidsche Rijn Julius Health Centers
2010-2021
MRC Laboratory of Molecular Biology
2017-2020
Yulius
2020
Primary Health Care
2017
To determine the effectiveness of increasing dietary content soluble fibre (psyllium) or insoluble (bran) in patients with irritable bowel syndrome.Randomised controlled trial.General practice.275 aged 18-65 years syndrome.12 weeks treatment 10 g psyllium (n=85), bran (n=97), placebo (rice flour) (n=93).The primary end point was adequate symptom relief during at least two previous month, analysed after one, two, and three months to assess both short term sustained effectiveness. Secondary...
A substantial proportion of chronic disease patients do not respond to self-management interventions, which suggests that one size interventions fit all, demanding more tailored interventions. To compose individualized strategies, we aim increase our understanding characteristics associated with patient activation for and evaluate whether these are disease-transcending. cross-sectional survey study was conducted in primary secondary care type-2 Diabetes Mellitus (DM-II), Chronic Obstructive...
Postherpetic neuralgia (PHN) is a frequent complication of herpes zoster (HZ). Treatment results this severe and long-lasting pain syndrome are often disappointing. From the point view possible prevention early treatment, it important to identify HZ patients who have an increased risk developing PHN.Our goals were determine incidence PHN in primary care population indicators for occurrence PHN.A search was conducted general practice research database, comprising 22 practices representing 49...
A general frailty indicator could guide practitioners (GPs) in directing their care efforts to the patients at highest risk. We investigated if a Frailty Index (FI) based on routine health data of GPs can predict risk adverse outcomes community-dwelling older people. This was retrospective cohort study with 2-year follow-up period among all an urban primary center aged 60 and older: 1,679 (987 women [59%], median age, 73 years [interquartile range, 65–81]). For each patient, baseline FI...
The journey of more than 80% patients diagnosed with lung cancer starts in general practice. About 75% are an advanced stage (3 or 4), leading to mortality within one year at present. long-term data practitioners' records might contain hidden information that could be used for earlier case-finding cancer. To develop new prediction tools improve the risk assessment Text analysis electronic patient using natural language processing and machine learning practice files four networks Netherlands....
To predict the risk of future unfavourable health outcomes in older people it is common to assess level both basic and instrumental activities daily living. accomplish this, commonly used Katz-6 Lawton IADL questionnaires can be combined form ‘Modified Katz ADL’ scale, also known as Katz-15 scale. So far, validity reliability scale unknown. The objective current study investigate how well able unfavorable this related existing We performed a follow-up using data from group 60 year...
Early identification of frailty is important for proactive primary care. Currently, however, there no consensus on which measure to use. Therefore, we examined whether a Frailty Index (FI), based ICPC-coded care data, and the Groningen Indicator (GFI) questionnaire identify same older people as frail.We conducted cross-sectional, observational study 1,580 patients aged ≥ 60 years in Dutch center. Patients received GFI were surveyed their baseline characteristics. Frailty-screening software...