A5033247331- Appendicitis Diagnosis and Management
- Meta-analysis and systematic reviews
- Ultrasound in Clinical Applications
- Intestinal and Peritoneal Adhesions
- Hemodynamic Monitoring and Therapy
- Intestinal Malrotation and Obstruction Disorders
- Delphi Technique in Research
- Sodium Intake and Health
- Sleep and Wakefulness Research
- Clinical practice guidelines implementation
- Primary Care and Health Outcomes
- Blood Pressure and Hypertension Studies
- Hernia repair and management
- EEG and Brain-Computer Interfaces
- Chronic Disease Management Strategies
- Cardiovascular Effects of Exercise
- Health Promotion and Cardiovascular Prevention
- Sleep and related disorders
University Medical Center Groningen
2021-2024
University of Groningen
1990-2024
Huisarts en Wetenschap
2022-2023
Erasmus University Rotterdam
2016
Key Features• The AHON registry contains longitudinal data from the electronic health records (EHRs) of 73 general practices in north Netherlands.Established 2017 by Department Primary and Long-term Care at University Medical Center Groningen, using 2013 onwards, are collected quarterly imports EHRs.• information about 460 795 patients, with a median (interquartile range) follow-up 5.5 (3.0-7.6)years, both practice level (e.g.location size) patient (e.g.demographic, episode based, other...
Background The diagnostic value of C-reactive protein (CRP) for appendicitis in children has not been evaluated primary care. As biochemical responses and differential diagnoses vary with age, separate evaluation adults is needed.Objectives To determine whether adding CRP to symptoms signs improves the diagnosis acute abdominal pain care.Methods A retrospective cohort study Dutch general practice. Data was collected from Integrated Primary Care Information database between 2010 2016. We...
General practitioners (GPs) face a diagnostic challenge when assessing acute abdominal pain in children. However, no information is available on the current process or accuracy of history and physical examination primary care settings.To describe for among children care, focusing appendicitis, to assess individual clinical features.A retrospective cohort study Dutch using Integrated Primary Care Information database. Children aged 4-18 years were included if they had appendicitis presented...
Recognising acute appendicitis in children presenting with abdominal pain primary care is challenging. General practitioners (GPs) may benefit from a clinical prediction rule.To develop and validate rule for care.In historical cohort study data was retrieved GP electronic health records included the Integrated Primary Care Information database. We assigned aged 4-18 years (≤ 7 days) to development (2010-2012) validation (2013-2016) cohorts, using within six weeks as outcome. Multiple...
It is unknown to what extent General Practitioners (GPs) manage hypertension (HT) differently in older patients, as compared younger age groups. The purpose of our study was compare HT management patients We performed a retrospective cohort 159 GP's practices the Integrated Primary Care Information (IPCI) database. period lasted from September 2010 through December 2012. population consisted all aged 60 years or with at least one blood pressure (BP) measurement during inclusion period,...
Diagnostic testing is prevalent among children with persistent non-specific symptoms (PNS), and both undertesting overtesting have negative consequences for child society. Research in adults PNS has shown that GPs use diagnostic reasons other than diagnosis, but comparable research not, to the best of our knowledge, been conducted children. Understanding GPs' perspectives decisions could provide insights into mechanisms overtesting.
Abstract BACKGROUND: For diagnostic research on appendicitis in registration data, insight is needed the way GPs generate medical records. We aimed to reach a consensus features that consider important consultation and records when evaluating child with suspected appendicitis. METHODS: performed three-round Delphi study among Dutch selected by purposive sampling. An initial feature list was created based literature search relevant guideline. Finally, using vignette describing who later...