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9. Long-term health-care utilisation in older patients with cancer and the association with the Geriatric 8 screening tool: a retrospective analysis using linked clinical and population-based data in Belgium

Author

Depoorter, Victoria, Vanschoenbeek, Katrijn, Decoster, Lore, Silversmit, Geert, Debruyne, Philip R, De Groof, Inge, Bron, Dominique, Cornélis, Frank, Luce, Sylvie, Focan, Christian, Verschaeve, Vincent, Debugne, Gwenaëlle, Langenaeken, Christine, Van Den Bulck, Heidi, Goeminne, Jean-Charles, Teurfs, Wesley, Jerusalem, Guy, Schrijvers, Dirk, Petit, Bénédicte, Rasschaert, Marika, Praet, Jean-Philippe, Vandenborre, Katherine, Milisen, Koen, Flamaing, Johan, Kenis, Cindy, Verdoodt, Freija, and Wildiers, Hans

Published
2023
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10. Linking clinical and population-based data in older patients with cancer in Belgium: Feasibility and clinical outcomes

Author

Depoorter, Victoria, Vanschoenbeek, Katrijn, Decoster, Lore, De Schutter, Harlinde, Debruyne, Philip R., De Groof, Inge, Bron, Dominique, Cornélis, Frank, Luce, Sylvie, Focan, Christian, Verschaeve, Vincent, Debugne, Gwenaëlle, Langenaeken, Christine, Van Den Bulck, Heidi, Goeminne, Jean-Charles, Teurfs, Wesley, Jerusalem, Guy, Schrijvers, Dirk, Petit, Bénédicte, Rasschaert, Marika, Praet, Jean-Philippe, Vandenborre, Katherine, Milisen, Koen, Flamaing, Johan, Kenis, Cindy, Verdoodt, Freija, and Wildiers, Hans

Published
2023
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12. Incidence of falls and fall-related injuries and their predictive factors in frail older persons with cancer: a multicenter study

Author

Kenis, Cindy, Decoster, Lore, Flamaing, Johan, Debruyne, Philip R., De Groof, Inge, Focan, Christian, Cornélis, Frank, Verschaeve, Vincent, Bachmann, Christian, Bron, Dominique, Van den Bulck, Heidi, Schrijvers, Dirk, Langenaeken, Christine, Specenier, Pol, Jerusalem, Guy, Praet, Jean-Philippe, De Cock, Jessie, Lobelle, Jean-Pierre, Wildiers, Hans, and Milisen, Koen

Published
2022
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13. Functional status in older patients with cancer and a frailty risk profile: A multicenter observational study

Author

Meert, Glen, Kenis, Cindy, Milisen, Koen, Debruyne, Philip R., De Groof, Inge, Focan, Christian, Cornélis, Frank, Verschaeve, Vincent, Bachmann, Christian, Bron, Dominique, Den Bulck, Heidi Van, Schrijvers, Dirk, Langenaeken, Christine, Specenier, Pol, Jerusalem, Guy, Praet, Jean-Philippe, Lobelle, Jean-Pierre, Flamaing, Johan, Wildiers, Hans, and Decoster, Lore

Published
2022
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15. Determinants influencing the implementation of multifactorial falls risk assessment and multidomain interventions in community- dwelling older people: a systematic review.

Author

Vandervelde, Sara, Bosch, Natalie Van den, Vlaeyen, Ellen, Casterlé, Bernadette Dierckx de, Flamaing, Johan, Belaen, Goedele, Tuand, Krizia, Vandendriessche, Thomas, and Milisen, Koen

Subjects
RISK assessment, MEDICAL information storage & retrieval systems, INDEPENDENT living, CINAHL database, SYSTEMATIC reviews, MEDLINE, GERIATRIC assessment, MEDICAL databases, ONLINE information services, ACCIDENTAL falls, OLD age
Abstract

Background Multifactorial falls risk assessment and multidomain interventions are recommended by the World guidelines for falls prevention and management. To successfully implement these interventions, it is important to understand determinants influencing the implementation. Methods A literature search was conducted for this systematic review on the 3 December 2021 and updated on the 3 April 2023 in five databases: PubMed (including MEDLINE), EMBASE (via Embase.com), Cochrane Central Register of Controlled Trials (via Cochrane Library), Web of Science Core Collection and CINAHL (via EBSCO). Studies were included if they reported on determinants influencing the implementation of a multifactorial falls risk assessment and/or multidomain interventions in community-dwelling older people. Editorials, opinion papers, systematic reviews and studies focusing on one population (e.g. Parkinson) were excluded. Two researchers independently screened the articles on title, abstract and full text. The quality was evaluated based on a sensitivity analysis. 'The Comprehensive Integrated Checklist of Determinants of practice' was used to categorise the determinants. Results Twenty-nine studies were included. Determinants were classified as barriers (n  = 40) and facilitators (n  = 35). The availability of necessary resources is the most reported determinant. Other commonly reported determinants are knowledge, intention/beliefs and motivation at the levels of older people and healthcare professionals, fitting of the intervention into current practice, communication, team and referral processes and financial (dis)incentives. Conclusions Mapping of the barriers and facilitators is essential to choose implementation strategies tailored to the context, and to enhance the uptake and effectiveness of a multifactorial falls risk assessment and/or multidomain interventions. [ABSTRACT FROM AUTHOR]

Published
2024
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18. Unplanned hospitalizations in older patients with cancer: Occurrence and predictive factors

Author

Lodewijckx, Elke, Kenis, Cindy, Flamaing, Johan, Debruyne, Philip, De Groof, Inge, Focan, Christian, Cornélis, Frank, Verschaeve, Vincent, Bachmann, Christian, Bron, Dominique, Luce, Sylvie, Debugne, Gwenaelle, Van den Bulck, Heidi, Goeminne, Jean-Charles, Schrijvers, Dirk, Geboers, Katrien, Petit, Benedicte, Langenaeken, Christine, Van Rijswijk, Ruud, Specenier, Pol, Jerusalem, Guy, Praet, Jean-Philippe, Vandenborre, Katherine, Lobele, Jean-Pierre, Milisen, Koen, Wildiers, Hans, and Decoster, Lore

Published
2021
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20. In-hospital rehabilitation with the Geriatric Activation Program Pellenberg improves functional performance in a heterogeneous geriatric population.

Author

van Dijk, Margaretha, Allegaert, Patsy, Locus, Marlies, Saenen, Leen, Breuls, Sofie, Michiels, Demi, Vermeulen, Lien, Jannes, Stefanie, Van Kerckhoven, Yanouk, Tournoy, Jos, Verheyden, Geert, and Flamaing, Johan

Subjects
ELDER care, DATA analysis, EVALUATION of human services programs, SCIENTIFIC observation, COGNITIVE processing speed, LOGISTIC regression analysis, FUNCTIONAL status, DESCRIPTIVE statistics, GERIATRIC rehabilitation, LONGITUDINAL method, MUSCLE strength, GERIATRIC Depression Scale, STATISTICS, WALKING speed, CONFIDENCE intervals, HEALTH outcome assessment, POSTURAL balance, OLD age
Abstract

Regaining independent living can be challenging in patients undergoing inpatient geriatric rehabilitation. Given the paucity of evidence-based physiotherapy programs for this particular heterogeneous group, the Geriatric Activation Program Pellenberg (GAPP) was developed. Investigate the evolution of functional performance, and predict detectable changes throughout 4 weeks of GAPP. Methods: Participants in this observational study (2017–2019) followed GAPP as part of their rehabilitation program. Functional balance (Berg balance scale (BBS)) and independence (Katz scale) were the primary outcomes, with gait speed, elbow and knee extension strength, cognitive processing speed, and mood as secondary outcomes. All outcomes were assessed at baseline, 2 weeks and 4 weeks later. Prediction analysis was conducted using logistic regression modeling. Previously reported minimal detectable change with 95% confidence interval (MDC95) was used as detectable change. We recruited 111 participants, with 83 completing 4 weeks of GAPP and all assessments. Over 4 weeks, all outcome measures showed a significant improvement (p ≤.007). Detectable change was found for BBS (mean improvement of 12.8 points (95% CI: 10.9–14.8), MDC95 = 6.6) and gait speed (mean improvement of 0.24 m/s (95% CI: 0.19–0.29), MDC95 = 0.1 m/s). We found that baseline scores lower than 26 on the BBS (75% sensitivity, 65% specificity) and gait speed lower than 0.34 m/s (53% sensitivity, 81% specificity) were associated with participants achieving detectable change at 4 weeks on BBS and gait speed, respectively. Functional performance of a heterogeneous group of geriatric inpatients improved notably after 4 weeks of GAPP. Baseline scores on BBS and gait speed can partially predict detectable changes in functional performance. [ABSTRACT FROM AUTHOR]

Published
2024
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24. The prognostic value of patient-reported Health-Related Quality of Life and Geriatric Assessment in predicting early death in 6769 older (≥70 years) patients with different cancer tumors

Author

Quinten, Chantal, Kenis, Cindy, Decoster, Lore, Debruyne, Philip R., De Groof, Inge, Focan, Christian, Cornelis, Frank, Verschaeve, Vincent, Bachmann, Christian, Bron, Dominique, Luce, Syvlie, Debugne, Gwenaëlle, Van den Bulck, Heidi, Goeminne, Jean-Charles, Schrijvers, Dirk, Geboers, Katrien, Petit, Benedicte, Langenaeken, Christine, Van Rijswijk, Ruud, Specenier, Pol, Jerusalem, Guy, Praet, Jean-Philippe, Vandenborre, Katherine, Lycke, Michelle, Flamaing, Johan, Milisen, Koen, Lobelle, Jean-Pierre, and Wildiers, Hans

Published
2020
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26. Health related quality of life in older patients with solid tumors and prognostic factors for decline

Author

Decoster, Lore, Quinten, Chantal, Kenis, Cindy, Flamaing, Johan, Debruyne, Philip R., De Groof, Inge, Focan, Christian, Cornelis, Frank, Verschaeve, Vincent, Bachmann, Christian, Bron, Dominique, Luce, Sylvie, Debugne, Gwenaëlle, den Bulck, Goeminne, Jean-Charles, Baitar, Abdelbari, Geboers, Katrien, Petit, Benedicte, Langenaeken, Christine, Van Rijswijk, Ruud, Specenier, Pol, Jerusalem, Guy, Praet, Jean-Philippe, Vandenborre, Katherine, Lobelle, Jean-Pierre, Lycke, Michelle, Milisen, Koen, and Wildiers, Hans

Published
2019
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34. Flanders Nursing Home (FLANH) project: Protocol of a multicenter longitudinal observational study on staffing, work environment, rationing of care, and resident and care worker outcomes.

Author

Geyskens, Lisa, Declercq, Anja, Milisen, Koen, Flamaing, Johan, and Deschodt, Mieke

Subjects
NURSING care facilities, WORK environment, NURSING care plans, LONG-term care facilities, RATIONING, LONGITUDINAL method
Abstract

Background: While the demand for high quality of care in nursing homes is rising, it is becoming increasingly difficult to recruit and retain qualified care workers. To date, evidence regarding key organizational factors such as staffing, work environment, and rationing of care, and their relationship with resident and care worker outcomes in nursing homes is still scarce. Therefore, the Flanders Nursing Home (FLANH) project aims to comprehensively examine these relationships in order to contribute to the scientific knowledge base needed for optimal quality of care and workforce planning in nursing homes. Methods: FLANH is a multicenter longitudinal observational study in Flemish nursing homes based on survey and registry data that will be collected in 2023 and 2025. Nursing home characteristics and staffing variables will be collected through a management survey, while work environment variables, rationing of care, and care worker characteristics and outcomes will be collected through a care worker survey. Resident characteristics and outcomes will be retrieved from the Belgian Resident Assessment Instrument for long-Term Care Facilities (BelRAI LTCF) database. Multilevel regression analyses will be applied to examine the relationships between staffing variables, work environment variables, and rationing of care and resident and care worker outcomes. Conclusion: This study will contribute to a comprehensive understanding of the nursing home context and the interrelated factors influencing residents and care workers. The findings will inform the decision-making of nursing home managers and policymakers, and evidence-based strategies to optimize quality of care and workforce planning in nursing homes. [ABSTRACT FROM AUTHOR]

Published
2023
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49. Orthogeriatric co-management for older patients with a major osteoporotic fracture: Protocol of an observational pre-post study.

Author

Janssens, Sigrid, Dejaeger, Marian, Sermon, An, Fagard, Katleen, Cerulus, Marie, Cosyns, Heidi, Flamaing, Johan, and Deschodt, Mieke

Subjects
OLDER patients, BONE fractures, ACTIVITIES of daily living, COST benefit analysis, QUALITY of life, DEEP brain stimulation
Abstract

Background: Osteoporotic fractures are associated with postoperative complications, increased mortality, reduced quality of life, and excessive costs. The care for older patients with a fracture is often complex due to multimorbidity, polypharmacy, and presence of geriatric syndromes requiring a holistic multidisciplinary approach based on a comprehensive geriatric assessment. Nurse-led geriatric co-management has proven to prevent functional decline and complications, and improve quality of life. The aim of this study is to prove that nurse-led orthogeriatric co-management in patients with a major osteoporotic fracture is more effective than inpatient geriatric consultation to prevent in-hospital complications and several secondary outcomes in at least a cost-neutral manner. Methods: An observational pre-post study will be performed on the traumatology ward of the University Hospitals Leuven in Belgium including 108 patients aged 75 years and older hospitalized with a major osteoporotic fracture in each cohort. A feasibility study was conducted after the usual care cohort and prior to the intervention cohort to measure fidelity to the intervention components. The intervention includes proactive geriatric care based on automated protocols for the prevention of common geriatric syndromes, a comprehensive geriatric evaluation followed by multidisciplinary interventions, and systematic follow-up. The primary outcome is the proportion of patients having one or more in-hospital complications. Secondary outcomes include functional status, instrumental activities of daily living status, mobility status, nutritional status, in-hospital cognitive decline, quality of life, return to pre-fracture living situation, unplanned hospital readmissions, incidence of new falls, and mortality. A process evaluation and cost-benefit analysis will also be conducted. Discussion: This study wants to prove the beneficial impact of orthogeriatric co-management in improving patient outcomes and costs in a heterogenous population in daily clinical practice with the ambition of long-term sustainability of the intervention. Trial registration: International Standard Randomised Controlled Trial Number (ISRCTN) Registry: ISRCTN20491828. Registered on October 11, 2021, https://www.isrctn.com/ISRCTN20491828. [ABSTRACT FROM AUTHOR]

Published
2023
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