6 results on '"Vernooij-Dassen, Myrra J.F.J."'
Search Results
2. Unmet Needs and Health-Related Quality of Life in Young-Onset Dementia
- Author
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Bakker, Christian, de Vugt, Marjolein E., van Vliet, Deliane, Verhey, Frans, Pijnenburg, Yolande A., Vernooij-Dassen, Myrra J.F.J., and Koopmans, Raymond T.C.M.
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- 2014
- Full Text
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3. Pain is not Systematically Registered in Dutch Medical Oncology Outpatients
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te Boveldt, Nienke D., Vernooij-Dassen, Myrra J.F.J., Jansen, Anne, Vissers, Kris C.P., and Engels, Yvonne
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- 2015
- Full Text
- View/download PDF
4. Decreased costs and retained QoL due to the 'PACE Steps to Success' intervention in LTCFs : cost-effectiveness analysis of a randomized controlled trial
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Wichmann, Anne B., Adang, Eddy M.M., Vissers, Kris C.P., Szczerbińska, Katarzyna, Kylänen, Marika, Payne, Sheila, Gambassi, Giovanni, Onwuteaka-Philipsen, Bregje D., Smets, Tinne, Van Den Block, Lieve, Deliens, Luc, Vernooij-Dassen, Myrra J.F.J., Engels, Yvonne, Andreasen, Paula, Barańska, Ilona, Bassal, Catherine, Moore, Danni Collingridge, Finne-Soveri, Harriet, Froggatt, Katherine, Hammar, Teija, Heikkilä, Rauha, Hockley, Jo, Honinx, Elisabeth, Van Hout, Hein, Kijowska, Violetta, Ten Koppel, Maud, Kuitunen-Kaija, Outi, Leppäaho, Suvi, Mammarella, Federica, Mercuri, Martina, Miranda, Rose, De Paula, Emilie Morgan, Van Den Noortgate, Nele, Oosterveld-Vlug, Mariska, Pac, Agnieszka, Pasman, H. Roeline W., Pautex, Sophie, Piers, Ruth, Pivodic, Lara, Rossi, Paola, Segat, Ivan, Van Der Steen, Jenny T., Stodolska, Agata, Tanghe, Marc, Family Medicine and Chronic Care, End-of-life Care Research Group, Public and occupational health, APH - Aging & Later Life, APH - Quality of Care, and General practice
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Male ,Alzheimer`s disease Donders Center for Medical Neuroscience [Radboudumc 1] ,Palliative care ,Cost-Benefit Analysis ,Psychological intervention ,lcsh:Medicine ,nursing homes ,law.invention ,PHYSICIANS ,0302 clinical medicine ,Randomized controlled trial ,law ,Health care ,Medicine and Health Sciences ,030212 general & internal medicine ,Aged, 80 and over ,palliative care ,Cost–benefit analysis ,DEMENTIA ,NURSING-HOME RESIDENTS ,General Medicine ,Cost-effectiveness analysis ,AGREEMENT ,030220 oncology & carcinogenesis ,END ,Resource use ,EARLY PALLIATIVE CARE ,Female ,Research Article ,medicine.medical_specialty ,FLANDERS ,Healthcare improvement science Radboud Institute for Health Sciences [Radboudumc 18] ,03 medical and health sciences ,medicine ,QUALITY ,Humans ,PROXY ,Pace ,Retrospective Studies ,business.industry ,Teaching ,cost-benefit analysis ,lcsh:R ,Long-Term Care ,teaching ,Nursing Homes ,Emergency medicine ,Quality of Life ,OF-LIFE CARE ,business - Abstract
Background The number of residents in long-term care facilities (LTCFs) in need of palliative care is growing in the Western world. Therefore, it is foreseen that significantly higher percentages of budgets will be spent on palliative care. However, cost-effectiveness analyses of palliative care interventions in these settings are lacking. Therefore, the objective of this paper was to assess the cost-effectiveness of the ‘PACE Steps to Success’ intervention. PACE (Palliative Care for Older People) is a 1-year palliative care programme aiming at integrating general palliative care into day-to-day routines in LTCFs, throughout seven EU countries. Methods A cluster RCT was conducted. LTCFs were randomly assigned to intervention or usual care. LTCFs reported deaths of residents, about whom questionnaires were filled in retrospectively about resource use and quality of the last month of life. A health care perspective was adopted. Direct medical costs, QALYs based on the EQ-5D-5L and costs per quality increase measured with the QOD-LTC were outcome measures. Results Although outcomes on the EQ-5D-5L remained the same, a significant increase on the QOD-LTC (3.19 points, p value 0.00) and significant cost-savings were achieved in the intervention group (€983.28, p value 0.020). The cost reduction mainly resulted from decreased hospitalization-related costs (€919.51, p value 0.018). Conclusions Costs decreased and QoL was retained due to the PACE Steps to Success intervention. Significant cost savings and improvement in quality of end of life (care) as measured with the QOD-LTC were achieved. A clinically relevant difference of almost 3 nights shorter hospitalizations in favour of the intervention group was found. This indicates that timely palliative care in the LTCF setting can prevent lengthy hospitalizations while retaining QoL. In line with earlier findings, we conclude that integrating general palliative care into daily routine in LTCFs can be cost-effective. Trial registration ISRCTN14741671.
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- 2020
5. Pain is not Systematically Registered in Dutch Medical Oncology Outpatients.
- Author
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Boveldt, Nienke D., Vernooij‐Dassen, Myrra J.F.J., Jansen, Anne, Vissers, Kris C.P., and Engels, Yvonne
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HOSPITALS , *CANCER patients , *CANCER pain , *CHI-squared test , *CONFIDENCE intervals , *REPORTING of diseases , *FISHER exact test , *HOSPITAL wards , *MEDICAL cooperation , *ONCOLOGY , *PROBABILITY theory , *RESEARCH , *RESEARCH funding , *PAIN measurement , *VISUAL analog scale , *DATA analysis software , *DESCRIPTIVE statistics , *ODDS ratio - Abstract
Background Systematic pain registration and assessment with a visual analog scale ( VAS) or numeric rating scale ( NRS) at each visit are key recommendations in one of the most recent guidelines on cancer pain management. It is unclear whether this recommendation is applied. Objectives The aim was to explore registration of pain in medical records of patients visiting the medical oncology outpatient clinic. Methods In a multicenter study in six Dutch hospitals, data were extracted from medical records of 380 outpatients with cancer. Data of the first three visits at the outpatient clinic were studied. Descriptive statistics were conducted. Results In 23% of all 987 visits at the outpatient clinic, pain or absence of pain was registered, and in an additional 15%, a nonspecific symptom description was given. Regarding all other visits, (62%) pain or absence of pain was not documented at all. Pain measurement using a VAS or NRS was documented in only one visit. Pain was more often registered in medical records of patients with metastasis, as well as in those of patients with urogenital tumors. Conclusion Pain in medical oncology outpatients is not systematically registered in their medical records. With one exception, pain was not registered with a VAS or NRS. Yet, registration and assessment of pain to monitor pain are essential to evaluate and adapt pain treatment over time. Pain registration has not improved since 2001 and therefore implementing the recommendations regarding systematic monitoring of pain is needed. [ABSTRACT FROM AUTHOR]
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- 2015
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6. The relationship between unmet care needs in young-onset dementia and the course of neuropsychiatric symptoms: a two-year follow-up study.
- Author
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Bakker, Christian, de Vugt, Marjolein E., van Vliet, Deliane, Verhey, Frans R.J., Pijnenburg, Yolande A., Vernooij-Dassen, Myrra J.F.J., Koopmans, Raymond T.C.M., Koopmans, Raymond, and Rosness, Tor
- Abstract
Background:Little is known about care needs in young-onset dementia (YOD) patients, even though this information is essential for service provision and future care planning.We explored: (1) care needs of people with YOD, (2) the level of agreement within patient-caregiver dyads on care needs, and (3) the longitudinal relationship between unmet needs and neuropsychiatric symptoms.Methods:A community-based prospective study of 215 YOD patients-caregiver dyads. Care needs were assessed with the Camberwell Assessment of Need for the Elderly. The level of agreement between patient and caregivers’ report on care needs was calculated using κ coefficients. The relationship between unmet needs and neuropsychiatric symptoms over time, assessed with the Neuropsychiatric Inventory, was explored using linear mixed models.Results:Patients and caregivers generally agreed on the areas in which needs occurred. Only modest agreement existed within patient-caregiver dyads regarding whether needs could be met. Patients experienced high levels of unmet needs in areas such as daytime activities, social company, intimate relationships, and information, leading to an increase in neuropsychiatric symptoms.Conclusions:Our findings indicate that in YOD, there are specific areas of life in which unmet needs are more likely to occur. The high proportions of unmet needs and their relationship with neuropsychiatric symptoms warrant interventions that target neuropsychiatric symptoms as well as the prevention of unmet needs. This underlines the importance of the periodic investigation of care needs, in which patient and caregiver perspectives are considered complementary. [ABSTRACT FROM AUTHOR]
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- 2014
- Full Text
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