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568 results on '"Flamaing, Johan"'

8. 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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9. 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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11. 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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12. 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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14. 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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15. Mapping implementation strategies to reach community-dwelling older adults in Northwest Switzerland.

Author

Mendieta, Maria Jose, Goderis, Geert, Zeller, Andreas, Yip, Olivia, Siqeca, Flaka, Zúñiga, Franziska, Zullig, Leah L., De Geest, Sabina M., Deschodt, Mieke, Flamaing, Johan, Dhaini, Suzanne, Urfer, Pia, Briel, Matthias, Schwenkglenks, Matthias, Vounatsou, Penelope, Quinto, Carlos, Blozik, Eva, and Obas, Katrina

Subjects
OLDER people, CAREGIVERS, COMMUNITY-based programs, NURSING care facilities, GERIATRIC nursing, INFORMATION services
Abstract

Background: In Northwestern Switzerland, recent legislation tackles the needs of community-dwelling older adults by creating Information and Advice Centers (IACs). IACs are a new service in the community that aims to assess the needs and provide information on age-related issues to community-dwelling older adults and their families. Previous studies reported difficulties in reaching community-dwelling older adults for community-based programs. We aimed to: 1) systematically identify implementation strategies to promote the IAC among community care providers, older adults and informal caregivers; 2) monitor the delivery of these strategies by the IAC management; and 3) describe the impact of those strategies on reach of community-dwelling older adults. This study was conducted as part of the TRANS-SENIOR project. Methods: As part of the INSPIRE feasibility assessment, we conducted a pre-test post-test study between March and September 2022. The sample included 8,840 older adults aged 65 + visiting/calling or being referred to the IAC for the first time. Implementation strategies were selected using implementation mapping and organized in bundles for each group of community care providers and older adults/caregivers. Our evaluation included: estimation of fidelity to the delivery of implementation strategies and bundles by the IAC management and their coverage; referral source of older adults to the IAC; and impact of the strategies on reach of the IAC on the 65 + population living in the care region. Adaptations to the strategies were documented using the FRAME-IS. Descriptive statistics were calculated and reported. Results: Seven implementation strategies were selected and organized in bundles for each community care provider and older adults and their caregivers. The lowest fidelity score was found in implementation strategies selected for nursing homes whereas the highest score corresponded to strategies targeting older adults and caregivers. "Informational visits" was the strategy with the lowest coverage (2.5% for nursing homes and 10.5% for hospitals and specialized clinics). The main referral sources were self-referrals and referrals by caregivers, followed by nursing homes. The IAC reach among the 65 + population was 5.4%. Conclusion: We demonstrated the use of implementation mapping to select implementation strategies to reach community-dwelling older adults. The reach was low suggesting that higher fidelity to the delivery of the strategies, and reflection on the causal pathway of the implementation strategies might be needed. [ABSTRACT FROM AUTHOR]

Published
2024
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21. 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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23. 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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30. 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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32. 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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36. End-of-Life Care in the Last Three Months before Death in Older Patients with Cancer in Belgium: A Large Retrospective Cohort Study Using Data Linkage

Author

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

Published
2023
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37. End-of-Life Care in the Last Three Months before Death in Older Patients with Cancer in Belgium: A Large Retrospective Cohort Study Using Data Linkage

Author

Depoorter, Victoria, Vanschoenbeek, Katrijn, Decoster, Lore, Silversmit, Geert, Debruyne, Philip, 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, De Schutter, Harlinde, Milisen, Koen, Flamaing, Johan, Kenis, Cindy, Verdoodt, Freija, and Wildiers, Hans

Abstract

This study aims to describe end-of-life (EOL) care in older patients with cancer and investigate the association between geriatric assessment (GA) results and specialized palliative care (SPC) use. Older patients with a new cancer diagnosis (2009–2015) originally included in a previous multicentric study were selected if they died before the end of follow-up (2019). At the time of cancer diagnosis, patients underwent geriatric screening with Geriatric 8 (G8) followed by GA in case of a G8 score ≤14/17. These data were linked to the cancer registry and healthcare reimbursement data for follow-up. EOL care was assessed in the last three months before death, and associations were analyzed using logistic regression. A total of 3546 deceased older patients with cancer with a median age of 79 years at diagnosis were included. Breast, colon, and lung cancer were the most common diagnoses. In the last three months of life, 76.3% were hospitalized, 49.1% had an emergency department visit, and 43.5% received SPC. In total, 55.0% died in the hospital (38.5% in a non-palliative care unit and 16.4% in a palliative care unit). In multivariable analyses, functional and cognitive impairment at cancer diagnosis was associated with less SPC. Further research on optimizing EOL healthcare utilization and broadening access to SPC is needed. ispartof: Cancers vol:15 issue:13 pages:3349- ispartof: location:Switzerland status: published

Published
2023

45. 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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50. In-hospital rehabilitation with the Geriatric Activation Program Pellenberg improves functional performance in a heterogeneous geriatric population

Author

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

Published
2022
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