Publications by authors named "A L Lagro-Janssen"

Background: In the Netherlands, the use of long-acting reversible contraception (LARC) methods increases. Studies show high premature discontinuation rates of LARCs, but comprehensive insights into the Dutch situation remain limited.

Aim: The aim of this study is to determine (1) the rate and reasons of discontinuation of different types of LARC in the first 2.

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Article Synopsis
  • Decision-making for female stress urinary incontinence (SUI) is complex, but Dutch guidelines recommend pelvic floor therapy and midurethral sling surgery as primary treatments for moderate to severe cases.
  • The study aimed to create an online patient decision aid (PDA) to help patients make informed choices, decrease confusion and regret, and enhance their understanding of treatment options.
  • Using a collaborative approach and following international standards, the developed PDA received positive feedback from healthcare providers and patients, incorporating detailed information about SUI, treatment comparisons, and exercises for clarifying personal values.
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Objective: To evaluate the cost-effectiveness of pessary therapy as an initial treatment option compared with surgery for moderate to severe pelvic organ prolapse (POP) symptoms in secondary care from a healthcare and a societal perspective.

Design: Economic evaluation alongside a multicentre randomised controlled non-inferiority trial with a 24-month follow-up.

Setting: 21 hospitals in the Netherlands, recruitment conducted between 2015 and 2022.

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Purpose: Sexual abuse is a health issue with many consequences. Recognizing and discussing past sexual abuse has proven to be challenging for health care professionals. To improve overall quality of health care for sexual abuse victims, health care professionals need to be properly trained.

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Objectives: To study the possible association between (sexual) abuse and lower urinary tract symptoms (LUTS) in men and women. To study the differences in this association between men and women, and between the timing of the abuse.

Subjects And Methods: A Dutch observational population-based cross-sectional study was used, based on self-administered questionnaires.

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