Publications by authors named "C J van der Woude"

Perianal fistulizing disease, commonly associated with Crohn's disease, poses significant diagnostic and therapeutic challenges due to its complex anatomy and high recurrence rates. Radiological imaging plays a pivotal role in the accurate diagnosis, classification, and management of this condition. This article reviews the current radiological modalities employed in the evaluation of perianal fistulizing disease, including magnetic resonance imaging (MRI), endoanal ultrasound, and computed tomography (CT).

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Background: Patients with Immune Mediated Inflammatory Diseases (IMIDs) using immunosuppressive therapy are at increased risk of infections, including vaccine-preventable infections. In this study, we aimed to evaluate whether patients with IMIDs on systemic immunosuppressive therapy are vaccinated according to current guidelines.

Methods: A survey was sent out, between August 2022 and March 2023, to all patients with IMIDs that visited the departments of dermatology, rheumatology and gastroenterology at an academic and regional hospital in Rotterdam, the Netherlands.

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Article Synopsis
  • Risk stratification for endoscopic post-operative recurrence (ePOR) in Crohn's disease is crucial for identifying patients who would benefit from preventive treatments and closer monitoring.
  • A comprehensive review of 47 studies highlighted key risk factors for ePOR, such as active smoking, male gender, and previous bowel surgeries, but many factors listed in current guidelines lacked consistent evidence.
  • The findings suggest a need for personalized treatment strategies based on reliable risk factors to improve patient outcomes following ileocolic surgeries for Crohn's disease.
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Article Synopsis
  • - The study at Erasmus Medical Center examined why less than half of patients and healthcare professionals (HCPs) utilize patient-reported outcomes measures (PROMs), aiming to identify factors that aid or hinder their adoption.
  • - A mixed-methods approach was used, incorporating interviews, focus groups, and questionnaires from various stakeholders including patients, HCPs, and medical students, which led to themes relevant to training, motivation, and reducing burdens related to PROMs.
  • - Findings highlighted that while providing digital tools and support is essential for PROM implementation, continuous efforts to engage and educate users are necessary for achieving successful adoption.
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Background: Many individuals with neurodegenerative (NDD) and immune-mediated inflammatory disorders (IMID) experience debilitating fatigue. Currently, assessments of fatigue rely on patient reported outcomes (PROs), which are subjective and prone to recall biases. Wearable devices, however, provide objective and reliable estimates of gait, an essential component of health, and may present objective evidence of fatigue.

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