Publications by authors named "L R van der Vaart"
Discontinuation of pessary therapy within 24 months: can it be predicted?
Arch Gynecol Obstet
December 2024
Article Synopsis
- Pelvic organ prolapse is a common issue in women, with pessary therapy being a popular non-surgical treatment, but many women (20-60%) stop using it within two years.
- A study conducted in 22 Dutch hospitals aimed to identify patient characteristics that lead to discontinuation of pessary treatment over 24 months, analyzing various patient data.
- Results showed that younger age and self-reported allergies were significant predictors of stopping pessary use, but many allergies were unspecified, indicating that more research is needed to fully understand these factors.*
Cost-effectiveness of pessary therapy versus surgery for symptomatic pelvic organ prolapse: an economic evaluation alongside a randomised non-inferiority controlled trial.
BMJ Open
May 2024
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.
Basic psychological need crafting assumes that need-based experiences are enhanced through intentional behavior and thought changes. Despite its known benefits outside of the work context, need crafting instruments designed for this context, and the implications of need crafting for employee functioning, remain underexplored. Thus, this study set out to adapt and validate the need crafting scale (NCS) among employees ( = 229).
View Article and Find Full Text PDFUnlabelled: Pursuing meaningful life experiences is vital for wellbeing and health. Crafting strategies, such as job crafting and work-life balance crafting, have been developed to create meaning in specific life domains. However, these strategies share common underlying behaviors that transcend specific contexts.
View Article and Find Full Text PDFImportance: Pelvic organ prolapse is a prevalent condition among women that negatively affects their quality of life. With increasing life expectancy, the global need for cost-effective care for women with pelvic organ prolapse will continue to increase.
Objective: To investigate whether treatment with a pessary is noninferior to surgery among patients with symptomatic pelvic organ prolapse.