Publications by authors named "M Coenraad"

Introduction: Due to the rising incidence of patients with cirrhosis and its accompanied extensive management, there is an increasing burden of cirrhosis patients on healthcare resources and costs. However, exact data on Dutch cirrhosis epidemiology and associated costs are lacking.

Aims And Methods: We aimed to determine the year-prevalence of adults (aged ≥18 years) with cirrhosis registered as active patients in Dutch hospitals (2017-2021) using the Dutch hospital claims database.

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Serum liver tests (serum tests) and histological assessment for T-cell-mediated rejection are essential for post-liver transplant monitoring. Liver biopsy carries a risk of complications that are preferably avoided in low-risk patients. Multiparametric magnetic resonance imaging (mpMRI) is a reliable noninvasive diagnostic method that quantifies liver disease activity and has prognostic utility.

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Background And Aims: Endothelial cell (EC) dysfunction in response to circulating plasma factors is a known causal factor in many systemic diseases. However, no appropriate assay is available to investigate this causality . In liver cirrhosis, systemic inflammation is identified as central mechanism in progression from compensated to decompensated cirrhosis (DC), but the role of ECs therein is unknown.

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Article Synopsis
  • - A study involving 24 medical specialists developed a clinical decision framework for managing liver cyst infections, which often require long-term hospitalization and can have serious consequences.
  • - The modified Delphi method involved three rounds of surveys and discussions to gather expert opinions on management strategies and define treatment outcomes, resulting in consensus on various aspects of the condition.
  • - The experts identified important indicators like fever and elevated C-reactive protein for treatment decisions, along with subclassifications of liver cyst infections, leading to 26 agreed-upon management statements and two treatment algorithms.
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Article Synopsis
  • This study examines how the training level and experience of surgeons affect outcomes in liver procurement from deceased donors in the Netherlands.
  • The analysis focused on three groups (trainee, certified, master) and looked at surgical graft injuries, rates of discarded livers, and the time taken for hepatectomy.
  • Results showed that while surgical injury rates were similar across groups, the master group had a higher liver discard rate after injury, and those with training showed improved efficiency with shorter hepatectomy durations.
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