Publications by authors named "P M N Werker"
Background: When research and management of Dupuytren's disease (DD) shift from symptom relief to preventing contractures, general practitioner (GP) care may become more central to treatment. However, the presentation and course of DD in GP care are underexplored and this has been recognized as a knowledge gap that hinders effective treatment decisions. This study is the first to map the trajectory of DD patients in GP care.
View Article and Find Full Text PDFBackground: The focus of research and management of Dupuytren's disease (DD) is shifting from relieving symptoms in the later stages of disease towards the prevention of contractures. Treatment services might likewise shift towards primary care. Studying characteristics of DD patients who seek medical care for the first time, may identify a symptomatic target group for early DD treatments.
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- Flap necrosis is a common issue in autologous breast reconstruction, prompting a study on the benefits of indocyanine green angiography (ICGA) for evaluating flap perfusion.
- The study involved 15 patients undergoing DIEP flap reconstruction, using ICGA, hyperspectral imaging (HSI), and thermal imaging (TI) to analyze flap perfusion and correlate findings with clinical outcomes.
- Results indicated that ICGA effectively identified perfusion issues, while HSI showed promise for monitoring but TI had limited usefulness; further studies are needed to confirm the real-time clinical benefits of these imaging techniques.
Previous studies suggest that Dupuytren's disease is associated with increased mortality, but most studies failed to account for important confounders. In this population-based cohort study, general practitioners' (GP) data were linked to Statistics Netherlands to register all-cause and disease-specific mortality. Patients with Dupuytren's disease were identified using the corresponding diagnosis code and assessing free-text fields from GP consultations.
View Article and Find Full Text PDFBackground: Patients with Dupuytren disease (DD) are mostly surgically treated by percutaneous needle fasciotomy (PNF) or limited fasciectomy (LF), but data on time intervals to retreatment are lacking. The authors aimed to estimate the risk of retreatment within certain time periods after treatment with PNF and LF.
Methods: The authors used data of participants of a cohort study on the course of DD who were treated only with PNF or LF.