Publications by authors named "R L van Bruchem-Visser"

Article Synopsis
  • Periampullary cancer poses a significant risk for older patients, with surgical resection being a high-risk yet potentially curative option.
  • A study on patients aged 70 and older found that 75% were frail, which influenced treatment decisions; frail patients were more likely to choose nonsurgical options and had a higher incidence of postoperative complications.
  • The findings suggest that comprehensive geriatric assessment (CGA) can improve treatment planning and care for older patients undergoing pancreatic surgery, particularly by highlighting the risks associated with frailty.
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A relative high number of cases of organ donation after euthanasia (ODE) is performed in patients with a mental disorder. We feel there are morally relevant differences between people who receive euthanasia on grounds of somatic illness and those who receive it on grounds of a mental disorder. More research is needed before it can be assumed that patients with a mental disorder who have their requests for euthanasia granted may also be eligible for ODE without further testing.

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Background: Neuropsychiatric symptoms (NPS) are highly prevalent in Alzheimer's disease (AD) and are associated with negative outcomes. However, NPS are currently underrecognized at the memory clinic and non-pharmacological interventions are scarcely implemented.

Objective: To evaluate the effectiveness of the Describe, Investigate, Create, Evaluate (DICE) methodâ„¢ to improve the care for NPS in AD at the memory clinic.

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Purpose: Older patients were particularly vulnerable to severe COVID-19 disease resulting in high in-hospital mortality rates during the two first waves. The aims of this study were to better characterize the management of older people presenting with COVID-19 in European hospitals and to identify national guidelines on hospital admission and ICU admission for this population.

Methods: Online survey based on a vignette of a frail older patient with Covid-19 distributed by e-mail to all members of the European Geriatric Medicine Society.

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Background: Timely recognition and treatment of neuropsychiatric symptoms (NPS) in Alzheimer's disease (AD) dementia may improve quality of life, reduce caregiver burden, and delay disease progression. However, management of NPS in early AD dementia remains challenging. To date, little is known about the specific challenges for memory clinic-based physicians.

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