Publications by authors named "T Bonten"

Background: The COVID-19 lockdown had profound effects on society and healthcare. Cardiology departments reported declines in chest pain evaluations and acute coronary syndrome (ACS) diagnoses. However, the pattern of chest pain in primary care is not clear yet.

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Background: The recommendation to consider prescribing inhalation corticosteroids to a subgroup of vulnerable COVID-19 patients was added to the Dutch medical guideline on November 11, 2021, and was also adopted by other countries during the pandemic.

Aim: To evaluate the adherence of general practitioners to this guideline, and whether real-world data quality is sufficient to study the effect of revised guidelines on prescribing behaviour.

Design & Setting: A retrospective cohort study using Dutch primary care data from the Extramural LUMC Academic Network database, containing patient data of 129 general practices in the Leiden - The Hague area.

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Purpose: Chest pain frequently poses a diagnostic challenge for general practitioners (GPs). Utilizing risk stratification tools might help GPs to rule out acute coronary syndrome (ACS) and make appropriate referral decisions. We conducted a systematic review of studies evaluating risk stratification tools for chest pain in primary care settings, both with and without troponin assays.

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At the onset of the COVID-19 pandemic, the pressure on hospitals increased tremendously. To alleviate this pressure, a remote patient monitoring system called the COVID Box was developed and implemented in primary care. The aim was to assess whether the COVID Box in primary care could reduce emergency department (ED) referrals due to a COVID-19 infection.

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Article Synopsis
  • The study aims to understand the lifestyle and motivation of cardiovascular disease patients starting cardiac rehabilitation (CR), focusing on their needs for effective lifestyle changes.
  • Researchers analyzed data from 1782 patients across 7 Dutch outpatient CR centers, finding that many patients had elevated risks related to physical activity, diet, and sleep, with motivation generally being high but lower in those with unfavorable risk profiles.
  • Results suggest that CR programs should begin with detailed lifestyle assessments and offer personalized interventions to meet diverse patient needs, potentially improving motivation, adherence, and long-term cardiovascular health outcomes.
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