Publications by authors named "T M A L Klem"
Article Synopsis
- The study aimed to create a framework based on value-based healthcare principles to assess health outcomes and costs on an institutional level, specifically investigating how these factors are related.
- Conducted as a retrospective cohort study at a teaching hospital in Rotterdam, the research involved two populations: bariatric patients (856 total) and breast cancer patients (663 total), analyzing their health outcomes and associated costs of care.
- Results indicated high quality cost indicators (QCI) for both populations, with the bariatric group maintaining stable costs and the breast cancer group showing more variability, while poor health outcomes were linked to increased hospital costs in both groups.
Article Synopsis
- Intraoperative digital specimen mammography (IDSM) is a newer method for evaluating breast tumor specimens, potentially leading to reduced surgery times and lower re-excision rates compared to conventional specimen radiography (CSR).
- A study compared two groups of patients who underwent breast conserving surgery—one using IDSM and the other CSR—focusing on operation time and margin status.
- Results showed that IDSM reduced surgery time by about 8 minutes and increased cavity shaves performed, but there was no significant difference in negative margin rates between the two methods.
The individual resistance or tolerance against uterine disease in dairy cattle might be related to variations in the uterine tract microbiota. The uterine tract microbiota in dairy cattle is a field of increasing interest. However, its specific taxonomy and functional aspects is under-explored, and information about the microbiota in the endometrium at artificial insemination (AI) is still missing.
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- Previous studies indicate that vacuum-assisted excision (VAE) is a safe alternative to surgical excision (SE) for benign breast lesions, although its use for high-risk lesions is still debated and lacks clear guidelines.
- This study compared two groups of patients, one treated before the introduction of VAE and the other after, analyzing excision, complication, and recurrence rates.
- Results showed that VAE was increasingly used for benign lesions, with comparable low rates of re-excision, recurrence, and complications, suggesting a significant potential to replace SE in many cases while reducing the need for surgery and anesthesia.