833 results match your criteria: "Medical Center Leeuwarden.[Affiliation]"

Background: This study aimed to create a comprehensive Core Outcome Set (COS) for assessing the long-term outcome (≥ 5 years) after Metabolic Bariatric Surgery (MBS), through the use of the Delphi method.

Methods: The study utilized a three-phase approach. In Phase 1, a long list of items was identified through a literature review and expert input, forming the basis for an online Delphi survey.

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Introduction: Early mobilization reduces long-term muscle weakness after intensive care unit (ICU) admission, but barriers (e.g., anxiety, lack of motivation) may complicate patients' adherence to exercise.

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Background: The World Health Organization (WHO) recommends an interval of at least 24 months from the date of a live birth to the conception of the next pregnancy in order to reduce the risk of adverse maternal, perinatal, and infant outcomes. There is limited data about the implementation of this recommendation and its contributing factors in low-land ecologies in Oromia, which is the biggest regional state in Ethiopia.

Objective: To assess the inter-pregnancy interval and determine associated factors among parous women in selected low-land districts of Arsi and East Shoa Zone.

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Background: Total ankle arthroplasty (TAA) has been developed as treatment for disabling tibiotalar osteoarthritis. TAAs are divided into mobile- and fixed-bearings. The aim was to determine the incidence and trends of fixed- and mobile bearings over time and investigate the association of bearing type and risk of revision after primary TAA in the Netherlands.

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Background: Concomitant coronary artery disease (CAD) is highly prevalent in patients with severe aortic stenosis undergoing transcatheter aortic valve implantation (TAVI). The optimal treatment strategy for CAD is a topic of debate. An initial conservative strategy for CAD in patients undergoing TAVI may be favorable as multiple studies have failed to show an evident beneficial effect of percutaneous coronary intervention (PCI) on mortality after TAVI.

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Introduction And Objectives: Tralokinumab-a biological that specifically targets interleukin-13-is one of the newer advanced systemic treatments for patients with moderate-to-severe atopic dermatitis (AD). Although safety and efficacy have been shown in phase-III clinical trials, daily practice data are needed. Therefore, the aim of this study was to evaluate 28-week safety and effectiveness, serum proteins and total IgE levels in adult AD patients treated with tralokinumab in daily practice.

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Patient centered outcomes of transoral robotic surgery for obstructive sleep apnea: a retrospective analysis.

Eur Arch Otorhinolaryngol

December 2024

Department of Otorhinolaryngology - Head and Neck Surgery, Medical Center Leeuwarden, Henri Dunantweg 2, 8934AD, Leeuwarden, The Netherlands.

Purpose: Obstructive Sleep Apnea (OSA) is usually caused by collapse of the base of tongue (BOT) and impacts patients' overall health. Despite current conventional therapies, some patients do not achieve satisfactory results. Reduction of BOT using Trans Oral Robotic Surgery (TORS) emerges as a promising treatment.

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Article Synopsis
  • - The study investigates chronic postsurgical pain (CPSP) in total knee and hip arthroplasty patients, finding that 10-34% of them experience this issue, significantly contributing to postoperative dissatisfaction.
  • - A cohort of 453 patients was assessed for pain intensity and neuropathic-like symptoms before surgery, and CPSP and dissatisfaction were examined one year later.
  • - Results indicated that preoperative neuropathic-like symptoms are important predictors for CPSP, especially in hip patients, with those showing such symptoms more than twice as likely to suffer from CPSP after one year compared to those without these symptoms.
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  • CDK4/6 inhibitors combined with endocrine therapy improve outcomes for patients with hormone-receptor positive, HER2-negative advanced breast cancer, but evidence comparing first-line and second-line use is limited.
  • The phase 3 SONIA trial involved 1,050 patients and showed no significant overall benefit for using CDK4/6 inhibitors first-line compared to second-line (31.0 vs. 26.8 months median progression-free survival).
  • Although first-line treatment led to longer duration of CDK4/6 therapy and more severe side effects, the quality of life was similar for both treatment timing, questioning the necessity for first-line CDK4/6 inhibitor usage in all cases.
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Article Synopsis
  • The IMWG frailty index shows that frailty levels in patients undergoing anti-myeloma treatment can change frequently over time.
  • Assessing frailty dynamically during treatment provides better predictions for survival and early mortality than just looking at initial frailty levels.
  • The study references two clinical trials, HOVON 143 (NTR6297) and HOVON 123 (NTR4244), related to this research.
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Introduction: Body mass index (BMI) ≥50 kg/m2 is more challenging for the metabolic bariatric surgeon because of a thicker abdominal wall, more visceral fat, and hepatomegaly by liver steatosis. This study aimed to give an overview of 5-year outcomes after one anastomosis gastric bypass (OAGB) and Roux-en-Y gastric bypass (RYGB) in these patients in terms of weight loss, remission of comorbidities, and complications.

Methods: This retrospective single-center cohort study focused on patients with BMI ≥50 kg/m2 undergoing OAGB or RYGB between 2015 and 2017 at a nonacademic teaching hospital in the Netherlands.

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Genetic testing in a national cohort of adults with chronic kidney disease of unknown origin.

Nephrol Dial Transplant

November 2024

Department of Internal Medicine, Division of Nephrology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.

Article Synopsis
  • Chronic kidney disease (CKD) is unexplained in 20% of patients, and this study investigates the use of massively parallel sequencing (MPS) as a diagnostic tool for these cases.
  • The study found that in 340 participants, a genetic diagnosis was identified in 17% of cases, leading to clinical consequences in 73% of those diagnosed.
  • Barriers to implementation of genetic testing included genetic illiteracy among nephrologists, difficulties in test selection, and lack of time, highlighting the need for better education in genetics.
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Sex disparities in myocardial infarction related cardiogenic shock.

Int J Cardiol

February 2025

Department of Cardiology, Amsterdam UMC, Meibergdreef 9, 1105 AZ Amsterdam, the Netherlands. Electronic address:

Background: Women are underrepresented In cardiovascular disease research, constituting only 30 % of the cardiogenic shock (CS) population. Consequently, guidelines are mainly based on male patients. This study aims to comprehensively examine the sex-specific aspects of acute myocardial infarction (AMI)-related CS, encompassing presentation, treatment and outcomes.

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Predicting periprosthetic joint infection: external validation of preoperative prediction models.

J Bone Jt Infect

October 2024

Department of Medical Microbiology and Infection Prevention, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.

: Prediction models for periprosthetic joint infections (PJIs) are gaining interest due to their potential to improve clinical decision-making. However, their external validity across various settings remains uncertain. This study aimed to externally validate promising preoperative PJI prediction models in a recent multinational European cohort.

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Small cell lung cancer and neuroendocrine tumours.

Breathe (Sheff)

October 2024

Department of Respiratory Medicine, Northumbria Healthcare NHS Trust, Cramlington, UK.

Lung cancer is one of the leading causes of death worldwide. It can broadly be divided into small cell lung cancer (SCLC) and nonsmall cell lung cancer. There have been many advances over the recent years in both fields.

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Background: Undifferentiated arthritis (UA) is a term used to describe patients with inflammatory arthritis that has not differentiated into a specific rheumatic disease. UA may be a pre-stage of rheumatoid arthritis (RA) or another inflammatory disease or remain undifferentiated, but a substantial proportion of patients may also achieve spontaneous remission. As UA may be an early presentation of RA, rheumatologists often start methotrexate (or another csDMARD) as early as possible.

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Purpose: Molecular tumor boards (MTBs) are considered beneficial for treatment decision making for patients with cancer with uncommon, rare, or complex mutational profiles. The lack of international MTB guidelines results in significant variation in practices and recommendations. Therefore, periodic follow-up is necessary to assess and govern MTB functioning.

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Comparable results 5 years after one anastomosis gastric bypass compared to Roux-en-Y gastric bypass: a propensity-score matched analysis.

Surg Obes Relat Dis

October 2024

Department of Bariatric and Metabolic Surgery, Center for Obesity Northern-Netherlands (CON), Medical Center Leeuwarden, Leeuwarden, the Netherlands.

Article Synopsis
  • This study compares outcomes of one anastomosis gastric bypass (OAGB) and Roux-en-Y gastric bypass (RYGB) over 5 years, addressing limitations of previous research like small sample sizes and short follow-ups.
  • After matching 860 patients in each group, OAGB showed a higher rate of intraoperative complications, while RYGB had more short-term complications.
  • Both procedures resulted in similar weight loss, but OAGB was more effective in achieving remission of hypertension, despite equivalent diabetes remission rates.
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Background: To prevent cross-contamination between patients, adequate reprocessing is necessary when using flexible endoscopes (FEs) without a working channel. The current reprocessing process using an Endoscope Washer Disinfector (EWD) is time-consuming. Ultraviolet light group C (UV-C) exposition is an alternative and fast disinfection method and has previously been shown to adequately reduce Colony Forming Units (CFUs) on FEs without a working channel.

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Comparing mechanical and enzymatic isolation procedures to isolate adipose-derived stromal vascular fraction: A systematic review.

Wound Repair Regen

November 2024

Department of Plastic, Reconstructive and Hand Surgery, University Medical Center Utrecht, University of Utrecht, Utrecht, The Netherlands.

The stromal vascular fraction of adipose tissue has gained popularity as regenerative therapy for tissue repair. Both enzymatic and mechanical intraoperative SVF isolation procedures exist. To date, the quest for the preferred isolation procedure persists, due to the absence of standardised yield measurements and a defined clinical threshold.

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Objectives: The World Health Organization supports both the screen-and-treat (ST) approach and the screen, triage and treat (STT) approach to cervical cancer screening using high-risk human papillomavirus (hrHPV) testing. For Uganda, the sequence of hrHPV-ST and hrHPV-STT could be similar, with visual inspection with acetic acid (VIA) after positive hrHPV tests in both. To consider potential tradeoffs (overtreatment in ST versus missed cancer cases in STT), we compared hrHPV-STT with VIA triage (STT-VIA), and STT with HPV 16/18 genotyping risk stratification, to hrHPV-ST for Uganda, in terms of overtreatment, cervical cancer incidence, and life years, for the general female population of Uganda.

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Article Synopsis
  • Tau-PET is a diagnostic tool for Alzheimer's disease that shows promise in research, but its effectiveness in everyday clinical settings is still unclear.
  • The TAP-TAU study will include 300 patients with mild cognitive impairments from five Dutch memory clinics to assess how tau-PET affects diagnosis, patient management, and anxiety levels.
  • The study has received ethics approval and aims to begin participant enrollment in October 2024, with potential findings that could enhance understanding of tau-PET's real-world clinical value.
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  • Nutritional care is seen as essential for improving outcomes in patients with chronic limb threatening ischemia (CLTI) due to their high risk of complications.
  • A qualitative study involving focus groups revealed that healthcare professionals acknowledge the importance of nutritional care but often give it insufficient attention due to various barriers.
  • Key challenges identified include knowledge gaps, a lack of routine incorporation of nutritional care, patient-related difficulties, and time constraints; however, enhancing scientific knowledge and organizational processes can help facilitate better nutritional care.
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