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Willems Ruben Ombelet Fouke Goossens Eva De Groote Katya Budts Werner Moniotte Stéphane de Hosson Michèle Van Bulck Liesbet Marelli Ariane Moons Philip De Backer Julie Annemans Lieven 《The European journal of health economics》2021,22(6):951-960
The European Journal of Health Economics - To scrutinize the economic impact of different care levels, such as shared care, in the follow-up of adult congenital heart disease (ACHD) patients. The... 相似文献
53.
Ruben Willems Fouke Ombelet Eva Goossens Katya De Groote Werner Budts Stéphane Moniotte Michèle de Hosson Liesbet Van Bulck Arianne Marelli Philip Moons Julie De Backer Lieven Annemans 《Congenital heart disease》2020,15(6):399-429
Objective: Cost-of-illness studies in Adult Congenital Heart Disease
(ACHD) have mainly been limited to hospitalizations. This is the first paper to
provide a comprehensive overview from a societal perspective including inpatient
and outpatient medical costs, and absenteeism- and unemployment-related societal costs. Methods: A retrospective longitudinal (2006–2015) database analysis
was performed in Belgium combining administrative and clinical databases
(n = 10,572). Trends in resource use and costs per patient year were standardized
to assess the impact of changes in the patient population composition. Generalized
Linear Mixed Models assessed the impact of age, sex, lesion complexity, and
time. Costs were converted to 2018 values. Results: Medical costs per patient
year increased from €3490 to €4536 with a milder increase in patients with
severe lesions. Although unemployment-related costs decreased, total societal
costs increased due to more long-term (≥1 yr) invalidity. An increase in long-term
invalidity was particularly found in patients ≥30 yrs and in patients with mild or
moderate lesions. Resource use (e.g., dental care, nursing care, physiotherapy,
emergency department) increased substantially in all patient groups over time. The
annual percentage of patients with severe lesions receiving any cardiac and specialized cardiac follow-up increased with respectively 11 and 13 percent points to 81% and 52%, with a simultaneous decrease in hospitalization rate. Conclusion:
Medical cost increases in ACHD are most pronounced in patients with mild and
moderate lesions, relatable to their higher age. Economic data are necessary to
allocate resources efficiently to ensure sustainable, qualitative care in an ageing
patient population with strong increases in medical and long-term invalidityrelated costs. 相似文献
54.
OBJECTIVE: The study was conducted to identify predictors of oligoamenorrhea at 12 months in levonorgestrel-releasing intrauterine system (LNG-IUS) users. DESIGN: A 12-month observational study. SETTING: Gynecologic outpatient clinic in a large regional hospital in Flanders, Belgium. POPULATION OR SAMPLE: A total of 150 women who had made an informed decision to use a LNG-IUS either as a method of contraception or to manage menorrhagia. METHODS: All women were premenopausal and first-time users. The variables recorded prior to insertion on Days 1 to 5 of the menstrual cycle were age, parity, body mass index, indication for LNG-IUS use, prior contraceptive use, menstrual bleeding history, length of the uterine cavity, endometrial thickness, number of antral follicles, serum follicle-stimulating hormone, inhibin B and anti-Müllerian hormone. Menstrual bleeding pattern, patient satisfaction or wish to discontinue the method was noted at 3, 6 and 12 months of follow-up visits. MAIN OUTCOME MEASURES: Menstrual bleeding pattern (amenorrhea, oligomenorrhea, menorrhagia) at 12 months was taken as the primary outcome measurement. Patient satisfaction was followed as a secondary outcome. RESULTS: Oligoamenorrhea was associated with a high patient satisfaction. A bleeding period less than 5 days, absence of severe uterine bleeding at baseline, LNG-IUS use for contraception and oligoamenorrhea at 3 months were predictors of a favorable outcome at 12 months in a univariate analysis. The absence of severe bleeding prior to LNG-IUS insertion was the only clinically useful predictor of favorable outcome in the multivariate analysis (odds ratio 0.13, 95% confidence interval 0.02-0.66). CONCLUSIONS: Patient profiling as described is not helpful in counselling women for intentional LNG-IUS use, especially not if it is planned as a method of managing menorrhagia. 相似文献
55.
Coming soon to your clinic: patient-friendly ART 总被引:1,自引:0,他引:1
The current practice in medically assisted reproduction is still too exclusively focused on effectiveness and success rates. This has a number of considerable, and more importantly, avoidable drawbacks. Single embryo transfer was an important move away from this model to include safety and welfare of mother and child. Patient-friendly ART goes one big step further. It is composed of a mix of four criteria: cost-effectiveness, equity of access, minimal risk for mother and child and minimal burden for patients. All four components have a strong normative ethical basis: cost-effectiveness relies on the optimal use of community resources to maximise well-being; equity of access is based on justice, minimal risk is founded on the fundamental non-maleficence rule and minimal burden is largely based on the autonomy principle. The inclusion of the four criteria in decision-making about treatment would express these values in clinical practice. 相似文献
56.
Piet Hinoul Jan-Paul Roovers Willem Ombelet Ruben Vanspauwen 《European journal of obstetrics, gynecology, and reproductive biology》2009
Urinary incontinence is a highly prevalent condition that has a significant impact on the affected patients’ quality of life. Approximately one in three women suffers from some degree of urinary incontinence. Six to ten percent of them are severely affected. Cure or significant improvement can often be achieved after making the right diagnosis, tailoring the treatment accordingly and realistically counseling the patient on the expected outcome. 相似文献
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Frederik Hermans Sien Ombelet Karlien Degezelle Dries Testelmans Dirk E. Van Raemdonck Geert M. Verleden Eric K. Verbeken Pascal Van Bleyenbergh Katrien Lagrou Robin Vos 《Mycoses》2017,60(3):213-217
A lung transplant recipient was diagnosed with penicilliosis due to Talaromyces marneffei, a fungus endemic in South‐East Asia, which was acquired by donor transmission. This first case of Talaromyces marneffei‐transmission by transplantation underscores that current globalisation of travelling necessitates increased vigilance for transmission of unusual pathogens in organ recipients. 相似文献
60.
Ombelet W.; Grieten M.; DeNeubourg Ph.; Verswijvel G.; Buekenhout L.; Hinoul P.; deJonge E. 《Human reproduction (Oxford, England)》2003,18(6):1362
Undescended ovary and unicornuate uterus: Simplified 相似文献