Johannes C. van der Wouden

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OBJECTIVE To assess the effects on information exchange of electronic communication between physicians co-treating diabetic patients. DESIGN Comparison of traditional paper-based communication for reporting and electronic communication. SETTING General practitioners and an internal medicine outpatient clinic of an urban public hospital. SUBJECTS A(More)
Objective: Health-related quality of life is an important measure in evaluations of the management of childhood asthma. In this study, we assessed psychometric properties, responsiveness, and longitudinal and cross-sectional construct validity of the Dutch version of the 23-item Pediatric Asthma Quality of Life Questionnaire (PAQLQ). Methods: The study(More)
Background: We implemented a comprehensive intervention program targeting general practice staff, that proved successful in optimizing practice organization and clinical decision-making. In this paper, health-related quality of life (HRQL) is investigated as a clinical outcome. Objective: To evaluate the effect of the implementation of an intervention(More)
PURPOSE OF REVIEW Influenza infections are frequently involved in asthma exacerbations. During influenza epidemics substantial excess morbidity due to respiratory tract complications is reported in all age categories as well as excess mortality among the elderly. Vaccines are available for protection against influenza. Worldwide, vaccination is advised and(More)
This study compares HRQOL among subgroups of infants with asthma-like symptoms to a subgroup without such symptoms and examines independent associations between asthma-like symptoms during the first year of life and HRQOL at age 12 months. Our study sample included 5,000 infants participating in the Generation R study. Their parents completed structured(More)
In the Netherlands, several general practice registrations exist. Groups of general practitioners register elements of patient care according to agreed-upon criteria, and these data are collected in a central database. By means of a questionnaire the authors interviewed the managers of all nine computerized registration networks extensively about the(More)
Cardiac involvement by tumour is found in 25% of patients who die from lung cancer and, in the majority of these patients, the involvement is asymptomatic. With a significant proportion of patients subjected to lung cancer surgery dying from disease progression within 6 months of surgery, the British Thoracic Society guidelines on the selection of patients(More)
objective: to explore self-perceived care needs, determinants of identified needs and experiences concerning needs in older adults with joint pain and comorbidity, by using a mixed method approach. Design and methods: a prospective cohort study of older adults (≥65 years) with joint pain and comorbidity provided baseline data (n=407). We used the Camberwell(More)
BACKGROUND For respiratory allergic disorders in children, sublingual immunotherapy has been developed as an alternative to subcutaneous immunotherapy. Sublingual immunotherapy is more convenient, has a good safety profile and might be an attractive option for use in primary care. A randomized double-blind placebo-controlled study was designed to establish(More)