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Evaluating fracture risk in acute ankle sprains / Pascale Jonckheer in European Journal of General Practice, 1751-1402 - Online ([12/22/2015])
[article] Evaluating fracture risk in acute ankle sprains : Any news since the Ottawa Ankle Rules? A systematic review [printed text] / Pascale Jonckheer , Author ; Tine Willems, Author ; Roel De Ridder, Author ; Dominique Paulus , Author ; Kirsten Holdt Henningsen, Author ; Lorena San Miguel , Author ; An De Sutter, Author ; Philip Roosen, Author . - 2015.
Languages : English (eng)
in European Journal of General Practice > 1751-1402 - Online [12/22/2015]
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2011-02 ; Ankle Injuries ; Diagnosis ; Family Practice ; Journal Article ; Peer Review ; Primary Health Care ; R197 ; ReviewAbstract: Background Ankle sprain is frequently encountered, both in primary care and in emergency departments. Since 1992, the Ottawa ankle rules (OAR) can assist clinicians in determining whether an X-ray should be performed to exclude a fracture. Several guidelines recommend the use of OAR based on a systematic review from 2003. Ten years later, one can wonder if this recommendation should be changed.
Objective To review systematically the current evidence on the most accurate method to assess the fracture risk after an ankle sprain in adults.
Methods A methodical search for systematic reviews, meta-analyses and primary studies was carried out in Medline, Cochrane Database of systematic reviews, Embase, Pedro, CINAHL, Medion and specific guideline search engines. At least two independent researchers performed selection, quality appraisal (with validated checklists) and data extraction.
Results One systematic review and 21 primary studies were selected. Sensitivity and specificity of the OAR range from 92–100% and from 16–51%, respectively. To improve the OAR specificity, other tools are proposed such as the Bernese ankle rules. Vibrating tuning fork test and ultrasound could be useful in patient with OAR positive to decrease the need for radiographs. No evidence was found in favour of the use of magnetic resonance imaging (MRI) or computed tomography (CT) in the acute phase of ankle sprain.
Conclusion The findings confirm the value of the OAR at ruling out fractures after an ankle sprain and propose other or additional tools to decrease the need for X-rays.Link for e-copy: http://dx.doi.org/10.3109/13814788.2015.1102881 Format of e-copy: PDF [Requires Subscription] Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=3761 [article]Evaluating the implementation fidelity of a multicomponent intervention for oral health promotion in preschool children / Sigrid Van den Branden in Prevention science, 16(2015)01 ([01/01/2015])
[article] Evaluating the implementation fidelity of a multicomponent intervention for oral health promotion in preschool children [printed text] / Sigrid Van den Branden, Author ; Stephan Van den Broucke, Author ; Roos Leroy , Author ; Dominique Declerck, Author ; K. Hoppenbrouwers, Author . - 2015 . - p. 1-10.
Languages : English (eng)
in Prevention science > 16(2015)01 [01/01/2015] . - p. 1-10
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Belgium ; Health Promotion ; Infant, Newborn ; Journal Article ; Peer Review ; Program EvaluationAbstract: This study evaluates the process of implementation of a longitudinal intervention program to promote oral health in preschool children in Flanders, Belgium. As the program was implemented in an existing preventive health care organization, the study also evaluates this setting as the context for implementation. Qualitative and quantitative methods were used to evaluate implementation fidelity, based on Carroll's theoretical framework of implementation fidelity (Carroll et al., Implementation Science 2:40, 2007). Questionnaire data from participants and health workers were analyzed, and document analyses were performed to compare registrations of the actions with the planning manual. Results were mixed. Whereas more than 88 % of all parents attended all home visits, only 57 % received at least 9 of the 11 planned consultations. Fifty-two percent of the families received all supporting materials, and on average, 73 % of all attending families received all information at a contact as described in the manual. Moderating factors such as the adequate use of facilitators and high participant responsiveness had a positive impact on implementation fidelity, whereas the quality of delivery differed to a great extent between the nurses who were involved during the entire intervention period and those who gave only a few sessions. Implementing an intervention in an existing well-baby program has many advantages, although lack of time presents a challenge to implementation fidelity. The results of this process evaluation allow a better understanding of the contribution of implementation fidelity to the effectiveness of health promotion programs. Link for e-copy: https://doi.org/10.1007/s11121-013-0425-3 Format of e-copy: PDF [Requires Subscription] Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=4029 [article]Evaluating the need to reform the organisation of care for major trauma patients in Belgium: an analysis of administrative databases / Koen Van Den Heede in European Journal of Trauma and Emergency Surgery, 2008 ([02/23/2018])
[article] Evaluating the need to reform the organisation of care for major trauma patients in Belgium: an analysis of administrative databases [printed text] / Koen Van Den Heede , Author ; Cécile Dubois , Author ; Patriek Mistiaen , Author ; Sabine Stordeur, Author ; Audrey Cordon, Author ; Maria-Isabel Farfan-Portet, Author . - 2018.
Languages : English (eng)
in European Journal of Trauma and Emergency Surgery > 2008 [02/23/2018]
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Belgium ; Health Care Reform ; Peer Review ; Quality of Health Care ; Trauma CentersAbstract: Abstract
Purpose In light of the international evolutions to establish inclusive trauma systems and to concentrate the care for the most
severely injured in major trauma centres, we evaluated the degree of dispersion of trauma care in Belgium.
Methods We used descriptive statistics to illustrate the dispersion of major trauma care in Belgium based on two independent
administrative databases: the registry of Mobile Intensive Care Units (2009–2015) and the Belgian Hospital Discharge
Dataset (2009–2014).
Results Patients with a severe trauma (n = 3856 in 2015) were transported towards 145 different hospital sites (on a total of
198 hospital sites) resulting in a median of 17 cases per hospital site (min = 1; P25 = 4; P75 = 30; max = 165). A minority
of major trauma patients is after admission transferred to another hospital (8%) with a median of 10 days after admission to
the hospital (IQR 3.5–24).
Conclusions The dispersion of care for major trauma patients in Belgium is so high that a reorganisation of care for severe
injured patients in major trauma centres concentrating professional expertiseLink for e-copy: https://www.springer.com/medicine/surgery/journal/68 Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=4459 [article]Evidence-based opvolging van de fysiologische zwangerschap / L. Schreurs in Tijdschrift voor geneeskunde, 72(2016)19 ([10/01/2016])
[article] Evidence-based opvolging van de fysiologische zwangerschap [printed text] / L. Schreurs, Author ; Pascale Jonckheer , Author ; Leen Verleye, Author ; Sabine Stordeur, Author ; Wilfried Gyselaers, Author . - 2016 . - 1089-1095.
Languages : Dutch (dut)
in Tijdschrift voor geneeskunde > 72(2016)19 [10/01/2016] . - 1089-1095
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Belgium ; Hospitals, Maternity ; Infant, Newborn ; Journal Article ; Maternal Health Services ; Neonatal Screening ; Peer Review ; Pregnancy ; Prenatal CareAbstract: In onze maatschappij wordt een zwangerschap sterk gemedicaliseerd ondanks dat het een fysiologisch gegeven is. Er worden geregeld onderzoeken aangevraagd en uitgevoerd zonder voldoende evidentie. Naar aanleiding hiervan deed het Federaal Kenniscentrum voor de Gezondheidszorg (KCE) onderzoek naar de minimale vereisten om een zo goed mogelijke basiszorg in een laagrisicozwangerschap te kunnen verzekeren en publiceerde in 2015 een aangepaste klinische richtlijn. Deze richtlijn werd gefundeerd op de huidige wetenschappelijke evidentie en omvat een aantal klinische aanbevelingen.
Deze klinische aanbevelingen kwamen tot stand door een systematische review van de literatuur voor tien onderwerpen en het ADAPTE-proces op basis van de Australische richtlijn 2015 voor 24 specifieke klinische vragen. Het GRADE-systeem werd gebruikt om vervolgens de sterkte van elke aanbeveling te definiëren. De aanbevelingen behelzen zowel het klinisch onderzoek, technische onderzoeken zoals echografie, serologische testen en de specifieke screening naar klinische maternale en zwangerschapsgerelateerde problemen.Link for e-copy: https://www.tvg.be/article/evidence-based-opvolging-van-de-fysiologische-zwanger [...] Format of e-copy: PDF [Requires Subscription] Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=3999 [article]Evidence based post graduate training / Annelies Damen in BMC medical education, 11(2011) ([10/06/2011])
[article] Evidence based post graduate training : A systematic review of reviews based on the WFME quality framework [printed text] / Annelies Damen, Author ; Roy Remmen, Author ; Johan Wens, Author ; Dominique Paulus , Author . - 2011 . - p. 80.
Languages : English (eng)
in BMC medical education > 11(2011) [10/06/2011] . - p. 80
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Databases, Bibliographic ; Education, Medical, Graduate ; Educational tests and measurements ; Journal Article ; Peer ReviewAbstract: BACKGROUND:
A framework for high quality in post graduate training has been defined by the World Federation of Medical Education (WFME). The objective of this paper is to perform a systematic review of reviews to find current evidence regarding aspects of quality of post graduate training and to organise the results following the 9 areas of the WFME framework.
METHODS:
The systematic literature review was conducted in 2009 in Medline Ovid, EMBASE, ERIC and RDRB databases from 1995 onward. The reviews were selected by two independent researchers and a quality appraisal was based on the SIGN tool.
RESULTS:
31 reviews met inclusion criteria. The majority of the reviews provided information about the training process (WFME area 2), the assessment of trainees (WFME area 3) and the trainees (WFME area 4). One review covered the area 8 'governance and administration'. No review was found in relation to the mission and outcomes, the evaluation of the training process and the continuous renewal (respectively areas 1, 7 and 9 of the WFME framework).
CONCLUSIONS:
The majority of the reviews provided information about the training process, the assessment of trainees and the trainees. Indicators used for quality assessment purposes of post graduate training should be based on this evidence but further research is needed for some areas in particular to assess the quality of the training process.Link for e-copy: https://doi.org/10.1186/1472-6920-11-80 Format of e-copy: PDF [Requires Subscription] Record link: https://kce.docressources.info/index.php?lvl=notice_display&id=4046 [article]E-copies
Damen A_2011_BMC Med Educ_11_80.pdfAdobe Acrobat PDF Examens préopératoires de routine pour la chirurgie non cardio-thoracique planifiée chez l'adulte / Nadia Benahmed in Revue Medicale de Bruxelles, ?(?)? ([12/19/2017])
PermalinkFactors associated with prevalence and severity of caries experience in preschool children / Dominique Declerck in Community Dentistry and Oral Epidemiology, 36(2008)02 ([04/01/2008])
PermalinkFunnel plots should become the standard methodology to identify centres deserving further scrutiny / France Vrijens in Journal of Hospital Infection, 74(2010)04 ([04/01/2010])
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PermalinkHarmonizing HTA / I. Pasternack in International Journal of Technology Assessment in Health Care, 26(2010)02 ([04/01/2010])
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PermalinkHospital-acquired, laboratory-confirmed bloodstream infections / France Vrijens in Journal of Hospital Infection, 75(2010)03 ([04/01/2010])
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