Association Between Statin Use and Prevalence of Exercise-Related Injuries: A Cross-Sectional Survey of Amateur Runners in the Netherlands

Abstract Background Healthcare rationing can be defined as withholding beneficial care for cost reasons. One form in particular, hidden bedside rationing, is problematic because it may result in conflicting loyalties for physicians, unfair inequality among patients and illegitimate distribution of resources. Our aim is to establish whether bedside rationing occurs in the Netherlands, whether it qualifies as hidden and what physician characteristics are associated with its practice. Methods Cross-sectional online questionnaire on knowledge of -, experience with -, and opinion on rationing among physicians in internal medicine within the Dutch healthcare system. Multivariable ordinal logistic regression was used to explore relations between hidden bedside rationing and physician characteristics. Results The survey was distributed among 1139 physicians across 11 hospitals with a response rate of 18% (n = 203). Most participants (n = 129; 64%) had experience prescribing a cheaper course of treatment while a more effective but more expensive alternative was available, suggesting bedside rationing. Subsequently, 32 (24%) participants never disclosed this decision to their patient, qualifying it as hidden. The majority of participants (n = 153; 75%) rarely discussed treatment cost. Employment at an academic hospital was independently associated with more bedside rationing (OR = 17 95%CI 6.1–48). Furthermore, residents were more likely to disclose rationing to their patients than internists (OR = 3.2, 95%CI 2.1–4.7), while salaried physicians were less likely to do so than physicians in private practice (OR = 0.5, 95%CI 0.4–0.8). Conclusion Hidden bedside rationing occurs in the Netherlands: patient choice is on occasion limited with costs as rationale and this is not always disclosed. To what extent distribution of healthcare should include bedside rationing in the Netherlands, or any other country, remains up for debate.

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Computer and internet use among people with long-standing spinal cord injury: a cross-sectional survey in the Netherlands

Spinal Cord ◽

10.1038/s41393-018-0237-1 ◽

2019 ◽

Vol 57 (5) ◽

pp. 396-403 ◽

Cited By ~ 2

Author(s):

Marcel W. M. Post ◽

◽

Jacqueline M. P. Leenders ◽

Marga Tepper ◽

Govert J. Snoek ◽

...

Keyword(s):

Spinal Cord ◽

Spinal Cord Injury ◽

The Netherlands ◽

Internet Use ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Cord Injury

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Gastrointestinal, influenza-like illness and dermatological complaints following exposure to floodwater: a cross-sectional survey in The Netherlands

Epidemiology and Infection ◽

10.1017/s0950268815002654 ◽

2015 ◽

Vol 144 (7) ◽

pp. 1445-1454 ◽

Cited By ~ 8

Author(s):

H. DE MAN ◽

L. MUGHINI GRAS ◽

B. SCHIMMER ◽

I. H. M. FRIESEMA ◽

A. M. DE RODA HUSMAN ◽

...

Keyword(s):

The Netherlands ◽

Global Climate ◽

Extreme Rainfall ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Extreme Rainfall Events ◽

Rainfall Events ◽

Influenza Like Illness ◽

Pluvial Flooding ◽

Gp Visits

SUMMARYExtreme rainfall events may cause pluvial flooding, increasing the transmission of several waterborne pathogens. However, the risk of experiencing clinically overt infections following exposure to pluvial floodwater is poorly estimated. A retrospective cross-sectional survey was performed to quantify the occurrence of self-reported gastrointestinal, influenza-like illness (ILI) and dermatological complaints, and the frequency of visits to the general practitioner (GP), during a 4-week observation period following pluvial flooding at seven locations in The Netherlands. Questionnaires were sent to 817 flooded households, 149 (17%) of which returned the questionnaire reporting information for 199 participants. Contact with floodwater was significantly associated with increased occurrence of gastrointestinal [odds ratio (OR 4·44)], ILI (OR 2·75) and dermatological (OR 6·67) complaints, and GP visits (OR 2·72). Having hand contact with floodwater was associated with gastrointestinal and dermatological complaints, whereas ILI complaints were associated with being engaged in post-flooding cleaning operations and having walked/cycled through floodwater. This study shows that floodwater-associated diseases occur in urban settings following extreme rainfall events in a high-income country. As pluvial floods are expected to escalate in the future due to global climate change, further research is warranted to determine the disease burden of pluvial flooding and to assess the effect of different interventions, including raising awareness among stakeholders.

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Impact of physical distancing measures against COVID-19 on contacts and mixing patterns: repeated cross-sectional surveys, the Netherlands, 2016–17, April 2020 and June 2020

Eurosurveillance ◽

10.2807/1560-7917.es.2021.26.8.2000994 ◽

2021 ◽

Vol 26 (8) ◽

Author(s):

Jantien A Backer ◽

Liesbeth Mollema ◽

Eric RA Vos ◽

Don Klinkenberg ◽

Fiona RM van der Klis ◽

...

Keyword(s):

The Netherlands ◽

Age Groups ◽

Interquartile Range ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Normal Contact ◽

Elderly Individuals ◽

Baseline Levels ◽

Mixing Patterns

Background During the COVID-19 pandemic, many countries have implemented physical distancing measures to reduce transmission of SARS-CoV-2. Aim To measure the actual reduction of contacts when physical distancing measures are implemented. Methods A cross-sectional survey was carried out in the Netherlands in 2016–17, in which participants reported the number and age of their contacts the previous day. The survey was repeated among a subsample of the participants in April 2020, after strict physical distancing measures were implemented, and in an extended sample in June 2020, after some measures were relaxed. Results The average number of community contacts per day was reduced from 14.9 (interquartile range (IQR): 4–20) in the 2016–17 survey to 3.5 (IQR: 0–4) after strict physical distancing measures were implemented, and rebounded to 8.8 (IQR: 1–10) after some measures were relaxed. All age groups restricted their community contacts to at most 5, on average, after strict physical distancing measures were implemented. In children, the number of community contacts reverted to baseline levels after measures were eased, while individuals aged 70 years and older had less than half their baseline levels. Conclusion Strict physical distancing measures greatly reduced overall contact numbers, which likely contributed to curbing the first wave of the COVID-19 epidemic in the Netherlands. However, age groups reacted differently when measures were relaxed, with children reverting to normal contact numbers and elderly individuals maintaining restricted contact numbers. These findings offer guidance for age-targeted measures in future waves of the pandemic.

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Quality of Collaboration and Information Transfer in Palliative Care: A Cross-sectional Survey among Physicians in the Southwest Region of the Netherlands

10.26226/morressier.5c76c8b5e2ea5a7237612133 ◽

2019 ◽

Author(s):

Marijanne Engel

Keyword(s):

Palliative Care ◽

The Netherlands ◽

Information Transfer ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Southwest Region

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Imported Hyalomma Ticks in The Netherlands 2018-2020

10.21203/rs.3.rs-267264/v1 ◽

2021 ◽

Author(s):

Mathilde Uiterwijk ◽

Adolfo Ibáñez-Justicia ◽

Bart van de Vossenberg ◽

Frans Jacobs ◽

Paul Overgaauw ◽

...

Keyword(s):

The Netherlands ◽

Pathogen Detection ◽

Migratory Birds ◽

Sequence Data ◽

Hemorrhagic Fever ◽

Weather Conditions ◽

Adult Tick ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Rickettsia Aeschlimannii

Abstract Background: Ticks of the genus Hyalomma, which are vectors for several tick-borne diseases, are occasionally found in areas outside their endemic range including northern parts of Europe. The objective of this study was to analyse adult Hyalomma ticks that were recently found in The Netherlands. Methods: Hyalomma ticks were morphologically identified. Cluster analysis based upon sequence data (cox1 barcoding) for molecular identification and pathogen detection was performed. Additionally, a cross-sectional survey among horses was conducted to actively search for Hyalomma ticks in summer 2019. Analysis of temperature was done to assess the possibility of i) introduced engorged nymphs moulting to adults and ii) establishment of populations in The Netherlands. Results: Seventeen adult Hyalomma ticks (one in 2018, eleven in 2019, five in 2020) were found by citizens and reported. Fifteen ticks were detected on horses and two on humans. Twelve were identified as H. marginatum, one as H. rufipes and four, of which only photographic images were available, as Hyalomma sp. No Crimean-Congo Hemorrhagic Fever virus or Babesia/Theileria parasites were detected. One adult tick tested positive for Rickettsia aeschlimannii. In the cross-sectional horse survey, no Hyalomma ticks were found. Analysis of temperatures showed that engorged nymphs arriving on migratory birds in spring were able to moult to adults in 2019 and 2020, and that cumulative daily temperatures in The Netherlands were lower than in areas with established H. marginatum populations. Conclusions: Our results show that Hyalomma ticks are regularly introduced in The Netherlands as nymphs and these are able to develop to the adult stage under the Dutch weather conditions. Vigilant citizens can notify Hyalomma adult ticks, especially when attached to horses. Only one human pathogen, Rickettsia aeschlimannii, was found in one of the ticks. The risk of introduction of tick-borne diseases via Hyalomma ticks on migratory birds is considered to be low.

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De impact van de coronacrisis op het subjectief welbevinden van (internationale) studenten in Nederland

Mens en maatschappij ◽

10.5117/mem2021.3.004.vanm ◽

2021 ◽

Vol 96 (3) ◽

pp. 357-383

Author(s):

Christof Van Mol ◽

Sabien Dekkers ◽

Ellen Verbakel

Keyword(s):

Higher Education ◽

International Students ◽

The Netherlands ◽

Social Contact ◽

Well Being ◽

Subjective Well Being ◽

Education Students ◽

Cross Sectional Survey ◽

Cross Sectional ◽

The Impact

Abstract The impact of the COVID-19 pandemic on subjective well-being of (international) higher education students in the Netherlands In this paper we investigate the impact of the COVID-19 pandemic on subjective well-being of higher education students in the Netherlands. More specifically, we compare international students and Dutch students, based on the Dutch data of the COVID-19 International Student Well-Being Study, a cross-sectional survey conducted between May-July 2020 among higher education students across the Netherlands (N = 10.491). Based on the sociological literature on the relationship between social capital and subjective well-being, we investigate in particular whether changes in social contact during the first lockdown can explain differences in subjective well-being between international and Dutch students. Our results suggest that although international students report lower levels of subjective well-being compared to Dutch students, these differences cannot be directly explained by (changes) in social contact during the lockdown.

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The palliative care knowledge of nursing home staff: The EU FP7 PACE cross-sectional survey in 322 nursing homes in six European countries

Palliative Medicine ◽

10.1177/0269216318785295 ◽

2018 ◽

Vol 32 (9) ◽

pp. 1487-1497 ◽

Cited By ~ 33

Author(s):

Tinne Smets ◽

Lara Pivodic ◽

Ruth Piers ◽

H Roeline W Pasman ◽

Yvonne Engels ◽

...

Keyword(s):

Palliative Care ◽

Nursing Homes ◽

The Netherlands ◽

Cross Sectional Study ◽

Cross Sectional Survey ◽

Specific Knowledge ◽

Cross Sectional ◽

Care Survey ◽

Substantial Heterogeneity ◽

Representative Samples

Background: The provision of high-quality palliative care in nursing homes (NHs) is a major challenge and places demands on the knowledge and skills of the staff. Aim: This study assesses the palliative care knowledge of staff in NHs in Europe. Design: Cross-sectional study using structured survey Setting/participants: Nurses and care assistants working in 322 representative samples of NHs in Belgium, the Netherlands, England, Finland, Poland and Italy. Palliative care knowledge is measured with the Palliative Care Survey. Scores on the scales range between 0 and 1; higher scores indicate more knowledge. Results: A total of 3392 NH-staff were given a questionnaire, and 2275 responded (67%). Knowledge of basic palliative care issues ranged between 0.20 in Poland (95% confidence interval (CI) 0.19; 0.24) and 0.61 in Belgium (95% CI 0.59; 0.63), knowledge of physical aspects that can contribute to pain ranged between 0.81 in Poland (95% CI 0.79; 0.84) and 0.91 in the Netherlands (95% CI 0.89; 0.93), and knowledge of psychological reasons that can contribute to pain ranged between 0.56 in England (95% CI 0.50; 0.62) and 0.87 in Finland (95% CI 0.83; 0.90). Factors associated with knowledge were country, professional role and having undertaken formal training in palliative care. Conclusions: Knowledge of nurses and care assistants concerning basic palliative care issues appears to be suboptimal in all participating countries, although there is substantial heterogeneity. Education of nursing staff needs to be improved across, but each country may require its own strategy to address the unique and specific knowledge gaps.

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