Leerboek epidemiologie

Bouter, Lex M.; Dongen, Martinus van; Zielhuis, Gerhard A.

doi:10.1007/978-90-368-0562-9

Cited by 14 publications

(5 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In order to provide a measure of public health impact, a probability of causation [18] (POC) was calculated for those risk estimates that were found to be significantly associated with the risk of bladder cancer. In addition, a combined POC [18] was calculated for the lifestyle factors that one can be exposed to at one time.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

Modifiable risk factors for the prevention of bladder cancer: a systematic review of meta-analyses

et al. 2016

View full text Add to dashboard Cite

Each year, 430,000 people are diagnosed with bladder cancer. Due to the high recurrence rate of the disease, primary prevention is paramount. Therefore, we reviewed all meta-analyses on modifiable risk factors of primary bladder cancer. PubMed, Embase and Cochrane database were systematically searched for meta-analyses on modifiable risk factors published between 1995 and 2015. When appropriate, meta-analyses (MA) were combined in meta–meta-analysis (MMA). If not, the most comprehensive MA was selected based on the number of primary studies included. Probability of causation was calculated for individual factors and a subset of lifestyle factors combined. Of 1496 articles identified, 5 were combined in MMA and 21 were most comprehensive on a single risk factor. Statistically significant associations were found for current (RR 3.14) or former (RR 1.83) cigarette smoking, pipe (RR 1.9) or cigar (RR 2.3) smoking, antioxidant supplementation (RR 1.52), obesity (RR 1.10), higher physical activity levels (RR 0.86), higher body levels of selenium (RR 0.61) and vitamin D (RR 0.75), and higher intakes of: processed meat (RR 1.22), vitamin A (RR 0.82), vitamin E (RR 0.82), folate (RR 0.84), fruit (RR 0.77), vegetables (RR 0.83), citrus fruit (RR 0.85), and cruciferous vegetables (RR 0.84). Finally, three occupations with the highest risk were tobacco workers (RR 1.72), dye workers (RR 1.58), and chimney sweeps (RR 1.53). The probability of causation for individual factors ranged from 4 to 68 %. The combined probability of causation was 81.8 %. Modification of lifestyle and occupational exposures can considerably reduce the bladder cancer burden. While smoking remains one of the key risk factors, also several diet-related and occupational factors are very relevant.

show abstract

Section: Methodsmentioning

confidence: 99%

“…In addition, a combined POC [18] was calculated for the lifestyle factors that one can be exposed to at one time. Careful attention was paid to avoid overlapping exposures, such as vitamin C intake, and fruit and vegetable consumption.…”

Section: Methodsmentioning

confidence: 99%

Modifiable risk factors for the prevention of bladder cancer: a systematic review of meta-analyses

et al. 2016

View full text Add to dashboard Cite

show abstract

“…We designed a single-center observational study in an ICU of a Dutch university hospital with 35 ICU beds. Participants were not assigned to a specific group or according to rules but received regular treatment [14]. A convenience sampling strategy was used to include as many patients as possible [14].…”

Section: Designmentioning

confidence: 99%

“…Participants were not assigned to a specific group or according to rules but received regular treatment [14]. A convenience sampling strategy was used to include as many patients as possible [14].…”

Section: Designmentioning

confidence: 99%

Fluid balance versus weighing: A comparison in ICU patients: A single center observational study

Mensink,

Paans,

Renes

et al. 2024

PLoS ONE

View full text Add to dashboard Cite

Background The fluid balance is a critical parameter in intensive care units (ICU) as it provides information about the patient’s volume status. However, the accuracy of fluid balance measurements is often compromised due to the complexity and repetition of actions involved. Additionally, the fluid balance could be recalculated for insensible fluid loss. Weighing is an alternative method to estimate the patient’s volume status. Built-in scales in beds make patient weighing easier and less time-consuming, allowing clinicians to intervene more quickly on existing treatments. Aim This study compares fluid balance, and body weight changes over time in ICU patients. Furthermore, it seeks to determine the degree of congruence between the fluid balance corrected for insensible fluid loss and daily body weight in ICU patients. Methods A single-center observational study was conducted in an ICU of a university hospital. All consecutive patients admitted to a bed with an integrated weighing scale were eligible. Exclusion criteria were (1) body weight ≥254,4 kilograms; (2) oral nutrition; (3) a flush catheter or balance; (4) only a single weight measurement; (5) delta body weight change of ≥5kg in 12 hours. Weights and fluid balances were obtained every 12 hours. Results We obtained 2282 measurements (n = 187 patients). The correlation between weight and fluid balance was weak (r = 0.274). After adjusting the fluid balance for insensible fluid loss, the correlation remained weak (r = 0,268). Bland Altman analysis revealed a wide confidence interval for both the fluid balance and corrected fluid balance versus weight. Conclusion and implications of key findings This study shows a weak correlation between weight and fluid balance. Therefore, when monitoring the volume status in the ICU, fluid balance and weight should both be taken into account. This two-pronged approach is crucial because it provides more control over erroneous fluid balance or weighing measurements.

show abstract

“…Despite the improvement in patients' PA behavior and recovery process, the quasi-experimental study design might have led to a slight overestimation of the results in favor of patients who used Hospital Fit. To establish a causal relationship between Hospital Fit use and improvements in patients' PA behavior while minimizing bias, balancing confounding factors between groups, and enhancing the internal validity, performing a randomized controlled trial (RCT) is recommended [27]. Moreover, as the median (range) LOS of patients undergoing orthopedic surgery was 4 (3)(4)(5)(6)(7)(8)(9)(10)(11)(12) days, this left relatively little time to use Hospital Fit.…”

Section: Introductionmentioning

confidence: 99%

The Effect of a Smartphone App with an Accelerometer on the Physical Activity Behavior of Hospitalized Patients: A Randomized Controlled Trial

Dijk-Huisman,

Senden,

Smeets

et al. 2023

Sensors

View full text Add to dashboard Cite

Inactive behavior is common in hospitalized patients. This study investigated the effectiveness of using a smartphone app with an accelerometer (Hospital Fit) in addition to usual care physiotherapy on increasing patients’ physical activity (PA) behavior. A randomized controlled trial was performed at Maastricht University Medical Centre. Patients receiving physiotherapy while hospitalized at the department of Pulmonology or Internal Medicine were randomized to usual care physiotherapy or using Hospital Fit additionally. Daily time spent walking, standing, and upright (standing/walking) (min) and daily number of postural transitions were measured with an accelerometer between the first and last treatment. Multiple linear regression analysis was performed to determine the association between PA behavior and Hospital Fit use, corrected for functional independence (mILAS). Seventy-eight patients were included with a median (IQR) age of 63 (56–68) years. Although no significant effects were found, a trend was seen in favor of Hospital Fit. Effects increased with length of use. Corrected for functional independence, Hospital Fit use resulted in an average increase of 27.4 min (95% CI: −2.4–57.3) standing/walking on day five and 29.2 min (95% CI: −6.4–64.7) on day six compared to usual care. Hospital Fit appears valuable in increasing PA in functionally independent patients.

show abstract

Leerboek epidemiologie

Cited by 14 publications

References 3 publications

Modifiable risk factors for the prevention of bladder cancer: a systematic review of meta-analyses

Modifiable risk factors for the prevention of bladder cancer: a systematic review of meta-analyses

Fluid balance versus weighing: A comparison in ICU patients: A single center observational study

The Effect of a Smartphone App with an Accelerometer on the Physical Activity Behavior of Hospitalized Patients: A Randomized Controlled Trial

Contact Info

Product

Resources

About