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Niek J. de Wit
Utrecht University
Internal medicineNursingPhysical therapyFamily medicineMedicine
211Publications
29H-index
3,314Citations
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Publications 210
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#1Ilse F. Badenbroek (UU: Utrecht University)H-Index: 3
#1I. BadenbroekH-Index: 1
Last. François G. Schellevis (UU: Utrecht University)H-Index: 24
view all 8 authors...
Abstract Non-response in prevention programs for cardiometabolic diseases (CMD) in primary care is often overlooked. The aim for this study was to define factors that influence the primary response to a selective CMD prevention program and to determine response-enhancing strategies that influence the willingness to participate. We conducted a non-response analysis within a randomized controlled trial evaluating a selective CMD prevention program, the study was conducted from 2013 to 2018 in Neth...
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#1Daniel Jones (University of Leeds)H-Index: 1
#2Erica di Martino (University of Leeds)H-Index: 6
Last. Richard D Neal (University of Leeds)H-Index: 38
view all 6 authors...
Some may argue that when an older person (65 years and older) presents to primary care with symptoms that may represent cancer, they should not be investigated differently from younger patients (less than 65 years). We think that cancer risk management in older people requires a more personalised approach. Recently, there has been a significant increase in knowledge regarding the management of possible cancer symptoms in primary care.1 However, this knowledge is not age related, and research on ...
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#1Daphne M. Stol (UU: Utrecht University)H-Index: 2
#2Monika Hollander (UU: Utrecht University)H-Index: 12
Last. Niek J. de Wit (UU: Utrecht University)H-Index: 29
view all 6 authors...
Background: Early detection and treatment of cardiometabolic diseases (CMD) in high-risk patients is a promising preventive strategy to anticipate the increasing burden of CMD. The Dutch guideline 'the prevention consultation' provides a framework for stepwise CMD risk assessment and detection in primary care. The aim of this study was to assess the outcome of this program in terms of newly diagnosed CMD. Methods: A cohort study among 30 934 patients, aged 45-70 years without known CMD or CMD ri...
1 CitationsSource
#1Linda C. SmitH-Index: 1
#2Jeroen Dikken (The Hague University of Applied Sciences)H-Index: 1
Last. Nienke Bleijenberg (UU: Utrecht University)H-Index: 12
view all 7 authors...
Background: Interprofessional collaboration in practice (IPCP) between professionals from the medical and social domain within primary care is desirable; however, it is also challenging due to fragmented healthcare. Little is known about the development of IPCP in primary care to fit the implementation context. This article describes the methodological development and the final content of an IPCP program. Methods and findings: The development process started with the identification of IPCP compe...
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#1Eveline A. Noteboom (UU: Utrecht University)H-Index: 2
#2Niek J. de Wit (UU: Utrecht University)H-Index: 29
Last. Charles W. Helsper (UU: Utrecht University)H-Index: 10
view all 18 authors...
Purpose Supportive care for cancer patients may benefit from improving treatment decisions and optimal use of the family physicians’ and specialists’ strengths. To improve shared decision-making (SDM) and facilitate continuity of primary care during treatment, a cancer care path including a “time out consultation” (TOC) in primary care before treatment decision, was implemented. This study assesses the uptake of a TOC and the added value for SDM.
1 CitationsSource
#1Daphne M. Stol (UU: Utrecht University)H-Index: 2
#1Daphne StolH-Index: 1
Last. Niek J. de Wit (UU: Utrecht University)H-Index: 29
view all 7 authors...
Abstract Effective preventive strategies for cardiometabolic disease (CMD) are needed. We aim to establish the effectiveness of a stepwise CMD risk assessment followed by individualized treatment if indicated compared to care as usual. We conducted a RCT between 2014 and 2017. Individuals (45–70 years) without CMD or CMD risk factors were invited for stepwise CMD risk assessment through a risk score (step1), additional risk assessment at the practice in case of high-risk (step2) and individualiz...
1 CitationsSource
#1Babette EveraarsH-Index: 2
view all 7 authors...
#1Babette Everaars (Academic Center for Dentistry Amsterdam)H-Index: 2
#1Babette Everaars (UvA: University of Amsterdam)
Last. Geert J. M. G. van der Heijden (UvA: University of Amsterdam)H-Index: 9
view all 7 authors...
Regular inspection of the oral cavity is required for prevention, early diagnosis and risk reduction of oral- and general health-related problems. Assessments to inspect the oral cavity have been designed for non-dental healthcare professionals, like nurses. The purpose of this systematic review was to evaluate the content and the measurement properties of oral health assessments for use by non-dental healthcare professionals in assessing older peoples’ oral health, in order to provide recommend...
2 CitationsSource
#1Henriëtte E. van der Horst (PHRI: Public Health Research Institute)H-Index: 33
#2Niek J. de Wit (UU: Utrecht University)H-Index: 29
In the last decade GPs in the Netherlands have been confronted with an increasing workload and administrative pressure, as is the case in the UK.1–3 Traditionally, general practice holds a firm position in the Dutch healthcare system, addressing 90% of healthcare problems using only 3% of the national healthcare budget. The accessibility, the broad expertise of GPs, and the longitudinal care are highly appreciated by patients, and both government and health insurance companies consider general p...
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Last. Charles W. Helsper (UU: Utrecht University)H-Index: 10
view all 4 authors...
Introduction Many successfully treated patients with cancer suffer from fear of cancer recurrence (FCR), affecting their quality of life and their physical, emotional, cognitive and social functioning. Effective psychological interventions for FCR exist but are not widely available, as they are typically offered by specialised psycho-oncology professionals and institutes. Concurrently, the role of primary care in cancer and survivorship care is increasing. Therefore, there could be a role for ge...
1 CitationsSource
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