Nutritional deficiency in Dutch primary care: data from general practice research and registration networks

Wayenburg, C.A.M. van; Laar, F.A. van de; Waal, Margot W. M. de; Okkes, Inge; Akker, Marjan van den; Veen, Willem Jan van der; Schellevis, François G.; Staveren, W.A. van; Binsbergen, J.J. van; Weel, Chris van

doi:10.1038/sj.ejcn.1602195

Cited by 6 publications

(4 citation statements)

References 30 publications

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“…All Dutch inhabitants are registered with a GP. The data collected by the RNG are comparable to the Dutch population, having slightly more women and adults aged 25–44 (van Wayenburg et al., ). Nevertheless, we cannot rule out the possibility that the population of the RNG differs from the Dutch population, limiting the generalisability of our study.…”

Section: Discussionmentioning

confidence: 74%

Primary healthcare use during follow-up after curative treatment for colorectal cancer

et al. 2016

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The rising number of colorectal cancer (CRC) survivors is likely to impose a burden on healthcare systems. Effective resource allocation between primary and hospital care to ensure ongoing high-quality care is under discussion. Therefore, it is important to understand the current role of GPs during follow-up care of CRC. This study explores the primary healthcare use of patients 2-6 years after CRC treatment. Annual rates of face-to-face contacts, prescribed medication and referrals were compared between CRC patients and age, gender and GP matched controls in a historical prospective study. Reasons for contacts and prescribed medication were compared based on International Classification of Primary Care and Anatomical Therapeutic Chemical (ATC) Classification System codes, respectively. Negative binomial regression models and non-parametric test were used. Patients showed significantly more face-to-face contacts in the 2nd (63%), 3rd (32%) and 6th (23%) year, more drug prescriptions in the 2nd, 3rd and 6th year, and more referrals in the 2nd and 5th year after diagnosis. Differences in contacts and medication were related to the alimentary tract, blood and blood-forming organs, and psychological problems. This study suggests that GPs already play a substantial role during CRC follow-up and that there may be scope for formal services to be incorporated into the current model of GP care.

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Section: Discussionmentioning

confidence: 74%

Primary healthcare use during follow-up after curative treatment for colorectal cancer

et al. 2016

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“…Therefore the RNG database is population-based. This population is comparable to the Dutch population in terms of gender and age with slightly more adults aged 25–44 and women [22]. Nevertheless, care provided by the 18 GPs on the RNG might differ from other GPs in the Netherlands, possibly limiting the generalizability of the study results.…”

Section: Discussionmentioning

confidence: 80%

Increased primary health care use in the first year after colorectal cancer diagnosis

Brandenbarg¹,

Roorda²,

Groenhof³

et al. 2014

Scandinavian Journal of Primary Health Care

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Objective. The view that the general practitioner (GP) should be more involved during the curative treatment of cancer is gaining support. This study aimed to assess the current role of the GP during treatment of patients with colorectal cancer (CRC). Design. Historical prospective study, using primary care data from two cohorts. Setting. Registration Network Groningen (RNG) consisting of 18 GPs in three group practices with a dynamic population of about 30 000 patients. Subjects. Patients who underwent curative treatment for CRC (n = 124) and matched primary care patients without CRC (reference population; n = 358). Main outcome measures. Primary healthcare use in the period 1998–2009. Findings. Patients with CRC had higher primary healthcare use in the year after diagnosis compared with the reference population. After correction for age, gender, and consultation behaviour, CRC patients had 54% (range 23–92%) more face-to-face contacts, 68% (range 36–108%) more drug prescriptions, and 35% (range –4–90%) more referrals compared with reference patients. Patients consulted their GP more often for reasons related to anaemia, abdominal pain, constipation, skin problems, and urinary infections. GPs also prescribed more acid reflux drugs, laxatives, anti-anaemic preparations, analgesics, and psycholeptics for CRC patients. Conclusions. The GP plays a significant role in the year after CRC diagnosis. This role may be associated with treatment-related side effects and psychological problems. Formal guidelines on the involvement of the GP during CRC treatment might ensure more effective allocation and communication of care between primary and secondary healthcare services.

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“…Apart from a slight over-representation of adults aged 25-44 years and females, the RNG database is comparable to the Dutch population. 17 CRC patients were selected based on the occurrence of International Classification of Primary Care (ICPC) code D75 (colon or rectum malignancy) in their electronic patient record between 1 January 1999 and 31 December 2014. Diagnoses of CRC were validated using the correspondence with hospital doctors and hospital patient files.…”

Section: Methods Designmentioning

confidence: 99%

Possible missed opportunities for diagnosing colorectal cancer in Dutch primary care: a multimethods approach

Brandenbarg¹,

Groenhof²,

Siewers

et al. 2017

Br J Gen Pract

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Nutritional deficiency in Dutch primary care: data from general practice research and registration networks

Abstract: Objective: To explore incidence and prevalence rates of nutritional deficiency in adults in general practice.

Cited by 6 publications

References 30 publications

Primary healthcare use during follow-up after curative treatment for colorectal cancer

Primary healthcare use during follow-up after curative treatment for colorectal cancer

Increased primary health care use in the first year after colorectal cancer diagnosis

Possible missed opportunities for diagnosing colorectal cancer in Dutch primary care: a multimethods approach

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