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Inflammatoire darmziekten | VznkuL
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class="hidden"></span> <div class="content"> <div class="field field--name-field-ct-content field--type-entity-reference-revisions field--label-hidden field--items"> <div class="field--item"> <div class="clearfix paragraph paragraph--type--pt-text paragraph--view-mode--default"> <div class="field field--name-field-pt-text field--type-text-long field--label-hidden field--item"><h2>Doel</h2> <p>Met de klinische werkgroep inflammatoire darmziekten (IBD) werden indicatoren ontwikkeld via de Delphi methode. Naast gastro-enterologen en IBD verpleegkundigen, namen bijna 100 pati毛nten met IBD deel.</p> <p>Er zal gezocht worden naar een gestructureerde registratie in het elektronisch pati毛ntendossier waarbij de resultaten ge毛xtraheerd kunnen worden om tot benchmarks te komen.</p> <p>In de werkgroep willen we van elkaar leren hoe de kwaliteit voor de pati毛nten met inflammatoire darmziekten te verbeteren.</p></div> </div> </div> <div class="field--item"> <div class="clearfix paragraph paragraph--type--pt-text paragraph--view-mode--default"> <div class="field field--name-field-pt-text field--type-text-long field--label-hidden field--item"><h2>Kernteam IBD</h2></div> </div> </div> <div class="field--item"> <div class="clearfix paragraph paragraph--type--pt-images paragraph--view-mode--default"> <div class="field field--name-field-pt-images field--type-entity-reference field--label-hidden row field--items"> <div class="field--item col-xs-12 col-sm-6 col-md-4"><div> <a href="/sites/default/files/images/Kernteam%20IBD.png" class="field field--name-field-mt-image field--type-image field--label-hidden field--item" data-toggle="lightbox" data-gallery="gallery"> <img loading="lazy" src="/sites/default/files/styles/free_crop/public/images/Kernteam%20IBD.png?itok=AfvpfMNN" width="1347" height="450" alt="Kernteam IBD" title="Klik op de afbeelding om te vergroten" typeof="foaf:Image" class="img-responsive" /> </a> </div> </div> </div> </div> </div> <div class="field--item"> <div class="clearfix paragraph paragraph--type--pt-html paragraph--view-mode--default"> <div class="field field--name-field-pt-html field--type-string-long field--label-hidden field--item"> <div class="display-grid"> <div class="box wow"> <div class="icon"><i class="fas fa-hospital"></i></div> <h4 class="title">Deelnemende ziekenhuizen</a></h4> <h4> </h4> <UL STYLE="margin-top: 0px; margin-bottom: 0px; margin-left: 0em;"> <LI>Az Damiaan</LI> <LI>AZ Delta</LI> <LI>AZ Diest</LI> <LI>az Glorieux</LI> <LI>az groeninge</LI> <LI>AZ Maria Middelares</LI> <li>AZ Sint-Jan Brugge-Oostende</li> <li>AZ Sint-Lucas Brugge</li> <li>AZ Sint-Lucas Gent</li> <LI>AZ Sint-Maarten</LI> <li>AZ Turnhout</li> <LI>az Vesalius</LI> <li>Imeldaziekenhuis</li> <li>Jan Yperman Ziekenhuis</li> <li>Jessa Ziekenhuis</li> <LI>Noorderhart - Mariaziekenhuis</LI> <LI>OLV Aalst-Asse-Ninove</LI> <li>RZ Heilig Hart Tienen</li> <LI>Sint-Trudo Ziekenhuis</LI> <li>Sint-Franciscusziekenhuis</li> <LI>UZ Gent</LI> <li>UZ Leuven</li> <LI>Ziekenhuis Oost-Limburg</LI> </UL> </p> </div> <div class="box wow"> <div class="icon"><i class="fas fa-chart-line"></i></div> <h4 class="title">Indicatoren*</a></h4> <h4> </h4> <UL STYLE="margin-top: 0px; margin-bottom: 0px;"> <p style='margin:0cm;line-height:18.0pt;font-size:17px;font-family:"Bookman Old Style",serif;color:black;'><strong><span style='font-size:16px;font-family:"Arial",sans-serif;'>Medication</span></strong></p> <p style='margin:0cm;line-height:18.0pt;font-size:17px;font-family:"Bookman Old Style",serif;color:black;'><span style="font-size: 14px; font-family: Arial, sans-serif;">1) </span><span style="font-family: Arial, sans-serif; font-size: 14px;">Use of systemic steroids for >3 months </span></p> <p style='margin:0cm;line-height:18.0pt;font-size:17px;font-family:"Bookman Old Style",serif;color:black;'><span style="font-family: Arial, sans-serif; font-size: 14px;">2) UC only: Use of steroids for >7 days without surgery without adding treatment in patients admitted with a flare</span></p> <p style='margin:0cm;line-height:18.0pt;font-size:17px;font-family:"Bookman Old Style",serif;color:black;'><span style="font-family: Arial, sans-serif; font-size: 14px;">3) Use of calcium and vitamin D supplements while on systemic corticosteroids </span></p> <p style='margin:0cm;line-height:18.0pt;font-size:17px;font-family:"Bookman Old Style",serif;color:black;'><span style="font-family: Arial, sans-serif; font-size: 14px;">4) Use low weight heparin prophylaxis while being hospitalised </span></p> <p style='margin:0cm;line-height:18.0pt;font-size:17px;font-family:"Bookman Old Style",serif;color:black;'><span style="font-family: Arial, sans-serif; font-size: 14px;">5) Combination use of immunomodulator and start of infliximab</span></p> <p style='margin:0cm;line-height:18.0pt;font-size:17px;font-family:"Bookman Old Style",serif;color:black;'><strong><span style='font-size:16px;font-family:"Arial",sans-serif;'>Use services</span></strong></p> <p style='margin:0cm;line-height:18.0pt;font-size:17px;font-family:"Bookman Old Style",serif;color:black;'><span style="font-size: 14px; font-family: Arial, sans-serif;">6) </span><span style="font-family: Arial, sans-serif; font-size: 14px; text-align: inherit;">room admissions for IBD-related causes </span></p> <p style='margin:0cm;line-height:18.0pt;font-size:17px;font-family:"Bookman Old Style",serif;color:black;'><strong><span style='font-size:16px;font-family:"Arial",sans-serif;'>Post-intervention</span></strong></p> <p style='margin:0cm;line-height:18.0pt;font-size:17px;font-family:"Bookman Old Style",serif;color:black;'><span style="font-size: 14px; font-family: Arial, sans-serif;">7) </span><span style="font-family: Arial, sans-serif; font-size: 14px; text-align: inherit;">Documented endoscopic reassessment within 12 months after an ileocolonic resection </span></p> <p style='margin:0cm;line-height:18.0pt;font-size:17px;font-family:"Bookman Old Style",serif;color:black;'><span style="font-family: Arial, sans-serif; font-size: 14px; text-align: inherit;">8) Readmission within 30 days after IBD-related surgery </span></p> <p style='margin:0cm;line-height:18.0pt;font-size:17px;font-family:"Bookman Old Style",serif;color:black;'><strong><span style='font-size:16px;font-family:"Arial",sans-serif;'>Infections</span></strong></p> <p style='margin:0cm;line-height:18.0pt;font-size:17px;font-family:"Bookman Old Style",serif;color:black;'><span style="font-size: 14px; font-family: Arial, sans-serif;">9) </span><span style="font-family: Arial, sans-serif; font-size: 14px; text-align: inherit;">Use of pneumocystis jirovecii pneumonia while triple immune suppression </span></p> <p style='margin:0cm;line-height:18.0pt;font-size:17px;font-family:"Bookman Old Style",serif;color:black;'><span style="font-family: Arial, sans-serif; font-size: 14px; text-align: inherit;">10) Adequate pneumococci vaccination in the last 5 years for immunosuppressive therapy</span></p> <p style='margin:0cm;line-height:18.0pt;font-size:17px;font-family:"Bookman Old Style",serif;color:black;'><strong><span style='font-size:16px;font-family:"Arial",sans-serif;'>Follow-up</span></strong></p> <p style='margin:0cm;line-height:18.0pt;font-size:17px;font-family:"Bookman Old Style",serif;color:black;'><span style="font-size: 14px; font-family: Arial, sans-serif;">11) </span><span style="font-family: Arial, sans-serif; font-size: 14px; text-align: inherit;">Body weight measurement</span></p> <p style='margin:0cm;line-height:18.0pt;font-size:17px;font-family:"Bookman Old Style",serif;color:black;'><span style="font-family: Arial, sans-serif; font-size: 14px; text-align: inherit;">12) CD only: Endoscopic evaluation within 12±2 months after start of a new of treatment</span></p> <p style='margin:0cm;line-height:18.0pt;font-size:17px;font-family:"Bookman Old Style",serif;color:black;'><span style="font-family: Arial, sans-serif; font-size: 14px; text-align: inherit;">13) Endoscopy reports where an endoscopic activity score was used </span></p> <p style='margin:0cm;line-height:18.0pt;font-size:17px;font-family:"Bookman Old Style",serif;color:black;'><span style="font-family: Arial, sans-serif; font-size: 14px; text-align: inherit;">14) CD only: Active smoking </span></p> <p style='margin:0cm;line-height:18.0pt;font-size:17px;font-family:"Bookman Old Style",serif;color:black;'><strong><span style='font-size:16px;font-family:"Arial",sans-serif;'>Disease activity</span></strong></p> <p style='margin:0cm;line-height:18.0pt;font-size:17px;font-family:"Bookman Old Style",serif;color:black;'><span style="font-size: 14px; font-family: Arial, sans-serif;">15) </span><span style="font-family: Arial, sans-serif; font-size: 14px; text-align: inherit;">Steroid-free (systemic topic) clinical remission </span></p> <p style='margin:0cm;line-height:18.0pt;font-size:17px;font-family:"Bookman Old Style",serif;color:black;'><strong><span style='font-size:16px;font-family:"Arial",sans-serif;'>Patient-reported outcome measurements</span></strong></p> <p style='margin:0cm;line-height:18.0pt;font-size:17px;font-family:"Bookman Old Style",serif;color:black;'><span style="font-size: 14px; font-family: Arial, sans-serif;">16) </span><span style="font-family: Arial, sans-serif; font-size: 14px;">Patient-reported outcome evaluation for symptoms </span></p> <p style='margin:0cm;line-height:18.0pt;font-size:17px;font-family:"Bookman Old Style",serif;color:black;'><span style="font-family: Arial, sans-serif; font-size: 14px; text-align: inherit;">17) health-related quality of life </span></p> <p style='margin:0cm;line-height:18.0pt;font-size:17px;font-family:"Bookman Old Style",serif;color:black;'><span style="font-family: Arial, sans-serif; font-size: 14px; text-align: inherit;">18) Difficulty with productivity</span></p> <p style='margin:0cm;line-height:18.0pt;font-size:17px;font-family:"Bookman Old Style",serif;color:black;'><span style="font-family: Arial, sans-serif; font-size: 14px; text-align: inherit;">19) Difficulty with energy</span></p> <p<div style=" style='margin:0cm;line-height:18.0pt;font-size:17px;font-family:"Bookman Old Style",serif;color:black;'><span style='font-size:12px;font-family:"Arial",sans-serif;'>*all quality measurements apply to all patients with in the last 12 months, unless otherwise<strong>;</strong> UC: ulcerative colitis; 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