Verpleegkunde Nummer 1 , pp. 34-39
mrt 2022, jaargang 37
Verpleegkunde Nr. 1 , pp. 34-39
mrt 2022, jr. 37
Proefschrift

De impact van ernstig ziek zijn: nieuwe lichamelijke, mentale en cognitieve problemen een jaar na IC-opname

In Nederland worden jaarlijks ongeveer 85.000 patiënten op de intensive care (IC) opgenomen. Meer dan 90% van deze patiënten overleeft hun IC-opname. Echter, een groot deel van hen blijft in de maanden tot jaren na de initiële IC-opname allerlei lichamelijke, mentale en/of -cognitie problemen ervaren, zoals pijn, vermoeidheid, angst, depressie en problemen in de concentratie en geheugen. Deze problemen hebben een grote impact op het dagelijks leven, zoals werk en hobby’s, en leiden tot een lagere kwaliteit van leven. Deze problemen worden ook wel het post-intensive care syndroom (PICS) genoemd.

Referenties

  1. Stichting NICE. Jaarboek 2018. Amsterdam; 2019.
  2. Colbenson GA, Johnson A, Wilson ME. Post-intensive care syndrome: impact, prevention, and management. Breathe (Sheff). 2019;15(2):98-101.
  3. Harvey MA, Davidson JE. Postintensive Care Syndrome: Right Care, Right Now...and Later. Crit Care Med. 2016;44(2):381-5.
  4. Hashem MD, Nallagangula A, Nalamalapu S, Nunna K, Nausran U, Robinson KA, et al. Patient outcomes after critical illness: a systematic review of qualitative studies following hospital discharge. Crit Care. 2016;20(1):345.
  5. Morgan A, O’Connor L. Long-term outcomes from critical care. Surgery 2018;36(4):201-4.
  6. Dowdy DW, Eid MP, Sedrakyan A, Mendez-Tellez PA, Pronovost PJ, Herridge MS, et al. Quality of life in adult survivors of critical illness: a systematic review of the literature. Intensive Care Med. 2005;31(5):611-20.
  7. Griffiths J, Hatch RA, Bishop J, Morgan K, Jenkinson C, Cuthbertson BH, et al. An exploration of social and economic outcome and associated health-related quality of life after critical illness in general intensive care unit survivors: a 12-month follow-up study. Crit Care. 2013;17(3):R100.
  8. Angus DC, Carlet J, Brussels Roundtable P. Surviving intensive care: a report from the 2002 Brussels Roundtable. Intensive Care Med. 2003;29(3):368-77.
  9. Jutte JE, Erb CT, Jackson JC. Physical, Cognitive, and Psychological Disability Following Critical Illness: What Is the Risk? Semin Respir Crit Care Med. 2015;36(6):943-58.
  10. Rubenfeld GD. Interventions to improve long-term outcomes after critical illness. Curr Opin Crit Care. 2007;13(5):476-81.
  11. Cuthbertson BH, Wunsch H. Long-Term Outcomes after Critical Illness. The Best Predictor of the Future Is the Past. Am J Respir Crit Care Med. 2016;194(2):132-4.
  12. Brown SM, Bose S, Banner-Goodspeed V, Beesley SJ, Dinglas VD, Hopkins RO, et al. Approaches to Addressing Post-Intensive Care Syndrome among Intensive Care Unit Survivors. A Narrative Review. Ann Am Thorac Soc. 2019;16(8):947-56.
  13. Needham DM, Davidson J, Cohen H, Hopkins RO, Weinert C, Wunsch H, et al. Improving long-term outcomes after discharge from intensive care unit: report from a stakeholders’ conference. Crit Care Med. 2012;40(2):502-9.
  14. Proffitt T, Menzies V. Relationship of symptoms associated with ICU-survivorship: An integrative literature review. Intensive Crit Care Nurs. 2019;53:60-7.
  15. Cuthbertson BH, Roughton S, Jenkinson D, Maclennan G, Vale L. Quality of life in the five years after intensive care: a cohort study. Crit Care. 2010;14(1):R6.
  16. de Rooij SE, Govers AC, Korevaar JC, Giesbers AW, Levi M, de Jonge E. Cognitive, functional, and quality-of-life outcomes of patients aged 80 and older who survived at least 1 year after planned or unplanned surgery or medical intensive care treatment. J Am Geriatr Soc. 2008;56(5):816-22.
  17. Hofhuis JG, Spronk PE, van Stel HF, Schrijvers GJ, Rommes JH, Bakker J. The impact of critical illness on perceived health-related quality of life during ICU treatment, hospital stay, and after hospital discharge: a long-term follow-up study. Chest. 2008;133(2):377-85.
  18. Azoulay E, Vincent JL, Angus DC, Arabi YM, Brochard L, Brett SJ, et al. Recovery after critical illness: putting the puzzle together-a consensus of 29. Crit Care. 2017;21(1):296.
  19. Rubenfeld GD. Does the hospital make you older faster? Am J Respir Crit Care Med. 2012;185(8):796-8.
  20. Geense W, Zegers M, Vermeulen H, van den Boogaard M, van der Hoeven J. MONITOR-IC study, a mixed methods prospective multicentre controlled cohort study assessing 5-year outcomes of ICU survivors and related healthcare costs: a study protocol. BMJ Open. 2017;7(11):e018006.
  21. Rockwood K, Song X, MacKnight C, Bergman H, Hogan DB, McDowell I, et al. A global clinical measure of fitness and frailty in elderly people. CMAJ. 2005;173(5):489-95.
  22. Vercoulen JH, Swanink CM, Fennis JF, Galama JM, van der Meer JW, Bleijenberg G. Dimensional assessment of chronic fatigue syndrome. J Psychosom Res. 1994;38(5):383-92.
  23. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983;67(6):361-70.
  24. Weiss DS, C.R. M. The Impact of Event Scale-Revised. Assessing psychological trauma and PTSD. New York: Guilford Press 1997.
  25. Wassenaar A, de Reus J, Donders ART, Schoonhoven L, Cremer OL, de Lange DW, et al. Development and Validation of an Abbreviated Questionnaire to Easily Measure Cognitive Failure in ICU Survivors: A Multicenter Study. Crit Care Med. 2018;46(1):79-84.
  26. Ware JE, Jr., Sherbourne CD. The MOS 36-item shortform health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992;30(6):473-83.
  27. Geense WW, de Graaf M, Vermeulen H, van der Hoeven J, Zegers M, van den Boogaard M. Reduced quality of life in ICU survivors - the story behind the numbers: A mixed methods study. J Crit Care. 2021;65:36-41.
  28. Geense WW, van den Boogaard M, van der Hoeven JG, Vermeulen H, Hannink G, Zegers M. Nonpharmacologic Interventions to Prevent or Mitigate Adverse Long-Term Outcomes Among ICU Survivors: A Systematic Review and Meta-Analysis. Crit Care Med. 2019;47(11):1607-18.
  29. Geense WW, Zegers M, Peters MAA, Ewalds E, Simons KS, Vermeulen H, et al. New Physical, Mental, and Cognitive Problems 1 Year after ICU Admission: A Prospective Multicenter Study. Am J Respir Crit Care Med. 2021;203(12):1512-21.
  30. Needham DM, Dowdy DW, Mendez-Tellez PA, Herridge MS, Pronovost PJ. Studying outcomes of intensive care unit survivors: measuring exposures and outcomes. Intensive Care Med. 2005;31(9):1153-60.
  31. Woon FL, Dunn CB, Hopkins RO. Predicting cognitive sequelae in survivors of critical illness with cognitive screening tests. Am J Respir Crit Care Med. 2012;186(4):333-40.
  32. Cuthbertson BH, Scott J, Strachan M, Kilonzo M, Vale L. Quality of life before and after intensive care. Anaesthesia. 2005;60(4):332-9.
  33. Gifford JM, Husain N, Dinglas VD, Colantuoni E, Needham DM. Baseline quality of life before intensive care: a comparison of patient versus proxy responses. Crit Care Med. 2010;38(3):855-60.
  34. Hofhuis J, Hautvast JLA, Schrijvers AJP, Bakker J. Quality of life on admission to the intensive care: can we query the relatives? Intensive Care Med. 2003;29(6):974-9.
  35. Ferrante LE, Murphy TE, Gahbauer EA, Leo-Summers LS, Pisani MA, Gill TM. Pre-Intensive Care Unit Cognitive Status, Subsequent Disability, and New Nursing Home Admission among Critically Ill Older Adults. Ann Am Thorac Soc. 2018;15(5):622-9.
  36. Pisani MA, Inouye SK, McNicoll L, Redlich CA. Screening for preexisting cognitive impairment in older intensive care unit patients: use of proxy assessment. J Am Geriatr Soc. 2003;51(5):689-93.
  37. Muscedere J, Waters B, Varambally A, Bagshaw SM, Boyd JG, Maslove D, et al. The impact of frailty on intensive care unit outcomes: a systematic review and metaanalysis. Intensive Care Med. 2017;43(8):1105-22.
  38. Marra A, Ely EW, Pandharipande PP, Patel MB. The ABCDEF Bundle in Critical Care. Crit Care Clin. 2017;33(2):225-43.
  39. Mostel Z, Perl A, Marck M, Mehdi SF, Lowell B, Bathija S, et al. Post-sepsis syndrome - an evolving entity that afflicts survivors of sepsis. Mol Med. 2019;26(1):6.
  40. Cabrini L, Landoni G, Antonelli M, Bellomo R, Colombo S, Negro A, et al. Critical care in the near future: patientcentered, beyond space and time boundaries. Minerva Anestesiol. 2015.
  41. Turnbull AE, Hurley MS, Oppenheim IM, Hosey MM, Parker AM. Curb Your Enthusiasm: Definitions, Adaptation, and Expectations for Quality of Life in ICU Survivorship. Ann Am Thorac Soc. 2020;17(4):406-11.
  42. Govindan S, Iwashyna TJ, Watson SR, Hyzy RC, Miller MA. Issues of survivorship are rarely addressed during intensive care unit stays. Baseline results from a statewide quality improvement collaborative. Ann Am Thorac Soc. 2014;11(4):587-91.
  43. Kahn JM, Angus DC. Health policy and future planning for survivors of critical illness. Curr Opin Crit Care. 2007;13(5):514-8.
  44. Kemp HI, Corner E, Colvin LA. Chronic pain after COVID-19: implications for rehabilitation. Br J Anaesth. 2020;125(4):436-40.
  45. Hendriks MMC, Janssen FAM, te Pas ME, Kox IHJM, van de Berg PJEJ, Buise MP, et al. Post-ICU care after a long intensive care admission: a Dutch inventory study. Netherlands Journal of Critical Care. 2019;27(5).
  46. Meyer J, Brett SJ, Waldmann C. Should ICU clinicians follow patients after ICU discharge? Yes. Intensive Care Med. 2018;44(9):1539-41.
  47. Vijayaraghavan BKT, Willaert X, Cuthbertson BH. Should ICU clinicians follow patients after ICU discharge? No. Intensive Care Med. 2018;44(9):1542-4.
  48. van Beusekom I, Bakhshi-Raiez F, de Keizer NF, van der Schaaf M, Termorshuizen F, Dongelmans DA. Dutch ICU survivors have more consultations with general practitioners before and after ICU admission compared to a matched control group from the general population. PLoS One. 2019;14(5):e0217225.
  49. IC connect. De patiënten organisatie voor (voormalig) IC-patiënten en naasten Alkmaar [Available from: https://icconnect.nl/].
  50. Stichting FCIC. Samen de impact van een IC-opname beperken Alkmaar [Available from: https://fcic.nl/].
  51. King J, O’Neill B, Ramsay P, Linden MA, Darweish Medniuk A, Outtrim J, et al. Identifying patients’ support needs following critical illness: a scoping review of the qualitative literature. Crit Care. 2019;23(1):187.
Proefschrift

De impact van ernstig ziek zijn: nieuwe lichamelijke, mentale en cognitieve problemen een jaar na IC-opname

In Nederland worden jaarlijks ongeveer 85.000 patiënten op de intensive care (IC) opgenomen. Meer dan 90% van deze patiënten overleeft hun IC-opname. Echter, een groot deel van hen blijft in de maanden tot jaren na de initiële IC-opname allerlei lichamelijke, mentale en/of -cognitie problemen ervaren, zoals pijn, vermoeidheid, angst, depressie en problemen in de concentratie en geheugen. Deze problemen hebben een grote impact op het dagelijks leven, zoals werk en hobby’s, en leiden tot een lagere kwaliteit van leven. Deze problemen worden ook wel het post-intensive care syndroom (PICS) genoemd.

Referenties

  1. Stichting NICE. Jaarboek 2018. Amsterdam; 2019.
  2. Colbenson GA, Johnson A, Wilson ME. Post-intensive care syndrome: impact, prevention, and management. Breathe (Sheff). 2019;15(2):98-101.
  3. Harvey MA, Davidson JE. Postintensive Care Syndrome: Right Care, Right Now...and Later. Crit Care Med. 2016;44(2):381-5.
  4. Hashem MD, Nallagangula A, Nalamalapu S, Nunna K, Nausran U, Robinson KA, et al. Patient outcomes after critical illness: a systematic review of qualitative studies following hospital discharge. Crit Care. 2016;20(1):345.
  5. Morgan A, O’Connor L. Long-term outcomes from critical care. Surgery 2018;36(4):201-4.
  6. Dowdy DW, Eid MP, Sedrakyan A, Mendez-Tellez PA, Pronovost PJ, Herridge MS, et al. Quality of life in adult survivors of critical illness: a systematic review of the literature. Intensive Care Med. 2005;31(5):611-20.
  7. Griffiths J, Hatch RA, Bishop J, Morgan K, Jenkinson C, Cuthbertson BH, et al. An exploration of social and economic outcome and associated health-related quality of life after critical illness in general intensive care unit survivors: a 12-month follow-up study. Crit Care. 2013;17(3):R100.
  8. Angus DC, Carlet J, Brussels Roundtable P. Surviving intensive care: a report from the 2002 Brussels Roundtable. Intensive Care Med. 2003;29(3):368-77.
  9. Jutte JE, Erb CT, Jackson JC. Physical, Cognitive, and Psychological Disability Following Critical Illness: What Is the Risk? Semin Respir Crit Care Med. 2015;36(6):943-58.
  10. Rubenfeld GD. Interventions to improve long-term outcomes after critical illness. Curr Opin Crit Care. 2007;13(5):476-81.
  11. Cuthbertson BH, Wunsch H. Long-Term Outcomes after Critical Illness. The Best Predictor of the Future Is the Past. Am J Respir Crit Care Med. 2016;194(2):132-4.
  12. Brown SM, Bose S, Banner-Goodspeed V, Beesley SJ, Dinglas VD, Hopkins RO, et al. Approaches to Addressing Post-Intensive Care Syndrome among Intensive Care Unit Survivors. A Narrative Review. Ann Am Thorac Soc. 2019;16(8):947-56.
  13. Needham DM, Davidson J, Cohen H, Hopkins RO, Weinert C, Wunsch H, et al. Improving long-term outcomes after discharge from intensive care unit: report from a stakeholders’ conference. Crit Care Med. 2012;40(2):502-9.
  14. Proffitt T, Menzies V. Relationship of symptoms associated with ICU-survivorship: An integrative literature review. Intensive Crit Care Nurs. 2019;53:60-7.
  15. Cuthbertson BH, Roughton S, Jenkinson D, Maclennan G, Vale L. Quality of life in the five years after intensive care: a cohort study. Crit Care. 2010;14(1):R6.
  16. de Rooij SE, Govers AC, Korevaar JC, Giesbers AW, Levi M, de Jonge E. Cognitive, functional, and quality-of-life outcomes of patients aged 80 and older who survived at least 1 year after planned or unplanned surgery or medical intensive care treatment. J Am Geriatr Soc. 2008;56(5):816-22.
  17. Hofhuis JG, Spronk PE, van Stel HF, Schrijvers GJ, Rommes JH, Bakker J. The impact of critical illness on perceived health-related quality of life during ICU treatment, hospital stay, and after hospital discharge: a long-term follow-up study. Chest. 2008;133(2):377-85.
  18. Azoulay E, Vincent JL, Angus DC, Arabi YM, Brochard L, Brett SJ, et al. Recovery after critical illness: putting the puzzle together-a consensus of 29. Crit Care. 2017;21(1):296.
  19. Rubenfeld GD. Does the hospital make you older faster? Am J Respir Crit Care Med. 2012;185(8):796-8.
  20. Geense W, Zegers M, Vermeulen H, van den Boogaard M, van der Hoeven J. MONITOR-IC study, a mixed methods prospective multicentre controlled cohort study assessing 5-year outcomes of ICU survivors and related healthcare costs: a study protocol. BMJ Open. 2017;7(11):e018006.
  21. Rockwood K, Song X, MacKnight C, Bergman H, Hogan DB, McDowell I, et al. A global clinical measure of fitness and frailty in elderly people. CMAJ. 2005;173(5):489-95.
  22. Vercoulen JH, Swanink CM, Fennis JF, Galama JM, van der Meer JW, Bleijenberg G. Dimensional assessment of chronic fatigue syndrome. J Psychosom Res. 1994;38(5):383-92.
  23. Zigmond AS, Snaith RP. The hospital anxiety and depression scale. Acta Psychiatr Scand. 1983;67(6):361-70.
  24. Weiss DS, C.R. M. The Impact of Event Scale-Revised. Assessing psychological trauma and PTSD. New York: Guilford Press 1997.
  25. Wassenaar A, de Reus J, Donders ART, Schoonhoven L, Cremer OL, de Lange DW, et al. Development and Validation of an Abbreviated Questionnaire to Easily Measure Cognitive Failure in ICU Survivors: A Multicenter Study. Crit Care Med. 2018;46(1):79-84.
  26. Ware JE, Jr., Sherbourne CD. The MOS 36-item shortform health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992;30(6):473-83.
  27. Geense WW, de Graaf M, Vermeulen H, van der Hoeven J, Zegers M, van den Boogaard M. Reduced quality of life in ICU survivors - the story behind the numbers: A mixed methods study. J Crit Care. 2021;65:36-41.
  28. Geense WW, van den Boogaard M, van der Hoeven JG, Vermeulen H, Hannink G, Zegers M. Nonpharmacologic Interventions to Prevent or Mitigate Adverse Long-Term Outcomes Among ICU Survivors: A Systematic Review and Meta-Analysis. Crit Care Med. 2019;47(11):1607-18.
  29. Geense WW, Zegers M, Peters MAA, Ewalds E, Simons KS, Vermeulen H, et al. New Physical, Mental, and Cognitive Problems 1 Year after ICU Admission: A Prospective Multicenter Study. Am J Respir Crit Care Med. 2021;203(12):1512-21.
  30. Needham DM, Dowdy DW, Mendez-Tellez PA, Herridge MS, Pronovost PJ. Studying outcomes of intensive care unit survivors: measuring exposures and outcomes. Intensive Care Med. 2005;31(9):1153-60.
  31. Woon FL, Dunn CB, Hopkins RO. Predicting cognitive sequelae in survivors of critical illness with cognitive screening tests. Am J Respir Crit Care Med. 2012;186(4):333-40.
  32. Cuthbertson BH, Scott J, Strachan M, Kilonzo M, Vale L. Quality of life before and after intensive care. Anaesthesia. 2005;60(4):332-9.
  33. Gifford JM, Husain N, Dinglas VD, Colantuoni E, Needham DM. Baseline quality of life before intensive care: a comparison of patient versus proxy responses. Crit Care Med. 2010;38(3):855-60.
  34. Hofhuis J, Hautvast JLA, Schrijvers AJP, Bakker J. Quality of life on admission to the intensive care: can we query the relatives? Intensive Care Med. 2003;29(6):974-9.
  35. Ferrante LE, Murphy TE, Gahbauer EA, Leo-Summers LS, Pisani MA, Gill TM. Pre-Intensive Care Unit Cognitive Status, Subsequent Disability, and New Nursing Home Admission among Critically Ill Older Adults. Ann Am Thorac Soc. 2018;15(5):622-9.
  36. Pisani MA, Inouye SK, McNicoll L, Redlich CA. Screening for preexisting cognitive impairment in older intensive care unit patients: use of proxy assessment. J Am Geriatr Soc. 2003;51(5):689-93.
  37. Muscedere J, Waters B, Varambally A, Bagshaw SM, Boyd JG, Maslove D, et al. The impact of frailty on intensive care unit outcomes: a systematic review and metaanalysis. Intensive Care Med. 2017;43(8):1105-22.
  38. Marra A, Ely EW, Pandharipande PP, Patel MB. The ABCDEF Bundle in Critical Care. Crit Care Clin. 2017;33(2):225-43.
  39. Mostel Z, Perl A, Marck M, Mehdi SF, Lowell B, Bathija S, et al. Post-sepsis syndrome - an evolving entity that afflicts survivors of sepsis. Mol Med. 2019;26(1):6.
  40. Cabrini L, Landoni G, Antonelli M, Bellomo R, Colombo S, Negro A, et al. Critical care in the near future: patientcentered, beyond space and time boundaries. Minerva Anestesiol. 2015.
  41. Turnbull AE, Hurley MS, Oppenheim IM, Hosey MM, Parker AM. Curb Your Enthusiasm: Definitions, Adaptation, and Expectations for Quality of Life in ICU Survivorship. Ann Am Thorac Soc. 2020;17(4):406-11.
  42. Govindan S, Iwashyna TJ, Watson SR, Hyzy RC, Miller MA. Issues of survivorship are rarely addressed during intensive care unit stays. Baseline results from a statewide quality improvement collaborative. Ann Am Thorac Soc. 2014;11(4):587-91.
  43. Kahn JM, Angus DC. Health policy and future planning for survivors of critical illness. Curr Opin Crit Care. 2007;13(5):514-8.
  44. Kemp HI, Corner E, Colvin LA. Chronic pain after COVID-19: implications for rehabilitation. Br J Anaesth. 2020;125(4):436-40.
  45. Hendriks MMC, Janssen FAM, te Pas ME, Kox IHJM, van de Berg PJEJ, Buise MP, et al. Post-ICU care after a long intensive care admission: a Dutch inventory study. Netherlands Journal of Critical Care. 2019;27(5).
  46. Meyer J, Brett SJ, Waldmann C. Should ICU clinicians follow patients after ICU discharge? Yes. Intensive Care Med. 2018;44(9):1539-41.
  47. Vijayaraghavan BKT, Willaert X, Cuthbertson BH. Should ICU clinicians follow patients after ICU discharge? No. Intensive Care Med. 2018;44(9):1542-4.
  48. van Beusekom I, Bakhshi-Raiez F, de Keizer NF, van der Schaaf M, Termorshuizen F, Dongelmans DA. Dutch ICU survivors have more consultations with general practitioners before and after ICU admission compared to a matched control group from the general population. PLoS One. 2019;14(5):e0217225.
  49. IC connect. De patiënten organisatie voor (voormalig) IC-patiënten en naasten Alkmaar [Available from: https://icconnect.nl/].
  50. Stichting FCIC. Samen de impact van een IC-opname beperken Alkmaar [Available from: https://fcic.nl/].
  51. King J, O’Neill B, Ramsay P, Linden MA, Darweish Medniuk A, Outtrim J, et al. Identifying patients’ support needs following critical illness: a scoping review of the qualitative literature. Crit Care. 2019;23(1):187.
Over dit artikel
Auteur
Wytske Geense
Over de auteur

Dr. Wytske Geense heeft een achtergrond als verpleegkundige en gezondheidswetenschapper. In 2017 startte zij met haar promotieonderzoek onder leiding van haar promotoren prof. dr. Hans van der Hoeven en prof. dr. Hester Vermeulen, en haar copromotoren dr. M. Zegers en dr. M. van den Boogaard. In haar promotieonderzoek richtte zij zich op de langetermijn uitkomsten en kwaliteit van leven van IC-patiënten, en promoveerde in 2021 aan de Radboud Universiteit in Nijmegen. Sinds 2021 is zij als postdoc onderzoeker verbonden aan het programma Beter Gezond binnen de afdeling Health Evidence van het Radboudumc. Dit programma geeft leefstijl een plek in de spreekkamer en in het behandelplan van de oncologische patiënt.

Correspondentieadres: wytske.geense@radboudumc.nl

Printdatum
11 maart 2022
E-pubdatum
14 maart 2022
ISSN print
0920-3273
ISSN online
2468-2225
DOI
https://doi.org/10.24078/vpg.2022.3.128648


Over dit artikel
Auteur
Wytske Geense
Over de auteur

Dr. Wytske Geense heeft een achtergrond als verpleegkundige en gezondheidswetenschapper. In 2017 startte zij met haar promotieonderzoek onder leiding van haar promotoren prof. dr. Hans van der Hoeven en prof. dr. Hester Vermeulen, en haar copromotoren dr. M. Zegers en dr. M. van den Boogaard. In haar promotieonderzoek richtte zij zich op de langetermijn uitkomsten en kwaliteit van leven van IC-patiënten, en promoveerde in 2021 aan de Radboud Universiteit in Nijmegen. Sinds 2021 is zij als postdoc onderzoeker verbonden aan het programma Beter Gezond binnen de afdeling Health Evidence van het Radboudumc. Dit programma geeft leefstijl een plek in de spreekkamer en in het behandelplan van de oncologische patiënt.

Correspondentieadres: wytske.geense@radboudumc.nl

Printdatum
11 maart 2022
E-pubdatum
14 maart 2022
ISSN print
0920-3273
ISSN online
2468-2225
DOI
https://doi.org/10.24078/vpg.2022.3.128648