Nederlands tijdschrift voor geneeskunde
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Ned Tijdschr Geneeskd · Dec 2007
Historical Article[Practice guidelines and accreditation: highlights from 50 years of quality management by the Dutch College of General Practitioners].
The Dutch College of General Practitioners (NHG) was established 50 years ago in response to the threatened position of general practitioners in The Netherlands. The NHG promotes quality care in general practice by aiding in the translation of scientific evidence into daily practice. ⋯ The NHG practice accreditation programme is a new method for measuring and improving practice quality. This programme provides the basis for granting stamps of quality to general practices.
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Ned Tijdschr Geneeskd · Dec 2007
Meta Analysis[Cinnamon: not suitable for the treatment of diabetes mellitus].
To identify published studies evaluating the effects of cinnamon on glycaemic control. ⋯ Based on the currently available evidence, cinnamon should not be recommended for the improvement ofglycaemic control.
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Ned Tijdschr Geneeskd · Dec 2007
Biography Historical Article[Jan Roelof Prakken, editor-in-chief of the Dutch Journal of Medicine 1955-1970].
Jan Roelof Prakken (1897-1982) worked as a family physician before specializing in dermatology. In 1946, he was appointed professor of dermatology and venereal diseases at the University of Amsterdam. ⋯ He proved to be a progressive editor. Contrary to his predecessors and despite opposition from many readers, Prakken was of the opinion that sociomedical topics such as oral contraception, artificial insemination, abortion, and even sex change operations were of importance to physicians and had to be discussed in the Journal.
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Ned Tijdschr Geneeskd · Dec 2007
Comment[Tracing colorectal carcinoma in patients with inflammatory bowel disease].
In patients with ulcerative colitis the risk of colorectal cancer is increased. Based on a number of studies, British and American guidelines support endoscopic surveillance in these patients. As the cancer risk in ulcerative colitis increases with disease duration, it is recommended that surveillance is started 8-20 years after diagnosis depending on the extent of disease. ⋯ A substantial number of cases of carcinoma in patients with inflammatory bowel disease present before scheduled onset of surveillance. Therefore, the optimal time of onset of surveillance is disputable. However, taking into account the relatively low risk of colorectal cancer in the early stages of inflammatory bowel disease, it will be hard to achieve an acceptable risk-benefit ratio of extending surveillance by starting surveillance colonoscopies at a younger age.