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See detailHealth economics in osteoarthritis
Hiligsmann, Mickaël ULg; Cooper, Cyrus; Arden, Nigel et al

in Osteoporosis International (2013, April), 24(Suppl.1), 79-80

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See detailHealth economics in the field of osteoarthritis: An Expert's consensus paper from the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis (ESCEO).
Hiligsmann, Mickaël ULg; Cooper, Cyrus; Arden, Nigel et al

in Seminars in Arthritis & Rheumatism (2013), 43(3), 303-313

OBJECTIVES: There is an important need to evaluate therapeutic approaches for osteoarthritis (OA) in terms of cost-effectiveness as well as efficacy. METHODS: The ESCEO expert working group met to discuss ... [more ▼]

OBJECTIVES: There is an important need to evaluate therapeutic approaches for osteoarthritis (OA) in terms of cost-effectiveness as well as efficacy. METHODS: The ESCEO expert working group met to discuss the epidemiological and economic evidence that justifies the increasing concern of the impact of this disease and reviewed the current state-of-the-art in health economic studies in this field. RESULTS: OA is a debilitating disease; it is increasing in frequency and is associated with a substantial and growing burden on society, in terms of both burden of illness and cost of illness. Economic evaluations in this field are relatively rare, and those that do exist, show considerable heterogeneity of methodological approach (such as indicated population, comparator, decision context and perspective, time horizon, modeling and outcome measures used). This heterogeneity makes comparisons between studies problematic. CONCLUSIONS: Better adherence to guidelines for economic evaluations is needed. There was strong support for the definition of a reference case and for what might constitute "standard optimal care" in terms of best clinical practice, for the control arms of interventional studies. [less ▲]

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See detailHealth effects of environmental exposure to cadmium: objectives, design and organization of the Cadmibel
Lauwerys, Robert; Amery, Antoon; Bernard, Alfred et al

in Environmental Health Perspectives (1990), 87

Cadmium is a cumulative environmental pollutant. For the general population mainly exposed by the oral route and through tobacco smoke inhalation, the kidney is the critical organ. Belgium is the ... [more ▼]

Cadmium is a cumulative environmental pollutant. For the general population mainly exposed by the oral route and through tobacco smoke inhalation, the kidney is the critical organ. Belgium is the principal producer of cadmium in Europe, and certain areas of the country are polluted by cadmium mainly because of past emissions from nonferrous industries. Preliminary studies carried out in one polluted area have suggested that environmental pollution might lead to an increased uptake of cadmium by the human body and possibly to health effects. Thus, a large-scale morbidity study has been initiated to assess the validity of this hypothesis. The present paper describes the protocol of this study. Its main objectives are to determine to what extent environmental exposure to cadmium resulting from industrial emissions may lead to accumulation of the metal in the human organism; to establish whether or not environmental exposure may induce renal changes and/or influence blood pressure; and to assess the acceptable internal dose of cadmium for the genral population. The study design takes advantage of the fact that biological indicators of exposure, body burden, and early nephrotoxic effects of cadmium ar available, which increase the likelihood of detecting a cause-effect relationship. [less ▲]

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See detailHealth insurance coverage and adverse selection
Lambert, Philippe ULg; Perelman, Sergio ULg; Pestieau, Pierre ULg et al

in Börsch-Supan, Axel; Brandt, Martina; Hank, Karsten (Eds.) et al The Individual and the Welfare State: Life Histories in Europe (2011)

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See detailHealth Monitoring of Gas Turbine Engines
Léonard, Olivier ULg

Scientific conference (2004, March 26)

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See detailHealth related guidelines for wind farms in Belgiu m
van den Berg, Frits; Passchier, Wim; Botteldooren, Dick et al

Conference (2013, September 15)

In 2011 the Belgian authorities have asked the Supe rior Health Council (SHC) to advise on the health e ffects of wind farms. A working group of experts with diff erent backgrounds was put together to ... [more ▼]

In 2011 the Belgian authorities have asked the Supe rior Health Council (SHC) to advise on the health e ffects of wind farms. A working group of experts with diff erent backgrounds was put together to assess all th e available literature. This group considered the req uest in the context of sustainable development and drafted an advice that was reviewed by two international ex perts. It is expected that the advice will be publi shed in the spring of 2013. The advice mentions direct effects of operational w ind turbines that may have negative consequences fo r the health and well-being of neighbouring people. It st resses the importance of factors such as the change in landscape, the possible intrusion on people’s attac hment to their environment and the effect of local economic benefits and costs associated with a wind energy project. Also, the perception of the future quality of life will determine the social acceptance of a w ind project by a local community. The advice gives a number of recommendations to better deal with all t hese aspects. The paper will give an overview and explanation of these recommendations. [less ▲]

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See detailHealth screening to identify opportunities to improve preventive medicine in cats and dogs:focus on nutrition status
Diez, Marianne ULg; Picavet, Philippe; Ricci, Rebecca et al

in Hesta, Myriam (Ed.) Proceedings of the 17 th European Society of Veterinary and Comparative Nutrition Congress (2013)

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See detailHealth status instrument vs. prognostic instrument for assessing chronic obstructive pulmonary disease in clinical practice.
Louis, Renaud ULg; Corhay, Jean-Louis ULg

in International Journal of Clinical Practice (2010), 64(11), 1465-6

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See detailHealth status of dogs referred to the consultation of clinical nutrition at the faculty of Liège
Lhoest, Estelle; Claeys, Stéphanie ULg; Saulnier-Troff, François et al

in Coenen, M.; Vervuert, I. (Eds.) Proceedings of the 11th ESVCN Congress (2007)

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See detailThe health status of the North Sea: ecotoxicological approach
Bouquegneau, Jean-Marie ULg; Dauby, Patrick ULg; Debacker, Virginie ULg et al

in Dialogue between Scientists and Users of the Sea (1996)

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See detailHealth Status, Disability and Retirement Incentives in Belgium
Jousten, Alain ULg; Perelman, Sergio ULg; Lefebvre, Mathieu ULg

E-print/Working paper (2013)

Many Belgian retire well before the statutory retirement age. Numerous exit routes from the labor force can be identified: old‐age pensions, conventional early retirement, disability insurance, and ... [more ▼]

Many Belgian retire well before the statutory retirement age. Numerous exit routes from the labor force can be identified: old‐age pensions, conventional early retirement, disability insurance, and unemployment insurance are the most prominent ones. We analyze the retirement decision of Belgian workers adopting an option value framework, and pay special attention to the role of health status. We estimate probit models of retirement using data from SHARE. The results show that health and incentives matter in the decision to exit from the labor market. Based on these results, we simulate the effect of potential reforms on retirement. [less ▲]

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See detailHealth SWAps: for a sustainable development of healthcare systems in low-income countries
Paul, Catherine; Paul, Elisabeth ULg; Zinnen, Véronique

in Cholewka, P.; Motlagh, M. (Eds.) Health Capital and Sustainable Socioeconomic Development (2008)

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See detailHealth systems strengthening through insurance subsidies: the GFATM experience in Rwanda
Kalk, A; Groos, N; Karasi, Jean Claude ULg et al

in Tropical Medicine & International Health [=TM & IH] (2010), 15(1), 94-7

The Global Fund Against AIDS, Tuberculosis and Malaria (GFATM) approved only three 'health systems strengthening' projects ever, one of them in Rwanda. This project intends to enhance financial access to ... [more ▼]

The Global Fund Against AIDS, Tuberculosis and Malaria (GFATM) approved only three 'health systems strengthening' projects ever, one of them in Rwanda. This project intends to enhance financial access to health care by subsidising health insurance for the poor in order to combat the three diseases successfully. It was submitted to a mid-term evaluation in 2007. The findings of this evaluation are presented and triangulated with experience gained through several years of membership in the Rwandan Country Coordinating Mechanism and the multi-stakeholder 'Working Group on Mutuelles': The GFATM-funded project improved dramatically the financial access of its target group, the very poor--reaching approximately one Rwandan in six. Because of the established rigid regulatory framework, its impact on other population strata was more ambiguous. Improved financial access went hand-in-hand with growing health service utilisation and improvements in the population's health status, including better control of AIDS, tuberculosis and malaria. This success was achieved with limited financial resources. In consequence, interventions that strengthen health systems should always be considered for a prominent--if not a priority role--in GFATM-funded projects. [less ▲]

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See detailHealth Technology Assessment in Osteoporosis.
Hiligsmann, Mickaël ULg; Kanis, John A.; Compston, Juliet et al

in Calcified Tissue International (2013)

We review the various aspects of health technology assessment in osteoporosis, including epidemiology and burden of disease, and assessment of the cost-effectiveness of recent advances in the treatment of ... [more ▼]

We review the various aspects of health technology assessment in osteoporosis, including epidemiology and burden of disease, and assessment of the cost-effectiveness of recent advances in the treatment of osteoporosis and the prevention of fracture, in the context of the allocation of health-care resources by decision makers in osteoporosis. This article was prepared on the basis of a symposium held by the Belgian Bone Club and the discussions surrounding that meeting and is based on a review and critical appraisal of the literature. Epidemiological studies confirm the immense burden of osteoporotic fractures for patients and society, with lifetime risks of any fracture of the hip, spine, and forearm of around 40 % for women and 13 % for men. The economic impact is also large; for example, Europe's six largest countries spent <euro>31 billion on osteoporotic fractures in 2010. Moreover, the burden is expected to increase in the future with demographic changes and increasing life expectancy. Recent advances in the management of osteoporosis include novel treatments, better fracture-risk assessment notably via fracture risk algorithms, and improved adherence to medication. Economic evaluation can inform decision makers in health care on the cost-effectiveness of the various interventions. Cost-effectiveness analyses suggest that the recent advances in the prevention and treatment of osteoporosis may constitute an efficient basis for the allocation of scarce health-care resources. In summary, health technology assessment is increasingly used in the field of osteoporosis and could be very useful to help decision makers efficiently allocate health-care resources. [less ▲]

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See detailHealth workers' feelings and needs about the abuse on elderly living at home
Berg, Nicolas; Vanmeerbeek, Marc ULg; Moreau, Anne et al

in Journal of Nutrition, Health & Aging (The) (2008, September), 12(8), 587

Objectives: Responding a demand from the centre of elderly abused persons (Centre d’Aide aux Personnes Âgées Maltraitées CAPAM) the general medicine department of the Liège University conducted a ... [more ▼]

Objectives: Responding a demand from the centre of elderly abused persons (Centre d’Aide aux Personnes Âgées Maltraitées CAPAM) the general medicine department of the Liège University conducted a qualitative research on the elderly abuse performed at home. Methods: A half structured guide of interview concerning the health workers and their feelings and needs when looking after abused elderly people living at home was given to an interviewer. While performing the research, he recorded the nine focus groups chatting about elderly abused (in each group, they were 10 GP, nurses or nurses auxiliary). Results:General practitioners are mostly concerned by financial abuses, on the other hand, nurses and auxiliaries mostly talk about psychological or indifferent behaviours in elderly abused. Everyone talks about family and professional neglects. GP‘s behaviours are eventually criticised by nurses and auxiliary nurses as well. GP are identified to have the hugest power to react, but they argue not to have time and to lack of means to identify and cope with elderly abuse. So, when called out by nurses or auxiliary nurses, they don’t eventually give them satisfying answers. Mixed meetings could be hold to get a better coping and detection of elderly abuse performed at home. Conclusions: Research allowed to sharpen GP’s, behaviours, attitudes and specific role according to nurses and auxiliaries in front of elderly abuse and get a better view of the help to bring them. [less ▲]

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See detailHealth-related quality of life after total knee or hip replacement : a 7-year prospective study
Bruyère, Olivier ULg; Vanoverberghe, Marie ULg; Neuprez, Audrey ULg et al

in Osteoporosis International (2010, May), 21(Suppl.1), 26

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See detailHealth-related quality of life after total knee or hip replacement for osteoarthritis: a 7-year prospective study
Bruyère, Olivier ULg; Ethgen, Olivier ULg; Neuprez, Audrey ULg et al

in Archives of Orthopaedic & Trauma Surgery (2012)

Objective To assess health-related quality of life (HRQOL) in a prospective study with 7 years of follow-up in 49 consecutive patients who underwent a total joint replacement because of osteoarthritis ... [more ▼]

Objective To assess health-related quality of life (HRQOL) in a prospective study with 7 years of follow-up in 49 consecutive patients who underwent a total joint replacement because of osteoarthritis. Methods Generic HRQOL was assessed with the shortform 36 (SF-36) and specific HRQOL with the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Results Out of the 39 subjects who have completed the 7 years of follow-up of this study, 22 (56.4 %) underwent a hip replacement surgery and the other 17 (43.6 %) a knee replacement. Six months after surgery, a significant improvement, compared to preoperative scores, was observed in two of the eight dimensions of the SF-36 (i.e. physical function and pain). The same dimensions, pain and physical function, at the same time, 6 months after surgery, measured by the WOMAC, showed a significant improvement as well, but there was no significant change in the stiffness score. From 6 months to the end of followup, changes in SF-36 scores showed a significant improvement in physical function (p = 0.008), role-physical (p = 0.004) and role-emotional (p = 0.01) while all scores of the WOMAC improved (p\0.001 for pain, p\0.001 for stiffness and p\0.01 for physical function). Conclusion The improvements observed in HRQOL at short term after surgery, are at least maintained over a 7-year follow-up period. [less ▲]

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See detailHealth-related quality of life after total knee or hip replacement: a 7-year prospective study
Bruyère, Olivier ULg; Vanoverberghe, Marie ULg; Neuprez, Audrey ULg et al

in Annals of the Rheumatic Diseases (2010, June), 69(Suppl.3), 469

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