J R van der Laan

Publications (12)0 Total impact

• Article: Cholesterolverlagende therapie

  S Thomas, J. R. van der Laan
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  ABSTRACT: De grote ‘statine-trials’ uit de jaren 1995-1998 hebben een omwenteling veroorzaakt in de mogelijkheden voor preventie van hart- en vaatziekten. Zowel bij de medische professie als bij de gezondheidsautoriteiten ontstond al snel behoefte aan richtlijnen voor de toepassing van statines in de praktijk. De medici kwamen daarmee het eerst. cholesterol-gezondheidsraad-hart- en vaatziekten-preventie
  Huisarts en wetenschap 04/2012; 44(4):627-628.
• Article: [Summary of the practice guideline 'Influenza and influenza vaccination' (first revision) from the Dutch College of General Practitioners].

  W Opstelten, G A van Essen, J R van der Laan, R M M Geijer, A N Goudswaard
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  ABSTRACT: The first revision of the guideline 'Influenza and influenza vaccination' from the Dutch College of General Practitioners contains the new indications for influenza vaccination. The most important revisions are: the minimum age has been lowered from 65 to 60 years, the indication for furunculosis patients and their families has been removed, and vaccination is recommended to healthcare professionals who have regular and intensive contact with patients. The purpose of vaccinating healthcare professionals against influenza is to reduce the transmission of the influenza virus to patients at very high risk of complications from influenza and reduce sick leave among healthcare professionals. The use of antiviral agents should only be considered for patients with a very high risk of complications from influenza.
  Nederlands tijdschrift voor geneeskunde 10/2008; 152(39):2116-9.
• Article: [Summary of the practice guideline 'Smoking cessation' from the Dutch College of General Practitioners].

  L A Wind, N H Chavannes, J Kaper, B D Frijling, J R van der Laan, Tj Wiersma, A N Goudswaard
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  ABSTRACT: In general practice important health gain is obtainable by encouraging patients to stop smoking with support from the general practitioner. The practice guideline 'Smoking cessation' differentiates between smokers who are motivated to stop smoking, smokers who are considering smoking cessation, and smokers who are unmotivated to stop smoking. It is important to offer smokers, who are motivated to stop, intensive support at the right moment. Medicinal support in the way of nicotine replacement therapy, nortriptyline or bupropion is, ifpossible, recommended in motivated smokers who smoke at least 10 cigarettes daily.
  Nederlands tijdschrift voor geneeskunde 07/2008; 152(26):1459-64.
• Article: [Bupropion; an effective new aid for smoking cessation].

  J S Burgers, J R van der Laan
  Nederlands tijdschrift voor geneeskunde 03/2001; 145(6):285-6.
• Article: [Acute low back pain: activity, NSAID's and muscle relaxants effective; bedrest and targeted exercise not effective; results of systematic reviews].

  M W van Tulder, B W Koes, W J Assendelft, L M Bouter, J Daams, J R van der Laan
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  ABSTRACT: To inventory the current state of the art regarding the effectiveness of conservative treatment of acute low back pain. Systematic reviews. The relevant literature from the period January 1966-September 1999 was retrieved via Medline, Embase, Psychlit and the Cochrane Library and via reference lists in the articles found. The methodological quality of the studies was assessed using criteria for internal validity. On the basis of the number of examinations, their quality and the consistency of the findings, conclusions were subdivided into four levels of strength of scientific evidence. Approximately two-thirds of the randomised trials in the field of back pain were of poor methodological quality. There was strong evidence that advice to stay active, non-steroidal anti-inflammatory drugs (NSAIDs) and muscle relaxants were effective in acute low back pain. There was also strong evidence that bed rest and specific exercises were not effective in acute low back pain. Strong evidence for effectiveness of many other commonly used interventions was lacking.
  Nederlands tijdschrift voor geneeskunde 08/2000; 144(31):1484-9.
• Article: [Summary of 'Cholesterol' guideline (first revision) of the Dutch Society of Family Physicians].

  J R van der Laan, S Thomas
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  ABSTRACT: The revised guidelines on cholesterol of the Dutch College of General Practitioners (DCGP), which closely follow the consensus of the Dutch Institute for Health Care Improvement, provide thresholds for treatment with statins in patients with elevated risks for coronary heart disease (CHD): patients with a history of cardiovascular disease, with an annual CHD risk larger than 2.5-3%, or with a (suspected) hereditary lipid disorder. Unlike the consensus the DCGP guideline advises only to determine a total cholesterol/HDL cholesterol ratio if the accompanying risk table indicates that the patient might fall in the range where drug treatment is indicated. For this purpose an extra column has been added to the table. In patients with a possible hereditary lipid disorder a higher threshold for referral to a specialist is used because moderately raised levels are common in the population and indicate a familial lipid disorder in only part of the cases.
  Nederlands tijdschrift voor geneeskunde 03/2000; 144(9):421-7.
• Article: [Urination alarm training also successful with 5-7 year olds suffering from enuresis nocturna].

  L J Boomsma, J R van der Laan
  Nederlands tijdschrift voor geneeskunde 08/1998; 142(29):1685-6.
• Article: [Summary of the updated guideline 'Gastric Complaints' of the Dutch College of General Practitioners].

  S Thomas, C F Rosmalen, J R van der Laan
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  ABSTRACT: The Dutch College of General Practitioners recently updated its guideline 'Gastric complaints'. The main change concerns Helicobacter pylori infection diagnosis and treatment. In cases of functional dyspepsia with Helicobacter infection antibiotic eradication treatment is not advised. In patients with gastric complaints, three working diagnoses are presented: aspecific gastric complaints, ulcer complaints, reflux complaints. Endoscopy is given a more prominent role than in the previous version of the guideline. Criteria are given for discontinuation of unmotivated long-term use of antacid medication.
  Nederlands tijdschrift voor geneeskunde 06/1997; 141(20):989-92.
• Article: [Back again: the clothes louse (Pediculus humanus var. corporis)].

  J R van der Laan, R B Smit
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  ABSTRACT: In two homeless men aged 38 and 32 years, who suffered from itching, infestation with body lice (Pediculus humanus var. corporis, a.k.a. clothes lice) was diagnosed. This infestation is rare in the Netherlands. In 1993 and 1994 and infection with body lice was registered 41 times in 31 patients at the clinic for homeless of the Community Health Service of Utrecht. The body louse can be seen by the naked eye. Treatment is by hygienic measures, pediculicides if necessary, and by prevention. Important to recognize is that P. humanus can be the vector of trench fever (Bartonella quintana), relapsing fever and typhus.
  Nederlands tijdschrift voor geneeskunde 10/1996; 140(38):1912-5.
• Article: [Incidence of fever convulsions in 3-72-month-old children].

  L Boomsma, J R van der Laan
  Nederlands tijdschrift voor geneeskunde 06/1996; 140(21):1140-1.
• Article: [Synopsis of the standard 'Low Back Pain' of the Dutch Society of Family Physicians].

  J R van der Laan, S Thomas
  Nederlands tijdschrift voor geneeskunde 05/1996; 140(14):769-72.
• Article: [Refugees who experienced violence and the family practitioner].

  J R van der Laan, E J Bloemen
  Nederlands tijdschrift voor geneeskunde 04/1994; 138(13):644-8.