Carel T J Hulshof

Carel T J Hulshof
Amsterdam University Medical Center | VUmc · Department of Public and Occupational Health

Professor
Emeritus professor, still supervising PhD students and involved in Cochrane Work. Also advisor NVAB.

About

247
Publications
35,506
Reads
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4,244
Citations
Introduction
I am occupational physician and emeritus professor in Occupational Medicine at the Amsterdam University Medical Centre, department Public and Occupational Health, Coronel Institute of Occupational Health, in Amsterdam. I have also worked for many years as Co-ordinator of the evidence-based guidelines programme at the Netherlands Society of Occupational Medicine (NVAB).

Publications

Publications (247)
Article
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Background Cognitions and perceptions of workers with chronic health problems, such as catastrophizing thoughts and fear-avoidance beliefs, can negatively influence work participation. The Progressive Goal Attainment Program (PGAP) is an intervention developed in Canada with the aim of decreasing limiting cognitions and perceptions and increasing w...
Article
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Background Many workplace health promotion programs (WHPPs) do not reach blue-collar workers. To enhance the fit and reach, a Citizen Science (CS) approach was applied to co-create and implement WHPPs. This study aims to evaluate i) the process of this CS approach and ii) the resulting WHPPs. Methods The study was performed in two companies: a con...
Article
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Purpose To evaluate the effects of a training program for occupational health professionals (OHPs) on their ability to identify the cognitions and perceptions of workers with a chronic disease that may hinder work participation, and on their ability to recommend evidence-based interventions aimed at the identified cognitions and perceptions. Metho...
Article
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Objectives The concept of living labs as a research method to enhance participation of end-users in the development and implementation process of an innovation, gained increasing attention over the past decade. A living lab can be characterised by five key components: user-centric, cocreation, real-life context, test innovation and open innovation....
Article
Background: Mental health complaints occur frequently among healthcare workers. A workers' health surveillance mental health module (WHS-MH) was found to be effective in improving work functioning of nurses, although not implemented regularly. Therefore, training for occupational physicians and nurses to facilitate the implementation of WHS-MH was...
Article
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Background Outdoor workers (OW) receive a higher dose of ultraviolet radiation (UVR) compared to indoor workers (IW) which increases the risk of non-melanoma skin cancer (NMSC). Regular sunscreen use reduces the NMSC risk, however, adequate sun-safety behavior among OW is poor. The main objective was to conduct method- and intervention-related elem...
Article
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Purpose To investigate the combined effects of occupational physical activity (OPA) and either overweight/obesity or low levels of leisure-time vigorous physical activity (LTVPA) on self-rated health. Methods A longitudinal study was performed among 29,987 construction workers with complete data on 2 Workers’ Health Surveillance Programs during 20...
Article
Purpose Heterogeneity in work participation (WP) outcomes measurements hampers large scale evidence synthesis in systematic reviews of trials. In this survey we explore authors’ reasons for choosing specific WP outcomes and their measurement methods, including employment status, absence from work, at-work productivity loss, and employability. Metho...
Preprint
Background: Work participation is important for health and can be considered as engagement in a major area of life which is of significance for most people, but it can also be thought of as fulfilling or discharging a role. Currently, academic research lacks a comprehensive classification of work participation outcomes. The International Classifica...
Article
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Workplace health promotion (WHP) may be an appropriate way to support women with a low socioeconomic position (SEP) during midlife. Little is known about reaching and engaging women in WHP, particularly not at the intersection of midlife, low SEP, and ethnicity. We initiated the ProudWoman project, in which we implemented a WHP intervention aimed a...
Article
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Background Assessing prognosis is challenging for many physicians in various medical fields. Research shows that physicians who perform disability assessments consider six areas when evaluating a prognosis: disease, treatment, course of the disease, external information, patient-related and physician-related aspects. We administered a questionnaire...
Article
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Background In order to improve work participation of workers with a chronic disease, it is important for occupational health professionals (OHPs) to focus on those factors that can influence work participation. Cognitions and perceptions, such as recovery expectations and self-efficacy, are examples of these factors that can influence work particip...
Article
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Background More than half of the adults with visual impairment experience severe symptoms of fatigue, with a negative impact on daily life. Since there is no evidence-based treatment to reduce fatigue in adults with visual impairment, we developed E-nergEYEze, an eHealth intervention based on cognitive behavioral therapy and self-management tailore...
Article
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Objective To investigate how work participation outcomes in randomized controlled trials are measured internationally and across disciplines. Study design and setting We identified trials that reported on work participation in Medline, Embase, PsycINFO and Cochrane Central published between 2014 and 2019. Screening, selection and data extraction w...
Article
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Purpose Based on current scientific evidence and best practice, the first Dutch multidisciplinary practice guideline for occupational health professionals was developed to stimulate prevention and enhance work participation in patients with low back pain (LBP) and lumbosacral radicular syndrome (LRS). Methods A multidisciplinary working group with...
Article
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Objectives To assess the reporting quality of randomisation and allocation methods in occupational health and safety (OHS) trials in relation to Consolidated Standards of Reporting Trials (CONSORT) requirements of journals, risk of bias (RoB) and publication year. Methods We systematically searched for randomised controlled trials (RCTs) in PubMed...
Article
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Background The aim was to identify the most important determinants of practice for the implementation of person-centered tools which enhance work participation for patients with chronic health conditions. Methods A mixed-method study was conducted consisting of semi-structured interviews, a focus group and a survey. Various stakeholders were invol...
Article
De bedrijfsartsen moesten het doen met een richtlijn uit 2006 en verzekeringsartsen hadden twee protocollen, uit 2007 en 2008, om op terug te vallen. We hebben het over de richtlijn en protocollen voor de arbeidsgerichte ondersteuning van werkenden met lage rugklachten. Vanaf nu kunnen beide disciplines het weer doen met nieuwe aanbevelingen. Begin...
Article
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Introduction: Non-melanoma skin cancer (NMSC) incidence is increasing, and occupational solar exposure contributes greatly to the overall lifetime ultraviolet radiation (UVR) dose. This is reflected in an excess risk of NMSC showing up to three-fold increase in outdoor workers. Risk of NMSC can be reduced if appropriate measures to reduce UVR-expos...
Article
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Workers’ health surveillance (WHS) is an important preventive activity aimed at prevention of work-related diseases. However, WHS is not regularly implemented in some EU-countries. As occupational physicians (OPs) have to play an important role in implementation of WHS, this study aimed to develop an intervention to support OPs in implementation of...
Article
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Background: The World Health Organization (WHO) and the International Labour Organization (ILO) are developing joint estimates of the work-related burden of disease and injury (WHO/ILO Joint Estimates), with contributions from a large network of experts. Evidence from mechanistic data suggests that occupational exposure to ergonomic risk factors ma...
Article
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Background: The World Health Organization (WHO) and the International Labour Organization (ILO) are developing joint estimates of the work-related burden of disease and injury (WHO/ILO Joint Estimates), with contributions from a large network of experts. Evidence from mechanistic and human data suggests that occupational exposure to ergonomic (or...
Article
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Background Cognitions and perceptions, such as motivation and return to work (RTW) expectations, can influence work participation of employees with chronic health problems. This makes these cognitions and perceptions important factors for occupational health professionals to intervene upon in order to increase work participation. There is, however,...
Article
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Purpose Clinicians need to know whether inguinal hernia (IH) can be attributed to work to answer questions regarding prevention and medical causation. This review describes whether work-related risk factors are associated with IH.MethodsA systematic review was performed in Medline via PubMed until February 3rd, 2020. Inclusion criteria were that IH...
Article
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Health interventions often do not reach blue-collar workers. Citizen science engages target groups in the design and execution of health interventions, but has not yet been applied in an occupational setting. This preliminary study determines barriers and facilitators and feasible elements for citizen science to improve the health of blue-collar wo...
Article
The objective of this study is to assess how occupational physicians (OPs) and insurance physicians (IPs) can best obtain information concerning cognitions and perceptions from employees with a chronic disease. In total, 155 OPs and 56 IPs have completed a questionnaire about obtaining information concerning these factors. In addition, focus group...
Article
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Steeds meer mensen werken door na het bereiken van de pensioengerechtigde leeftijd. De centrale vraag in dit artikel is wat we eigenlijk weten over gezondheidsconsequenties van doorwerken na de pensioengerechtigde leeftijd? In het algemeen is werken gezond en kan het geen kwaad om door te werken, maar dit geldt niet altijd en niet voor iedereen. D...
Article
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Background Fatigue is a disabling problem in patients with visual impairment, but its etiology is still poorly understood. Our objective was to identify the determinants of fatigue in adults with visual impairment compared to adults with normal sight. Methods Cross-sectional data on fatigue and sociodemographic, psychological and health-related fa...
Article
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Purpose The objective of this focus group study is to assess how occupational physicians (OPs) and insurance physicians (IPs) can best obtain information concerning person-related factors from employees. The research question was: what is the most effective way for OPs and IPs to obtain information concerning person-related factors, in the opinion...
Article
Objective: Workers' health surveillance (WHS) is an important preventive activity to prevent work-related diseases. This study aimed to get insight in the implementation of WHS by occupational physicians (OPs). Methods: A survey was conducted among 128 OPs, in which the actual implementation of WHS, OP's needs, knowledge, skills and motivation o...
Article
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Background: Although workers' health surveillance is an important preventive activity, it is not regularly performed. In addition to the occupational physician, the management of occupational health services can also be involved in the performance of workers' health surveillance. The present study investigated the view and policy of the management...
Article
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Objective: Person-related factors influencing work participation of employees with health problems are important. However, the best method to obtain information about them according to occupational physicians (OPs) and insurance physicians (IPs), is unknown. Methods: Questionnaires in which OPs and IPs rated the importance of and described methods...
Article
Introduction Chronic Obstructive Pulmonary Disease (COPD) is a highly prevalent disease with reported prevalence up to 12%. Although smoking is one of the main factors in causing COPD, evidence from systematic reviews grows that also occupational exposures contribute. To examine whether work-related risk factors are associated with chronic pulmonar...
Article
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Background Assessment of prognosis of work functioning is a challenging aspect of work disability evaluations. To gain insight into this process, we conducted a qualitative study to determine the aspects considered and the difficulties, needs and potential solutions affecting the prognosis assessment by physicians performing disability evaluations....
Article
Het Nederlands Centrum voor Beroepsziekten (NCvB) heeft een beroepsziekteregistratierichtlijn ontwikkeld voor Chronic Obstructive Pulmonary Disease (COPD). Uit systematisch literatuuronderzoek komt naar voren dat blootstelling aan schadelijke stoffen op het werk kan bijdragen aan het ontstaan of verergeren van COPD. Werknemers die zijn blootgesteld...
Article
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Background: The World Health Organization (WHO) and the International Labour Organization (ILO) are developing a joint methodology for estimating the national and global work-related burden of disease and injury (WHO/ILO joint methodology), with contributions from a large network of experts. In this paper, we present the protocol for two systemati...
Article
Het Federaal Kenniscentrum voor de Gezondheidszorg (KCE), de Belgische equivalent van het Zorginstituut Nederland, publiceerde in mei vorig jaar de nieuwe klinische richtlijn voor de aanpak van lagerugpijn, in november gevolgd door het zorgpad. De systematische wetenschappelijke aanpak én de multidisciplinaire inbreng van alle zorgdisciplines en pa...
Article
In Nederland zijn 23 beroepsziekteregistratierichtlijnen beschikbaar voor het houdings- en bewegingsapparaat (www.beroepsziekten.nl) om de bedrijfsarts te helpen bij de diagnose en melding van een beroepsziekte en de daarop volgende preventieve adviezen. Goede schattingen van de omvang van het aantal beroepsziekten in Nederland kunnen bedrijfsartse...
Article
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To support occupational physicians in their assessment and notification of occupational diseases, diagnostic registration guidelines are developed with information about associations between work-related risk factors and diseases. The objective of this review of systematic reviews is to examine whether work-related risk factors are associated with...
Article
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Objective To explore the impact of occupational diseases (ODs) through estimations of population attributable fractions (PAFs) in a national context. Methods PAFs were calculated for eight prevalent ODs using existing data on the prevalence of exposure to risk factors at work and the strength of their association with diseases based on systematic...
Article
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Objective: Clinicians need to know whether lumbosacral radiculopathy syndrome (LRS) can be attributed to work. This review describes what work-related risk factors are associated with LRS. Methods: A systematic review was performed in PubMed and Embase. Inclusion criteria were that LRS was diagnosed by a clinician and workers exposed to work-rel...
Article
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Purpose: The objective of this systematic review was to explore and provide systematically assessed information about the association between person-related factors and work participation of people with health problems. The research question was: what is the association between selected person-related factors and work participation of workers with...
Article
Steeds meer mensen krijgen tijdens hun werkzame leven te maken met een chronische ziekte. Een belangrijke ontwikkeling in de zorg inclusief de zorg voor werkbehoud en terugkeer naar werk is de centrale rol van de chronisch zieke werkende met regie over zijn/haar gezondheid met hulp van naasten en zorgprofessionals. Zorgprofessionals bieden vooral e...
Article
Sinds haar benoeming tot afdelingshoofd van het Coronel Instituut voor Arbeid en Gezondheid bij het AMC in september 2017 maakte Judith Sluiter er een gewoonte van de medewerkers van de afdeling aan het einde van de week een afdelingsinformatiemail met wetenswaardigheden en ontwikkelingen te sturen. De vlak na Pasen gestuurde afdelingsinformatiemai...
Article
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Purpose: To investigate the burden of visual impairment and comorbid fatigue in terms of impact on daily life, by estimating societal costs (direct medical costs and indirect non-health care costs) accrued by these conditions. Methods: This cost-of-illness study was performed from a societal perspective. Cross-sectional data of visually impaired...
Conference Paper
Full-text available
Introduction Sick leave or work disability, is a major health problem, with negative consequences for the employee, employer and society. In order to prevent or decrease the duration of sick leave, it is important to know which factors influence work participation. Research revealed that besides disease-related factors, person-related factors like...
Conference Paper
Introduction In Workers’ Health Surveillance, workers are presented with their results of preventive tests. How the test results should be presented in this context in order to influence help-seeking behaviour, e.g. visiting a health provider, is not known. The aim of this study is to examine the influence of presentation of the results of a preven...
Conference Paper
Background Having a job is a health-promoting factor, but when a job is performed in unsafe or unhealthy conditions, it can lead to adverse symptoms or disorders. Often, patients go to their general practitioner (GP) first. Giving attention to work and health is a task for both the GP and the occupational physician (OP). In 2014 the Dutch College o...
Conference Paper
Full-text available
Introduction Clinicians need to know whether lumbosacral radiculopathy (LRS) can be attributed to work. Therefore the association between work-related risk factors and clinically assessed LRS has to be established. Methods A systematic review was performed using Pubmed and Embase until March 2017. Inclusion criteria were that LRS was diagnosed by...
Conference Paper
In improving the quality and professional independence of Occupational Safety and Health (OSH) professionals, the development of an evidence-based practice plays a pivotal role. OSH professionals should strive to use scientific evidence as much as possible to support their decisions in daily practice and policy. However, in many situations, still a...
Conference Paper
Introduction In Occupational Health (OH), the application of shared decision making (SDM) is not very well developed. As high level evidence on effectiveness of many OH interventions is scarce and often different options for OH interventions are available, preference-sensitive decisions in OH are prevalent. We studied a theoretical preference-sensi...
Conference Paper
Introduction Assessment of prognosis including improvement of work functioning is challenging and research on this topic is lacking. To make this process more explicit, the following research question was formulated: Which aspects and considerations, difficulties, needs and potential solutions, affecting the prognosis assessment by physicians, work...
Conference Paper
Introduction The rising incidence and prevalence of cancer is affecting many people in the working age. Continuing employment is a positive outcome since for most cancer survivors, work helps with regaining a sense of normality, provides personal satisfaction, and is associated with health-related quality of life. The Netherlands Society of Occupat...