Dirk T Ubbink

Dirk T Ubbink
Amsterdam University Medical Centers - location Academic Medical Center - University of Amsterdam

Professor

About

392
Publications
105,128
Reads
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12,407
Citations
Additional affiliations
February 2018 - present
Amsterdam University Medical Centers
Position
  • Professor (Full)
Description
  • Evidence-Based Medicine and Shared Decision-Making
May 2014 - present
Academisch Medisch Centrum Universiteit van Amsterdam
Position
  • Principal Investigator
Description
  • Research line: evidence-based medicine and shared decision-making in surgery
January 2014 - May 2014
Academisch Medisch Centrum Universiteit van Amsterdam
Position
  • Senior Researcher

Publications

Publications (392)
Article
Full-text available
OBJECTIVE: To identify and compare tools to assess Evidence-Based Practice (EBP) behaviour among healthcare professionals. DESIGN: Systematic review. DATA SOURCES: MEDLINE, EMBASE, Cochrane Library, PsychInfo and CINAHL up to July 2011. STUDY SELECTION: Titles, abstracts and eligible full text articles were screened by two reviewers independently....
Article
Full-text available
Hyperbaric oxygen therapy (HBOT) is used to treat various wound types. However, the possible beneficial and harmful effects of HBOT for acute wounds are unclear. We undertook a systematic review to evaluate the effectiveness of HBOT compared to other interventions on wound healing and adverse effects in patients with acute wounds. To detect all ava...
Article
Surgical site infection (SSI) remains an important complication of cardiac surgery. Prevention is important, as SSI is associated with high mortality and morbidity rates. Incisional care is an important daily issue for surgeons. However, there is still scant scientific evidence on which guidelines can be based. A randomized clinical trial was perfo...
Article
Full-text available
Background: There is limited evidence on the best available treatment options for capillary malformations (CMs), mainly due to the absence of uniform outcome measures in trials on therapies. A Core Outcome Set (COS) enables standard reporting of trial outcomes, which facilitates comparison of treatment results. Objectives: To develop a core outc...
Article
Objectives Although patients with vascular diseases often face multiple treatment options with different risks and benefits, the application of shared decision-making (SDM) appears to remain low. In SDM, clinicians and their patients work together to decide upon the treatment option that best fits the patient’s situation and preference. This study...
Article
Background: For various vascular surgical disorders different treatment options are available and feasible. Hence, vascular surgery seems an area par excellence for shared decision-making (SDM), in which clinicians incorporate patients' preferences into the final treatment decision. However, current SDM-levels in vascular surgical outpatient clini...
Article
Objective To compare CollaboRATE and SDM-Q-9 questionnaires when appreciating patient-perceived level of shared decision-making (SDM) in doctor-patient consultations. Methods Data were harvested from five separate studies on SDM, conducted in three university and one large community hospital in the Netherlands, using Dutch versions of both questio...
Preprint
BACKGROUND Shared decision-making (SDM) is particularly important in oncology since many treatments involve serious side effects, and treatment decisions involve a trade-off of benefits and risks. However, implementation of SDM in oncology care is challenging and clinicians state that it is difficult to apply SDM in their actual workplace. Training...
Article
Background: Shared decision-making (SDM) is particularly important in oncology as many treatments involve serious side effects, and treatment decisions involve a trade-off between benefits and risks. However, the implementation of SDM in oncology care is challenging, and clinicians state that it is difficult to apply SDM in their actual workplace....
Article
Full-text available
Objectives Little is known about the impact of standardized imaging surveillance on anxiety levels and well-being of patients after endovascular aortic aneurysm repair (EVAR). We hypothesize that patient anxiety levels increase just before receiving the imaging results compared with standard anxiety levels. Methods Prospective cohort study from No...
Article
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Based on the United Nations Conventions on the Rights of the Child (CRC), it is a child’s right to participate in all matters concerning its wellbeing. Little is known about chronically and/or critically ill children’s participation in pediatric shared decision-making (SDM). We explored medical literature to see if and how these children participat...
Article
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Background Capillary malformations of the head and neck region often cause psychological and physical burden. As the effectiveness of modern laser and light therapies is still suboptimal, patients often seek different therapeutic strategies. Other recognized, but not routinely proposed therapies include cosmetic camouflage, surgery, and medical tat...
Article
In January 2020, the Dutch law on the medical treatment agreement was updated. In this update, shared decision-making is explicitly mentioned as a prerequisite during doctor-patient encounters. This entails explicit exploration of the patient's wishes, views and preferences and their integration in medical decision-making. There is growing interest...
Chapter
Medicine in the twentieth century was practiced by highly esteemed physicians trained by even more esteemed professors, whose statements you would not dare to question. With the rise of scientific research and discoveries, new medicines, surgical techniques, and insights into the origin of diseases emerged. A peptic ulcer, for example, was initiall...
Article
Full-text available
Background: Due to a large variety in treatment outcomes reported in therapeutic trials and lacking patient-relevant outcomes, it is hard to adequately compare and improve current therapies for patients with capillary malformations (CMs). The Core Outcome Set for Capillary Malformations (COSCAM) project aims to develop a core outcome set (COS) for...
Article
Full-text available
Objective Evaluation of a multilevel implementation program on shared decision making (SDM) for breast cancer clinicians. Methods The program was based on the ‘Measurement Instrument for Determinants of Innovations-model’ (MIDI). Key factors for effective implementation were included. Eleven breast cancer teams selected from two geographical areas...
Article
Objective: Critical limb threatening ischaemia (CLTI) is the most severe form of peripheral arterial disease. International guidelines recommend arterial revascularisation in patients with CLTI. However, these patients are often fragile elderly people with significant comorbidities, whose vascular anatomy is not always suitable for open or endovas...
Article
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Background Since 1999, international guidelines recommend fasting from solid foods up to 6 hours and clear liquids up to 2 hours before surgery. Early recovery after surgery programs recommend restoration of oral intake as soon as possible. This study determines adherence to these guidelines up to 20 years after its introduction. Methods A 2-cente...
Chapter
Om te zorgen voor een hoge kwaliteit van zorg, moeten we niet alleen onderzoek doen, maar dat ook goed doen. Een gerandomiseerd klinisch onderzoek (randomised clinical trialkwantitatief onderzoekrandomised clinical trials; RCT) is een van de bekendste manieren om wetenschappelijk onderzoek te doen, zowel in de gezondheidszorg als daarbuiten. En ter...
Chapter
Systematic reviews, in het Nederlands systematische literatuuroverzichten genoemd, geven een overzicht van het wereldwijd beschikbare bewijsmateriaal (evidence) over een bepaalde (be)handeling. Deze literatuuronderzoekenliteratuuronderzoeksystematic review van interventieonderzoek zijn bedoeld om een overzicht te krijgen van wat er bekend is over d...
Article
Full-text available
Background Women with newly diagnosed breast cancer face multiple treatment options. Involving them in a shared decision-making (SDM) process is essential. The aim of this study was to evaluate whether a multilevel implementation programme enhanced the level of SDM behaviour of clinicians observed in consultations. Methods This before–after study...
Article
Background Shared decision-making (SDM) is known to improve quality of care. Particularly in vascular surgery treatment options are often preference-sensitive. Unfortunately, vascular surgeons infrequently apply SDM. Decision support tools (DSTs) have been shown to be helpful in SDM. Objective This article describes the development process of thre...
Article
Full-text available
Background: Shared decision-making improves the quality of patient care. Unfortunately, shared decision-making is not yet common practice among vascular surgeons. Thus, decision support tools were developed to assist vascular surgeons and their patients in using shared decision-making. This trial aims to evaluate the effectiveness and implementati...
Article
Full-text available
Background Individuals with a very high lifetime risk of developing pancreatic ductal adenocarcinoma; for example, hereditary pancreatitis and main-duct or mixed-type intraductal papillary mucinous neoplasm, may wish to discuss prophylactic total pancreatectomy but strategies to do so are lacking. Objective To develop a shared decision-making prog...
Article
Full-text available
Background Surgeons must discuss the most severe surgical complications with their patients while making a treatment decision. However, it is unclear which complications patients deem most severe. This study aimed to have patients classify potential complications following abdominal aortic aneurysm surgery based on severity using best–worst scaling...
Article
Full-text available
Background: Diabetic foot ulcers (DFUs) are frequently associated with peripheral arterial occlusive disease (PAOD) and may ultimately lead to amputations of the lower extremity. Adjuvant hyperbaric oxygen treatment (HBOT) might foster better wound healing and lower amputation rates in patients with DFU and PAOD. A systematic review was conducted...
Article
Full-text available
Introduction Strict imaging surveillance protocols to detect complications following endovascular aneurysm repair (EVAR) are common practice. However, controversy exists as to whether all EVAR patients need intense surveillance. The 2019 European Society for Vascular Surgery guidelines for management of abdominal aortic aneurysm (AAA) suggest that...
Article
Purpose: This study attempted to determine the clinical effectiveness of the intraoperative use of 3-dimensional fluoroscopy compared with conventional 2-dimensional fluoroscopy in patients with distal radius fractures. Methods: We performed a multicenter randomized clinical trial in which 206 patients were randomized between the use of 3-dimens...
Article
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Background: Standardized reporting methods facilitate comparisons between studies. Reporting of data on benefits and harms of treatments in surgical RCTs should support clinical decision-making. Correct and complete reporting of the outcomes of clinical trials is mandatory to appreciate available evidence and to inform patients properly before ask...
Article
Full-text available
Background The recent emphasis on value‐based health care (VBHC) is thought to provide new opportunities for shared decision‐making (SDM) in the Netherlands, especially when using patient‐reported outcome measures (PROMs) in routine medical encounters. It is still largely unclear about how PROMs could be linked to SDM and what we expect from clinic...
Chapter
In the present era of evidence‐based medicine, the use of best available evidence has become an essential part of clinical decision‐making to ensure and improve quality of care. To meet this desire, scientific research needs to be designed and conducted properly to render reliable evidence. A clear and concise, but at the same time comprehensive an...
Article
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We read with great interest the article by Golledge and Singh [1]. Although the article is well‐written according to the Preferred Reporting Items for Systematic reviews and Meta‐Analyses (PRISMA) statement, we do not agree on the inclusion and exclusion criteria used in the review and the subsequent inferences.
Article
Full-text available
Diabetic foot ulcers are a common complication of diabetes, which affects 25% of patients and may ultimately lead to amputation of affected limbs. Research suggests hyperbaric oxygen therapy improves healing of these ulcers. However, this has not been reflected in previous reviews, possibly because they did not differentiate between patients with a...
Article
Full-text available
Background: The complications discussed with patients by surgeons prior to surgery vary, because no consensus on major complications exists. Such consensus may improve informed consent and shared decision-making. This study aimed to achieve consensus among vascular surgeons on which complications are considered 'major' and which 'minor,' following...
Article
Objectives The Society for Vascular Surgery has proposed the Wound, Ischaemia, and foot Infection (WIfI) classification system as a prognostic tool for the one year amputation risk and the added value of revascularisation in patients with chronic limb threatening ischaemia (CLTI). This systematic review summarises the current evidence on the progno...
Article
Full-text available
Purpose: To study the effects of imaging surveillance after endovascular aortic repair (EVAR) on reintervention and mortality. Materials and methods: A systematic review was conducted comparing complication rates in EVAR patients compliant with the imaging surveillance protocol vs partially or noncompliant patients. Two authors independently sel...
Article
Objectives: High-quality reporting of surgical risks is necessary for evidence-based risk communication in clinical practice. Risk communication is defined as the process of discussing benefits and harms of treatment options with patients. This review addressed the current quality of reporting of complications and mortality in publications on abdom...
Article
Objectives: The aim of this study was to determine the correlation of the intra-operative fluoroscopic 2D- and 3D-images compared with a postoperative CT-scan, in terms of quality of reduction and fixation of calcaneal fractures. Methods: Patients requiring open reduction and internal fixation (ORIF) of a calcaneal fracture were recruited as part o...
Article
Full-text available
Purpose: Cranioplasty is customary after decompressive craniectomy. Many different materials have been developed and used for this procedure. The ideal material does not yet exist, while complication rates in cranioplasties remain high. This study aimed to determine factors related to autologous bone flap failure. Materials and methods: In this...
Data
Appendix S1 Search strategy Table S1 Risk of bias analysis
Article
Full-text available
Background Multiple treatment options are generally available for most diseases. Shared decision‐making (SDM) helps patients and physicians choose the treatment option that best fits a patient's preferences. This review aimed to assess the extent to which SDM is applied during surgical consultations, and the metrics used to measure SDM and SDM‐rela...
Article
Full-text available
Objective To reach consensus on which complications of varicose vein treatments physicians consider major or minor, in order to standardize the informed consent procedure and improve shared decision-making. Methods Using the e-Delphi method, expert physicians from 10 countries were asked to rate complications as “major” or “minor” on a 5-point Lik...
Article
Full-text available
Background: Currently, various materials are routinely used for cranioplasty after decompressive craniectomy, each with their own features, potential benefits, and harms. Objectives: To systematically review available literature about safety (infection, resorption, and removal) of different materials used for cranioplasty for any indication. Me...
Article
Objective: To prioritize strategies to implement shared decision-making (SDM) in daily practice, resulting in an agenda for a nationwide approach. Methods: This was a qualitative, exploratory investigation involving: Interviews (N = 43) to elicit perceived barriers to and facilitators of change, focus group discussions (N = 51) to develop an imp...
Article
Full-text available
Background: Ileostomy construction is a common procedure but can be associated with morbidity. The stoma is commonly secured to the skin using transcutaneous sutures. It is hypothesized that intracutaneous sutures result in a tighter adherence of the peristomal skin to the stoma plate to prevent faecal leakage. The study aimed to compare the effec...
Article
Full-text available
Introduction Previous studies demonstrated that intra-operative fluoroscopic 3D-imaging (3D-imaging) in calcaneal fracture surgery is promising to prevent revision surgery and save costs. However, these studies limited their focus to corrections performed after 3D-imaging, thereby neglecting corrections after intra-operative fluoroscopic 2D-imaging...
Article
Objective: Conflicting evidence exists on the effects of hyperbaric oxygen therapy (HBOT) in the treatment of chronic ischemic leg ulcers. The aim of this trial was to investigate whether additional HBOT would benefit patients with diabetes and ischemic leg ulcers. Research design and methods: Patients with diabetes with an ischemic wound (n = 1...
Article
Full-text available
Introduction: Up to date, there is a lack of reliable protocols that systematically evaluate the quality of reduction and hardware positioning of surgically treated calcaneal fractures. Based on international consensus, we previously introduced a 23-item scoring protocol evaluating the reduction and hardware positioning in these fractures based on...
Article
Full-text available
Background Shared decision-making (SDM) seeks to involve both patients and clinicians in decision-making about possible health management strategies, using patients’ preferences and best available evidence. SDM seems readily applicable in anesthesiology. We aimed to determine the current level of SDM among preoperative patients and anesthesiology c...
Article
Introduction: Insight in epidemiologic data of extremity fractures is relevant to identify people at risk. By analyzing age- and gender specific fracture incidence and treatment patterns we may adjust future policy, take preventive measures and optimize health care management. Current epidemiologic data on extremity fractures and their treatment a...
Article
Background: In general, communication is an important aspect during surgeon-patient consultations. However, clear communication of the benefits and risks of the possible treatment options can be challenging. Visual presentation of information may increase patient comprehension. We developed and piloted a web-based application that provides graphic...