Purpose: Breast cancer follow-up (surveillance and aftercare) varies from one-size-fits-all to more personalised approaches. A systematic review was performed to get insight in existing evidence on (cost-)efectiveness of personalised follow-up. Methods: PubMed, Scopus and Cochrane were searched between 01–01-2010 and 10–10-2022 (review registered in PROSPERO:CRD42022375770). The inclusion population comprised nonmetastatic breast cancer patients≥18 years, after completing curative treatment. All intervention-control studies studying personalised surveillance and/or aftercare designed for use during the entire follow-up period were included. All review processes including risk of bias assessment were performed by two reviewers. Characteristics of included studies were described. Results: Overall, 3708 publications were identifed, 64 full-text publications were read and 16 were included for data extraction. One study evaluated personalised surveillance. Various personalised aftercare interventions and outcomes were studied. Most common elements included in personalised aftercare plans were treatment summaries (75%), follow-up guidelines (56%), lists of available supportive care resources (38%) and PROs (25%). Control conditions mostly comprised usual care. Four out of seven (57%) studies reported improvements in quality of life following personalisation. Six studies (38%) found no personalisation efect, for multiple outcomes assessed (e.g. distress, satisfaction). One (6.3%) study was judged as low, four (25%) as high risk of bias and 11 (68.8%) as with concerns. Conclusion: The included studies varied in interventions, measurement instruments and outcomes, making it impossible to draw conclusions on the efectiveness of personalised follow-up. There is a need for a definition of both personalised surveillance and aftercare, whereafter outcomes can be measured according to uniform standards.
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A-footprint is een internationaal gezamenlijk onderzoeks- en innovatie initiatief van 13 kennisinstellingen en orthopedische bedrijven. Het doel is om nieuwe voetorthesen (VO) en enkel-voetorthese (EVO) te ontwikkelen voor veel voorkomende aandoeningen. Het gehele proces van digitaal aanmeten, het digitaal verwerken, maar ook simuleren, tot en met het met behulp van snelle productietechnieken vervaardigen van EVO’s, wordt hierbij meegenomen. Het doel is om een systeem te ontwikkelen dat het mogelijk maakt om een individueel naar maat, op vorm (geometrie voor de pasvorm, comfort en esthetiek) en functie (vanuit biomechanisch oogpunt) orthopedische schoen of enkel-voetorthese te kunnen leveren. Een snelle beschikbaarheid voor cliënt op een kosten- efficiënte basis is het uitgangspunt.
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Creating and testing a Virtual Reality Therapy Application to reduce alcohol addiction. Develop and test a Virtual Reality application to be used in therapy, within Novadic Kentron, that helps people deal with alcohol addiction. By recreating real contexts in VR that either stimulate craving or elicit positive feelings, the VR application should increase, for example, self-confidence to deal with these situations and reduce relapse risks. In addition, together with students from BUas and other universities, we study the effects of different forms of realism and resemblance within virtual reality worlds. We are testing, among other things, differences between CGI-created and 360-recorded worlds that differ in level of personalisation.Partner:Novadic-Kentron
