ArticleJMIR research protocols2018
Implementation and Effects of Risk-Dependent Obstetric Care in the Netherlands (Expect Study II): Protocol for an Impact Study.
Article in JMIR research protocols, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Counseling pregnant women on calcium: effects on calcium intake.Journal of perinatal medicine · 2023Article
- Adherence rates to a prediction tool identifying women with an increased gestational diabetes risk: An implementation study.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2021Article
- Low-dose-aspirin usage among women with an increased preeclampsia risk: A prospective cohort study.Acta obstetricia et gynecologica Scandinavica · 2020Article
- Implementing a Preeclampsia Prediction Model in Obstetrics: Cutoff Determination and Health Care Professionals' Adherence.Medical decision making : an international journal of the Society for Medical Decision Making · 2020Article
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10 authors.
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Abstract
backgroundRecently, validated risk models predicting adverse obstetric outcomes combined with risk-dependent care paths have been made available for early antenatal care in the southeastern part of the Netherlands. This study will evaluate implementation progress and impact of the new approach in obstetric care.
objectiveThe objective of this paper is to describe the design of a study evaluating the impact of implementing risk-dependent care. Validated first-trimester prediction models are embedded in daily clinical practice and combined with risk-dependent obstetric care paths.
methodsA multicenter prospective cohort study consisting of women who receive risk-dependent care is being performed from April 2017 to April 2018 (Expect Study II). Obstetric risk profiles will be calculated using a Web-based tool, the Expect prediction tool. The primary outcomes are the adherence of health care professionals and compliance of women. Secondary outcomes are patient satisfaction and cost-effectiveness. Outcome measures will be established using Web-based questionnaires. The secondary outcomes of the risk-dependent care cohort (Expect II) will be compared with the outcomes of a similar prospective cohort (Expect I). Women of this similar cohort received former care-as-usual and were prospectively included between July 1, 2013 and December 31, 2015 (Expect I).
resultsCurrently, women are being recruited for the Expect Study II, and a total of 300 women are enrolled.
conclusionsThis study will provide information about the implementation and impact of a new approach in obstetric care using prediction models and risk-dependent obstetric care paths.
trial registrationNetherlands Trial Register NTR4143; http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=4143 (Archived by WebCite at http://www.webcitation.org/6t8ijtpd9).
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