UvA-DARE (Digital Academic Repository) Patient outcomes in dialysis care Merkus, M.P. Link to publication

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1 UvA-DARE (Digital Academic Repository) Patient outcomes in dialysis care Merkus, M.P. Link to publication Citation for published version (APA): Merkus, M. P. (1999). Patient outcomes in dialysis care General rights It is not permitted to download or to forward/distribute the text or part of it without the consent of the author(s) and/or copyright holder(s), other than for strictly personal, individual use, unless the work is under an open content license (like Creative Commons). Disclaimer/Complaints regulations If you believe that digital publication of certain material infringes any of your rights or (privacy) interests, please let the Library know, stating your reasons. In case of a legitimate complaint, the Library will make the material inaccessible and/or remove it from the website. Please Ask the Library: or a letter to: Library of the University of Amsterdam, Secretariat, Singel 425, 1012 WP Amsterdam, The Netherlands. You will be contacted as soon as possible. UvA-DARE is a service provided by the library of the University of Amsterdam ( Download date: 14 Feb 2017

2 Patient Outcomes in Dialysis Care

3 UBA

4 Stellingen bij het proefschrift "Patiënt Outcomes in Dialysis Care" 1. Dialysekenmerken geven onvoldoende informatie over de kwaliteit van leven van de patiënt, dit proefschrift 2. De kwaliteit van leven van dialysepatiënten dient vastgesteld te worden met een combinatie van een generiek en ziektespecifiek meetinstrument, dit proefschrift 3. Interventies gericht op behoud van de nierfunctie en bewaking van de bloeddruk kunnen de gezondheid van de dialysepatiënt verbeteren, dit proefschrift 4. Op de middellange termijn daalt de fysieke kwaliteit van leven van dialysepatiënten, maar blijft de psychosociale gezondheid onveranderd. dit proefschrift 5. Alleen met een gerandomiseerde klinische trial kan de effectiviteit van verschillende dialysevormen worden aangetoond, dit proefschrift 6. Een comorbiditeitsindex die de ernst van ziekte weegt, is een onontbeerlijk meetinstrument in dialyse-onderzoek, dit proefschrift 7. Het louter registreren van personen die geen orgaandonor willen zijn, zal meer 'vruchten' afwerpen dan de huidige procedure. 8. Een promovendus (be)proeft de eigen nieren. 9. "Only the quality and the relevance of the evidence blended with the context and values of the patient will achieve the full benefit of medical evidence for our patients". Walter W. Rosser, Lancet Het is een kapitale fout van de evolutie dat de vrouwelijke vruchtbaarheid verdwijnt rond het 45 c levensjaar terwijl de vruchtbaarheid van mannen blijft voortbestaan. 11. Interdependence is a higher value than independence. Stephen R. Covey, The seven habits of highly effective people 12. If you want peace in the house, do what your wife wants. Afrikaans Mamschka Merkus, 2 juli 1999

5 Patient outcomes in dialysis care Merkus, Maruschka Patricia Cover: Printed by: Marijke van Balen, Mieke Merkus-van der Pool PrintPartners Ipskamp, Enschede, The Netherlands Thesis University of Amsterdam with ref. with summary in Dutch ISBN: This thesis was prepared at the Department of Clinical Epidemiology & Biostatistics in co-operation with the Department of Nephrology, Academic Medical Center, University of Amsterdam, The Netherlands Studies published in this thesis were supported by grant E from the Dutch Kidney Foundation The financial support by the following institutes and companies for the publication of this thesis is gratefully acknowledged: Baxter Nederland BV; Department of Clinical Epidemiology and Biostatistics, AMC; Dutch Kidney Foundation; University of Amsterdam

6 Patient Outcomes in Dialysis Care Academisch Proefschrift ter verkrijging van de graad van doctor aan de Universiteit van Amsterdam, op gezag van de Rector Magnificus Prof.dr. J.J.M. Franse ten overstaan van een door het college voor promoties ingestelde commissie, in het openbaar te verdedigen in de Aula der Universiteit op vrijdag 2 juli 1999, te uur door Mamschka Patricia Merkus geboren te Nijmegen

7 Promotor Prof.dr. R.J. de Haan Copromotores Dr. R.T. Krediet Dr. F.W. Dekker Beoordelingscommissie Prof.dr. L. Arisz (Universiteit van Amsterdam) Prof.dr. E. Briët (Universiteit van Amsterdam) Dr. R. Gokal (University of Manchester) Prof.dr. J.C.J.M, de Haes (Universiteit van Amsterdam) Prof.dr. G.K. van der Hem (Universiteit van Groningen)

8 Aan mijn ouders

9

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