Tjard R J Schermer

Summary

Affiliation: Radboud University Nijmegen Medical Centre
Country: The Netherlands

Publications

  1. pmc Diagnosing asthma in general practice with portable exhaled nitric oxide measurement--results of a prospective diagnostic study: FENO < or = 16 ppb better than FENO < or =12 ppb to rule out mild and moderate to severe asthma [added]
    Antonius Schneider
    Department of General Practice and Health Services Research, University Hospital, University of Heidelberg, Heidelberg, Germany
    Respir Res 10:15. 2009
  2. pmc Diagnostic accuracy of spirometry in primary care
    Antonius Schneider
    Institute of General Practice, Technische Universitat Munchen, Munchen, Germany
    BMC Pulm Med 9:31. 2009
  3. ncbi request reprint Prevention and management of chronic obstructive pulmonary disease (COPD) in primary care: position paper of the European Forum for Primary Care
    Tjard Schermer
    Department of General Practice, Radboud University Nijmegen Medical Centre, The Netherlands
    Qual Prim Care 16:363-77. 2008
  4. doi request reprint Current clinical guideline definitions of airflow obstruction and COPD overdiagnosis in primary care
    T R J Schermer
    Dept of General Practice, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    Eur Respir J 32:945-52. 2008
  5. ncbi request reprint COPD screening in primary care: who is sick?
    Tjard R J Schermer
    Department of General Practice, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    Prim Care Respir J 16:49-53. 2007
  6. ncbi request reprint Lower inhaled steroid requirement with a fluticasone/salmeterol combination in family practice patients with asthma or COPD
    T R J Schermer
    Department of Family Medicine, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    Fam Pract 24:181-8. 2007
  7. ncbi request reprint Exacerbations and associated healthcare cost in patients with COPD in general practice
    T R J Schermer
    Department of General Practice, Radboud University Nijmegen Medical Centre, The Netherlands
    Monaldi Arch Chest Dis 65:133-40. 2006
  8. ncbi request reprint Flow and volume responses after routine salbutamol reversibility testing in mild to very severe COPD
    Tjard Schermer
    Department of General Practice, Radboud University Nijmegen Medical Centre, 6500 HB Nijmegen, The Netherlands
    Respir Med 101:1355-62. 2007
  9. doi request reprint Fluticasone and N-acetylcysteine in primary care patients with COPD or chronic bronchitis
    Tjard Schermer
    Radboud University Nijmegen Medical Centre, Department of General Practice, Nijmegen, The Netherlands
    Respir Med 103:542-51. 2009
  10. ncbi request reprint Referral and consultation in asthma and COPD: an exploration of pulmonologists' views
    T Schermer
    Department of General Practice 229 HSV, University Medical Centre St Radboud, PO Box 9101, 6500 HB Nijmegen, The Netherlands
    Neth J Med 61:71-81. 2003

Detail Information

Publications38

  1. pmc Diagnosing asthma in general practice with portable exhaled nitric oxide measurement--results of a prospective diagnostic study: FENO < or = 16 ppb better than FENO < or =12 ppb to rule out mild and moderate to severe asthma [added]
    Antonius Schneider
    Department of General Practice and Health Services Research, University Hospital, University of Heidelberg, Heidelberg, Germany
    Respir Res 10:15. 2009
    ..To evaluate the sensitivity, specificity and predictive values of fractional exhaled nitric oxide (FENO) for the diagnosis of asthma in general practice...
  2. pmc Diagnostic accuracy of spirometry in primary care
    Antonius Schneider
    Institute of General Practice, Technische Universitat Munchen, Munchen, Germany
    BMC Pulm Med 9:31. 2009
    ....
  3. ncbi request reprint Prevention and management of chronic obstructive pulmonary disease (COPD) in primary care: position paper of the European Forum for Primary Care
    Tjard Schermer
    Department of General Practice, Radboud University Nijmegen Medical Centre, The Netherlands
    Qual Prim Care 16:363-77. 2008
    ....
  4. doi request reprint Current clinical guideline definitions of airflow obstruction and COPD overdiagnosis in primary care
    T R J Schermer
    Dept of General Practice, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    Eur Respir J 32:945-52. 2008
    ..Using pre-bronchodilator spirometry leads to a high rate of false positive interpretations of obstruction in primary care...
  5. ncbi request reprint COPD screening in primary care: who is sick?
    Tjard R J Schermer
    Department of General Practice, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    Prim Care Respir J 16:49-53. 2007
    ..The use of the lower limit of normal (LLN) for the FEV1/FVC ratio instead of a fixed ratio value of 0.70 would be a first rational step towards a better classification of airway obstruction...
  6. ncbi request reprint Lower inhaled steroid requirement with a fluticasone/salmeterol combination in family practice patients with asthma or COPD
    T R J Schermer
    Department of Family Medicine, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    Fam Pract 24:181-8. 2007
    ..Previous studies on inhaled steroid and long-acting beta2-agonist combination products may not be representative for the asthma and chronic obstructive pulmonary disease (COPD) patients in family practice...
  7. ncbi request reprint Exacerbations and associated healthcare cost in patients with COPD in general practice
    T R J Schermer
    Department of General Practice, Radboud University Nijmegen Medical Centre, The Netherlands
    Monaldi Arch Chest Dis 65:133-40. 2006
    ..The objective of this study was to investigate the occurrence rate, management, and healthcare costs of exacerbations in patients with COPD in Dutch general practice...
  8. ncbi request reprint Flow and volume responses after routine salbutamol reversibility testing in mild to very severe COPD
    Tjard Schermer
    Department of General Practice, Radboud University Nijmegen Medical Centre, 6500 HB Nijmegen, The Netherlands
    Respir Med 101:1355-62. 2007
    ..We hypothesized that the association between flow and volume responses would reverse along with the progression of the disease...
  9. doi request reprint Fluticasone and N-acetylcysteine in primary care patients with COPD or chronic bronchitis
    Tjard Schermer
    Radboud University Nijmegen Medical Centre, Department of General Practice, Nijmegen, The Netherlands
    Respir Med 103:542-51. 2009
    ..Increased oxidative stress and bronchial inflammation are important mechanisms in the pathophysiology of COPD...
  10. ncbi request reprint Referral and consultation in asthma and COPD: an exploration of pulmonologists' views
    T Schermer
    Department of General Practice 229 HSV, University Medical Centre St Radboud, PO Box 9101, 6500 HB Nijmegen, The Netherlands
    Neth J Med 61:71-81. 2003
    ..We explored the prevailing views of pulmonologists regarding referral and once-only consultation in asthma and COPD, and compared these views with recently published transmural referral guidelines for GPs and pulmonologists...
  11. ncbi request reprint Profiles of measured and perceived bronchodilation. A placebo-controlled cross-over trial comparing formoterol and salmeterol in moderate persistent asthma
    T R J Schermer
    Department of General Practice 229 HAG, University Medical Centre Nijmegen, P O Box 9101, 6500 HB Nijmegen, The Netherlands
    Pulm Pharmacol Ther 17:205-12. 2004
    ..We also investigated the association between bronchodilator effects and perceived relieve of dyspnoea...
  12. pmc Validity of spirometric testing in a general practice population of patients with chronic obstructive pulmonary disease (COPD)
    T R Schermer
    Department of General Practice, University Medical Centre Nijmegen, The Netherlands
    Thorax 58:861-6. 2003
    ..To investigate the validity of spirometric tests performed in general practice...
  13. doi request reprint Cigarette smoke retention and bronchodilation in patients with COPD. A controlled randomized trial
    Wouter D van Dijk
    Department of Primary and Community Care, Radboud University Nijmegen Medical, Centre, Geert Grooteplein Noord 21, Route 117 ELG, Nijmegen, The Netherlands
    Respir Med 107:112-9. 2013
    ..Our aim was to investigate if bronchodilation causes increased pulmonary retention of cigarette smoke in patients with COPD...
  14. doi request reprint Spirometry expert support in family practice: a cluster-randomised trial
    Patrick J P Poels
    Department of Primary and Community Care, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    Prim Care Respir J 18:189-97. 2009
    ..To assess the impact of two modes of spirometry expert support on Family physicians' (FPs') diagnoses and planned management in patients with apparent respiratory disease...
  15. doi request reprint How do dyspnoea scales compare with measurement of functional capacity in patients with COPD and at risk of COPD?
    Lonneke M Boer
    Department of Medical Psychology, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    Prim Care Respir J 21:202-7. 2012
    ..In primary care, formal functional capacity testing is not always feasible. Guidelines for family practitioners suggest the use of dyspnoea scales to assess exercise tolerance in patients with chronic obstructive pulmonary disease (COPD)...
  16. pmc Comprehensive self management and routine monitoring in chronic obstructive pulmonary disease patients in general practice: randomised controlled trial
    Erik W M A Bischoff
    Department of Primary and Community Care, Radboud University Nijmegen Medical Centre, P O Box 9101, 6500 HB Nijmegen, Netherlands
    BMJ 345:e7642. 2012
    ....
  17. ncbi request reprint General practitioners' needs for ongoing support for the interpretation of spirometry tests
    Patrick J P Poels
    Department of General Practice, Radboud University, Nijmegen Medical Centre, The Netherlands
    Eur J Gen Pract 13:16-9. 2007
    ..Although one out of three general practitioners (GPs) carries out spirometry, the diagnostic interpretation of spirometric test results appears to be a common barrier for GPs towards its routine application...
  18. ncbi request reprint Variation in spirometry utilization between trained general practitioners in practices equipped with a spirometer
    Patrick J P Poels
    Department of General Practice, Radboud University Nijmegen Medical Centre, The Netherlands
    Scand J Prim Health Care 24:81-7. 2006
    ..To explore spirometry utilization among general practitioners and identify practitioner and practice-related factors associated with spirometry utilization...
  19. ncbi request reprint An expert-supported monitoring system for patients with chronic obstructive pulmonary disease in general practice: results of a cluster randomised controlled trial
    Lisette van den Bemt
    Department of Primary and Community Care, Centre for Family Medicine, Geriatric Care and Public Health, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    Med J Aust 191:249-54. 2009
    ..The trial took place from July 2005 to February 2008 in the south-western region of the Netherlands...
  20. doi request reprint Low body mass index, airflow obstruction, and dyspnoea in a primary care COPD patient population
    Lisette van den Bemt
    Radboud University Nijmegen Medical Centre, Department of Primary and Community Care, Centre for Family Medicine, Geriatric Care and Public Health, Nijmegen, The Netherlands
    Prim Care Respir J 19:118-23. 2010
    ..The objective of our study was to explore the existence/co-existence of factors - as per American Thoracic Society (ATS)/European Respiratory Society (ERS) standards - for staging patients in a primary care COPD population...
  21. doi request reprint The acute effect of cigarette smoking on the high-sensitivity CRP and fibrinogen biomarkers in chronic obstructive pulmonary disease patients
    Wouter D van Dijk
    Department of Primary and Community Care, Radboud University Nijmegen Medical Centre, Eerstelijnsgeneeskunde, Huispost 117, Geert Grooteplein Noord 21, 6525EZ, Nijmegen, The Netherlands
    Biomark Med 7:211-9. 2013
    ..25 (p = 0.06). Conclusion: Fibrinogen and hs-CRP increased directly after smoking in the chronic obstructive pulmonary disease patients. Their association with disease risk and/or progression remains to be demonstrated...
  22. pmc Patterns of inflammation and the use of reversibility testing in smokers with airway complaints
    Niels H Chavannes
    Department of General Practice, Caphri Research Institute, Maastricht University, The Netherlands
    BMC Pulm Med 6:11. 2006
    ..This study aimed to reveal what inflammatory patterns prevail in clinically established diagnosis groups, and what factors are associated with eosinophilia...
  23. ncbi request reprint Asthma education tailored to individual patient needs can optimise partnerships in asthma self-management
    Bart P A Thoonen
    Department of General Practice Family Medicine, University Medical Centre St Radboud Nijmegen, Nijmegen, The Netherlands
    Patient Educ Couns 47:355-60. 2002
    ..000). Use of this tailored education program improved the GP-patient interaction within the context of a clinically effective asthma self-management program. Findings from this study may be applicable to other chronic conditions as well...
  24. pmc Quality of routine spirometry tests in Dutch general practices
    Tjard R J Schermer
    Department of Primary and Community Care, Asthma and COPD Research Unit, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    Br J Gen Pract 59:e376-82. 2009
    ..Spirometry is an indispensable tool for diagnosis and monitoring of chronic airways disease in primary care...
  25. doi request reprint Short-acting anticholinergic bronchodilation does not increase cardiovascular events in smokers with mild to moderate pulmonary obstruction
    Emmy de Jong
    Department of Primary and Community Care, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    Respirology 18:663-8. 2013
    ....
  26. doi request reprint Validity of an automated telephonic system to assess COPD exacerbation rates
    Erik W M A Bischoff
    Dept of Primary and Community Care, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    Eur Respir J 39:1090-6. 2012
    ..Patient preference did not differ. TEXAS is a valid tool to assess COPD exacerbation rates in prospective clinical studies. Using different tools to record exacerbations strongly affects exacerbation occurrence rates...
  27. doi request reprint Accuracy and precision of desktop spirometers in general practices
    Tjard R J Schermer
    COPD and Asthma Research and Development Unit, Department of Primary and Community Care, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    Respiration 83:344-52. 2012
    ..The use of invalid spirometry equipment may have consequences on disease diagnosis and management of patients...
  28. doi request reprint Bronchodilation and smoking interaction in COPD: a cohort pilot study to assess cardiovascular risk
    Wouter D van Dijk
    Department of Primary and Community Care, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    Respiration 83:125-32. 2012
    ..However, little is known about whether or not these elements interact in terms of developing cardiovascular diseases in patients with COPD...
  29. ncbi request reprint Vocational and working career of asthmatic adolescents is only slightly affected
    Karin H Orbon
    Department of Pulmonology Dekkerswald, Netherlands Expert Centre for Occupational Respiratory Disorders, Radboud University Nijmegen Medical Centre, P O Box 9001 6560 GB Groesbeek, The Netherlands
    Respir Med 100:1163-73. 2006
    ....
  30. pmc Trends in COPD prevalence and exacerbation rates in Dutch primary care
    Erik W M A Bischoff
    Department of Primary and Community Care, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    Br J Gen Pract 59:927-33. 2009
    ..Changes in the burden of chronic obstructive pulmonary disease (COPD) and its exacerbations on primary health care are not well studied...
  31. pmc Structuring and validating a cost-effectiveness model of primary asthma prevention amongst children
    G Feljandro P Ramos
    Department of General Practice, CAPHRI School for Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands
    BMC Med Res Methodol 11:150. 2011
    ..In this paper, we describe a procedure to structure and validate a model for the primary prevention of asthma in children...
  32. ncbi request reprint Willingness of patients to perform self-management of asthma and the role of inhaled steroids
    Bart P A Thoonen
    Department of General Practice, University Medical Centre St Radboud, Nijmegen, The Netherlands
    Scand J Prim Health Care 20:60-4. 2002
    ..Acceptance by patients may be a barrier for successful implementation. In this study, the role of inhaled steroids in starting asthma self-management is described...
  33. pmc Multidimensional prognostic indices for use in COPD patient care. A systematic review
    Wouter D van Dijk
    Radboud University Nijmegen Medical Centre, Department of Primary and Community Care, Nijmegen, The Netherlands
    Respir Res 12:151. 2011
    ..Our aim is to identify, summarize and compare all published prognostic COPD indices, and to discuss their performance, usefulness and implementation in daily practice...
  34. doi request reprint Effects of written action plan adherence on COPD exacerbation recovery
    Erik W M A Bischoff
    Department of Primary and Community Care, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
    Thorax 66:26-31. 2011
    ..The aims of this study were to assess the effects of adherence to a written action plan on exacerbation recovery time and unscheduled healthcare utilisation and to explore factors associated with action plan adherence...
  35. pmc Spirometry in chronic obstructive pulmonary disease
    Patrick J P Poels
    BMJ 333:870-1. 2006
  36. ncbi request reprint Severity distribution of chronic obstructive pulmonary disease (COPD) in Dutch general practice
    Martine Hoogendoorn
    Institute for Medical Technology Assessment, Erasmus MC, P O Box 1738, 3000 DR Rotterdam, The Netherlands
    Respir Med 100:83-6. 2006
    ..This distribution will most likely shift to the less severe stages when under-reporting and under-diagnosis are reduced...
  37. ncbi request reprint Measuring asthma control is not just relevant for clinical studies
    Lotte van den Nieuwenhof
    J Allergy Clin Immunol 120:728; author reply 729. 2007
  38. ncbi request reprint [Good wine needs no bush: quality spirometry in a primary care setting is possible]
    Patrick J P Poels
    Arch Bronconeumol 43:473. 2007