1
|
Wienke A, Seibert KV. [Consequences of poor patient compliance : Or: The Taming of the Shrew]. HNO 2024; 72:375-376. [PMID: 37801100 DOI: 10.1007/s00106-023-01359-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/22/2023] [Indexed: 10/07/2023]
Affiliation(s)
- Albrecht Wienke
- Wienke & Becker - Köln, Sachsenring 6, 50677, Köln, Deutschland.
| | | |
Collapse
|
2
|
Wienke A, Seibert KV. Der Widerspenstigen Zähmung oder Die Auswirkungen mangelhafter Patientencompliance. Laryngorhinootologie 2024; 103:294-295. [PMID: 38565109 DOI: 10.1055/a-2136-1323] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/04/2024]
|
3
|
Wienke A, Seibert KV. [The expert goes online : Videoconference instead of face-to-face meetings]. HNO 2024; 72:207-209. [PMID: 37715001 DOI: 10.1007/s00106-023-01350-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/02/2023] [Indexed: 09/17/2023]
Affiliation(s)
- Albrecht Wienke
- Wienke & Becker - Köln, Sachsenring 6, 50677, Köln, Deutschland.
| | | |
Collapse
|
4
|
Wienke A, Seibert KV. Der Sachverständige geht online. Laryngorhinootologie 2024; 103:133-134. [PMID: 38320567 DOI: 10.1055/a-2112-7635] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2024]
|
5
|
Wienke A. [Hypothetical patient consent]. HNO 2024; 72:54-56. [PMID: 36633640 DOI: 10.1007/s00106-022-01268-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/12/2022] [Indexed: 01/13/2023]
Affiliation(s)
- Albrecht Wienke
- Wienke & Becker - Köln, Sachsenring 6, 50677, Köln, Deutschland.
| |
Collapse
|
6
|
Deitmer T, Beck CE, Becke-Jakob K, Eich C, Hackenberg S, Hoffmann TK, Koitschev A, Löhler J, Röher K, Sittel C, Welkoborsky HJ, Wienke A, Badelt G. [Statement on the lower age limit for outpatient adenotomies and tonsillotomies]. Laryngorhinootologie 2024; 103:17-24. [PMID: 38086413 DOI: 10.1055/a-2216-8474] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2024]
Abstract
At the beginning of 2023, there have been significant changes to the regulations for outpatient surgery in Germany, which were set out in a trilateral self-administration agreement between the umbrella association of statutory health insurance companies, the German Hospital Association and the Federal Association of Statutory Health Insurance Physicians. Among other things, a catalog stated circumstances under which an operation should not be carried out on an outpatient basis or should only be carried out with doubt. This catalog explains the patient's age: up to the first year of life, inpatient performance of a service can be justified. This formulation in itself means that children from one year of age on should regularly undergo outpatient surgery.In the german scientific societies for otolaryngology, head and neck surgery as well as for anesthesiology and intensive care medicine, doubts arose as to whether this age limit could also be scientifically justified for operations in the throat such as adenotomy or tonsillotomy.A search was carried out in international guidelines and in the international literature and the statements were evaluated. The results of this literature search were discussed with representatives of the Pediatric Otorhinolaryngology Working Group (AG PädHNO) of the German Society for Otorhinolaryngology, Head and Neck Surgery (DGHNO-KHC) and the scientific working group for pediatric anesthesia (WAKKA) of the German Society for Anesthesiology and Intensive Care Medicine (DGAI) in conferences.The consensus revealed that a strict age limit of the first year of life is not appropriate for the outpatient performance of adenotomies and tonsillotomies. First of all, specifying a strict age limit is questionable because, regardless of age, a number of other medical and social factors influence the responsible performance of outpatient operations. Furthermore, the age limit of one year is not considered appropriate in view of literature, guidelines and practical experience in the international area. The assessment of the literature and the consideration of the implementation in the international area make an age limit in the range of 2-3 years seem more appropriate.This review provides the responsible doctors with a variety of insights, aspects and arguments so that they can make their decision to carry out these operations on an outpatient or inpatient basis appropriately and responsibly.
Collapse
Affiliation(s)
- T Deitmer
- Arbeitsgemeinschaft pädiatrische HNO-Heilkunde (AG PädHNO) der Deutschen Gesellschaft für HNO-Heilkunde, Kopf- und Hals-Chirurgie (DGHNO-KHC), Bonn
| | - C E Beck
- Wissenschaftlicher Arbeitskreis Kinderanästhesie (WAKKA) der Deutschen Gesellschaft für Anästhesiologie und Intensivmedizin (DGAI), Klinik für Anästhesiologie und Intensivmedizin, Medizinische Hochschule Hannover, Hannover
| | - K Becke-Jakob
- Wissenschaftlicher Arbeitskreis Kinderanästhesie (WAKKA) der Deutschen Gesellschaft für Anästhesiologie und Intensivmedizin (DGAI), Berufsverband Deutscher Anästhesistinnen und Anästhesisten. Klinik Hallerwiese-Cnopfsche Kinderklinik, Nürnberg
| | - C Eich
- Wissenschaftlicher Arbeitskreis Kinderanästhesie (WAKKA) der Deutschen Gesellschaft für Anästhesiologie und Intensivmedizin (DGAI), Abteilung Anästhesie, Kinderintensiv- und Notfallmedizin, Kinder- und Jugendkrankenhaus Auf der Bult, Hannover
| | - S Hackenberg
- Arbeitsgemeinschaft pädiatrische HNO-Heilkunde (AG PädHNO) der Deutschen Gesellschaft für HNO-Heilkunde, Kopf- und Hals-Chirurgie (DGHNO-KHC), Klinik und Poliklinik für Hals-, Nasen- und Ohrenkrankheiten, plastische und ästhetische Operationen, Universitätsklinikum Würzburg
| | - T K Hoffmann
- Arbeitsgemeinschaft pädiatrische HNO-Heilkunde (AG PädHNO) der Deutschen Gesellschaft für HNO-Heilkunde, Kopf- und Hals-Chirurgie (DGHNO-KHC), Klinik für Hals-Nasen-Ohrenheilkunde, Kopf- und Hals-Chirurgie, Universitätsklinikum Ulm
| | - A Koitschev
- Arbeitsgemeinschaft pädiatrische HNO-Heilkunde (AG PädHNO) der Deutschen Gesellschaft für HNO-Heilkunde, Kopf- und Hals-Chirurgie (DGHNO-KHC), Klinik für Hals-Nasen-Ohrenkrankheiten, Plastische Operationen, Klinikum Stuttgart
| | - J Löhler
- Deutscher Berufsverband der HNO-Ärzte, Neumünster
| | - K Röher
- Wissenschaftlicher Arbeitskreis Kinderanästhesie (WAKKA) der Deutschen Gesellschaft für Anästhesiologie und Intensivmedizin (DGAI), Klinik und Poliklinik für Anästhesiologie, Universitätsklinikum Eppendorf, Hamburg
| | - C Sittel
- Arbeitsgemeinschaft pädiatrische HNO-Heilkunde (AG PädHNO) der Deutschen Gesellschaft für HNO-Heilkunde, Kopf- und Hals-Chirurgie (DGHNO-KHC), Klinik für Hals-Nasen-Ohrenkrankheiten, Plastische Operationen, Klinikum Stuttgart
| | - H J Welkoborsky
- Arbeitsgemeinschaft pädiatrische HNO-Heilkunde (AG PädHNO) der Deutschen Gesellschaft für HNO-Heilkunde, Kopf- und Hals-Chirurgie (DGHNO-KHC), Klinik für HNO-Heilkunde, Krankenhaus Nordstadt, Kliniken Region Hannover
| | - A Wienke
- Fachanwalt für Medizinrecht, Justiziar der Deutschen Gesellschaft für HNO-Heilkunde, Kopf- und Hals-Chirurgie (DGHNO-KHC), Bonn
| | - G Badelt
- Wissenschaftlicher Arbeitskreis Kinderanästhesie (WAKKA) der Deutschen Gesellschaft für Anästhesiologie und Intensivmedizin (DGAI), Klinik für Anästhesie und Kinderanästhesie, Krankenhaus Barmherzige Brüder Regensburg, Klinik St. Hedwig, Regenburg
| |
Collapse
|
7
|
Stöver T, Plontke SK, Guntinas-Lichius O, Welkoborsky HJ, Zahnert T, Delank KW, Deitmer T, Esser D, Dietz A, Wienke A, Loth A, Dazert S. [Structure and establishment of the German Cochlear Implant Registry]. HNO 2023; 71:767-778. [PMID: 37198274 PMCID: PMC10663275 DOI: 10.1007/s00106-023-01309-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/25/2023] [Indexed: 05/19/2023]
Abstract
Hearing rehabilitation of patients with severe hearing loss or deafness using cochlear implants (CI) is a very successful but also complex and lifelong process that requires high quality standards for structure, process, and results. Medical registries represent an ideal tool for conducting quality control relevant to care while at the same time collecting scientific data. Therefore, at the initiative of the Executive Committee of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery (DGHNO-KHC), a Germany-wide CI registry (the German Cochlear Implant Register, DCIR) was to be established. The following goals were to be achieved: 1) legal and contractual basis for the register; 2) definition of the register contents; 3) development of evaluation standards (hospital-specific and national annual reports); 4) development of a logo; 5) practical operation of the registry. After defining a catalog of services that defines the content, structure, and operation of the DCIR, a registry operator with audiological expertise was sought. After considering various offers, the registry was technically implemented in cooperation with the provider INNOFORCE (Ruggell, Liechtenstein) as registry operator. This also included the realization of an interface for data transfer from previously existing databases and development of a data protection concept for productive operation of the DCIR under the scientific leadership of the DGHNO-KHC Executive Committee. Since January 2022, it has been possible for participating hospitals to enter pseudonymized data into the DCIR. To date, 75 hospitals in Germany have contractually agreed to participate in the registry. During the first 15 months, data from over 2500 implants in over 2000 patients were registered in the DCIR. The work presented here describes the structuring, development, and successful establishment of the DCIR. Introduction of the DCIR represents an important milestone of future scientifically based quality control in CI care. The registry presented here can therefore be considered as an example for other areas of medical care and thus also sets an international standard.
Collapse
Affiliation(s)
- T Stöver
- Klinik für Hals‑, Nasen‑, Ohrenheilkunde, Universitätsklinikum Frankfurt, Theodor-Stern-Kai 7, 60590, Frankfurt, Deutschland.
| | - S K Plontke
- Klinik für Hals‑, Nasen‑, Ohrenheilkunde, Kopf- und Halschirurgie, Universitätsmedizin Halle, Halle (Saale), Deutschland
| | - O Guntinas-Lichius
- Klinik für Hals‑, Nasen- und Ohrenheilkunde, Universitätsklinikum Jena, Jena, Deutschland
| | - H-J Welkoborsky
- Klinik für Hals‑, Nasen‑, Ohrenheilkunde, Klinikum Nordstadt, Hannover, Deutschland
| | - T Zahnert
- Klinik für Hals‑, Nasen- und Ohrenheilkunde, Universitätsklinikum Dresden, Dresden, Deutschland
| | - K W Delank
- Hals-Nasen-Ohren-Klinik, Klinikum Ludwigshafen, Ludwigshafen, Deutschland
| | | | | | - A Dietz
- Klinik für Hals‑, Nasen‑, Ohrenheilkunde, Universitätsklinikum Leipzig, Leipzig, Deutschland
| | - A Wienke
- Kanzlei WBK, Rechtsanwalt Fachanwalt Medizinrecht, Köln, Deutschland
| | - A Loth
- Klinik für Hals‑, Nasen‑, Ohrenheilkunde, Universitätsklinikum Frankfurt, Theodor-Stern-Kai 7, 60590, Frankfurt, Deutschland
| | - S Dazert
- Universitätsklinik für Hals‑, Nasen-, und Ohrenheilkunde, St. Elisabeth Hospital, Bochum, Deutschland
| |
Collapse
|
8
|
Wienke A. Entziehung der Fahrerlaubnis bei Altersschwerhörigkeit? Laryngorhinootologie 2023; 102:953-955. [PMID: 38048772 DOI: 10.1055/a-2104-3852] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/06/2023]
|
9
|
Wienke A. Fortschritt für die Ambulantisierung? Laryngorhinootologie 2023; 102:773-776. [PMID: 37793377 DOI: 10.1055/a-2003-4837] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/06/2023]
|
10
|
Wienke A. Die hypothetische Einwilligung des Patienten. Zentralbl Chir 2023; 148:396-397. [PMID: 37846162 DOI: 10.1055/a-2054-6511] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2023]
|
11
|
Bernauer R, Wienke A. [When issuing continuing education certificates: better not turn a blind eye]. HNO 2023; 71:678-680. [PMID: 36633642 DOI: 10.1007/s00106-022-01267-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/07/2022] [Indexed: 01/13/2023]
Affiliation(s)
| | - Albrecht Wienke
- Wienke & Becker - Köln, Sachsenring 6, 50677, Köln, Deutschland.
| |
Collapse
|
12
|
Wienke A. [Surgery postponed-should informed patient consent be repeated? : The corona pandemic compels reconsideration]. HNO 2023; 71:607-610. [PMID: 36633641 DOI: 10.1007/s00106-022-01265-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/20/2022] [Indexed: 01/13/2023]
Affiliation(s)
- Albrecht Wienke
- Wienke & Becker - Köln, Sachsenring 6, 50677, Köln, Deutschland.
| |
Collapse
|
13
|
Stöver T, Plontke SK, Guntinas-Lichius O, Welkoborsky HJ, Zahnert T, Delank KW, Deitmer T, Esser D, Dietz A, Wienke A, Loth A, Dazert S. Structure and establishment of the German Cochlear Implant Registry (DCIR). HNO 2023; 71:82-92. [PMID: 37462684 PMCID: PMC10409674 DOI: 10.1007/s00106-023-01310-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/02/2023] [Indexed: 08/09/2023]
Abstract
Hearing rehabilitation of patients with severe hearing loss or deafness using cochlear implants (CI) is a very successful but also complex and lifelong process that requires high quality standards for structure, process, and results. Medical registries represent an ideal tool for conducting quality control relevant to care while at the same time collecting scientific data. Therefore, at the initiative of the Executive Committee of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery (DGHNO-KHC), a Germany-wide CI registry (the German Cochlear Implant Register, DCIR) was to be established. The following goals were to be achieved: 1) legal and contractual basis for the register; 2) definition of the register contents; 3) development of evaluation standards (hospital-specific and national annual reports); 4) development of a logo; 5) practical operation of the registry. After defining a catalog of services that defines the content, structure, and operation of the DCIR, a registry operator with audiological expertise was sought. After considering various offers, the registry was technically implemented in cooperation with the provider INNOFORCE (Ruggell, Liechtenstein) as registry operator. This also included the realization of an interface for data transfer from previously existing databases and development of a data protection concept for productive operation of the DCIR under the scientific leadership of the DGHNO-KHC Executive Committee. Since January 2022, it has been possible for participating hospitals to enter pseudonymized data into the DCIR. To date, 75 hospitals in Germany have contractually agreed to participate in the registry. During the first 15 months, data from over 2500 implants in over 2000 patients were registered in the DCIR. The work presented here describes the structuring, development, and successful establishment of the DCIR. Introduction of the DCIR represents an important milestone of future scientifically based quality control in CI care. The registry presented here can therefore be considered as an example for other areas of medical care and thus also sets an international standard.
Collapse
Affiliation(s)
- T Stöver
- Department of Otorhinolaryngology, University Hospital Frankfurt, Theodor-Stern-Kai 7, 60590, Frankfurt, Germany.
| | - S K Plontke
- Department of Otorhinolaryngology, Head and Neck Surgery, University Medical Center Halle, Halle (Saale), Germany
| | - O Guntinas-Lichius
- Department of Otorhinolaryngology, Jena University Hospital, Jena, Germany
| | - H-J Welkoborsky
- Hospital for Otorhinolaryngology, Klinikum Nordstadt, Hanover, Germany
| | - T Zahnert
- Department of Otorhinolaryngology, Dresden University Hospital, Dresden, Germany
| | - K W Delank
- Department of Otorhinolaryngology, Ludwigshafen Hospital, Ludwigshafen, Germany
| | | | | | - A Dietz
- Department of Otorhinolaryngology, Leipzig University Hospital, Leipzig, Germany
| | - A Wienke
- Law office WBK, lawyer specialist medical law, Cologne, Germany
| | - A Loth
- Department of Otorhinolaryngology, University Hospital Frankfurt, Theodor-Stern-Kai 7, 60590, Frankfurt, Germany
| | - S Dazert
- Department of Otorhinolaryngology, University Hospital (St. Elisabeth Hospital), Bochum, Germany
| |
Collapse
|
14
|
Wienke A. Operation verschoben – Aufklärung wiederholen? – Corona-Pandemie zwingt zum Umdenken. Laryngorhinootologie 2023; 102:616-618. [PMID: 37536332 DOI: 10.1055/a-1848-6064] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/05/2023]
|
15
|
Stöver T, Plontke SK, Guntinas-Lichius O, Welkoborsky HJ, Zahnert T, Delank KW, Deitmer T, Esser D, Dietz A, Wienke A, Loth A, Dazert S. Conception and implementation of a certification system for quality control of cochlear implant treatment in Germany. HNO 2023; 71:73-81. [PMID: 37306745 PMCID: PMC10409661 DOI: 10.1007/s00106-023-01306-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/24/2023] [Indexed: 06/13/2023]
Abstract
A standardized and structured process is indispensable for optimal hearing rehabilitation with cochlear implants (CI). The Executive Committee of the German Society of Otorhinolaryngology, Head and Neck Surgery (DGHNO-KHC), initiated the conception of a certification program and a Whitepaper based on the Association of the Scientific Medical Societies in Germany (AWMF) clinical practice guideline (CPG) describing the current medical standards of CI care in Germany. The goal was to independently confirm implementation of this CPG and make this information publicly available. With the support of an independent certification organization, successful implementation of the CI-CPG by a hospital would then be verified and confirmed by awarding the "Cochlear implant-provision institution" (Cochlea-Implantat-versorgende Einrichtung, CIVE) quality certificate. A structure for implementation of a certification system was developed based on the CI-CPG. The following steps were required: 1) conception of a quality control system for certification of hospitals working in accordance with the CI-CPG; 2) development of required structures for an independent review of quality-relevant structure, process, and result parameters; 3) development of a standard procedure for independent certification of hospitals; 4) development of a certificate and a logo to demonstrate successful certification; 5) practical implementation of the certification. Following design of the certification program and the required organizational structure, the certification system was successfully launched in 2021. Applications for the quality certificate could be formally submitted from September 2021. A total of 51 off-site evaluations were performed by December 2022. In the first 16 months from introduction, 47 hospitals were successfully certified as CIVE. In this period, 20 experts were trained as auditors, who have since then carried out 18 on-site audits in hospitals. In summary, the conceptual design, structure, and practical implementation of a certification program for quality control in CI care was successfully implemented in Germany.
Collapse
Affiliation(s)
- T Stöver
- Department of Otorhinolaryngology, Frankfurt University Hospital, Theodor-Stern-Kai 7, 60590, Frankfurt, Germany.
| | - S K Plontke
- Department of Otorhinolaryngology, Head and Neck Surgery, University Medical Center Halle, Halle (Saale), Germany
| | - O Guntinas-Lichius
- Department of Otorhinolaryngology, Jena University Hospital, Jena, Germany
| | - H-J Welkoborsky
- Hospital for Otorhinolaryngology, Klinikum Nordstadt, Hanover, Germany
| | - T Zahnert
- Department of Otorhinolaryngology, Dresden University Hospital, Dresden, Germany
| | - K W Delank
- Department of Otorhinolaryngology, Ludwigshafen Hospital, Ludwigshafen, Germany
| | | | | | - A Dietz
- Department of Otorhinolaryngology, Leipzig University Hospital, Leipzig, Germany
| | - A Wienke
- Law office WBK, Cologne, Germany
| | - A Loth
- Department of Otorhinolaryngology, Frankfurt University Hospital, Theodor-Stern-Kai 7, 60590, Frankfurt, Germany
| | - S Dazert
- Department of Otorhinolaryngology, University Hospital (St. Elisabeth Hospital), Bochum, Germany
| |
Collapse
|
16
|
Wienke A, Rottmann L. „Nichtstun“ als echte Behandlungsalternative? – Zu den Besonderheiten der Patientenaufklärung vor relativ indizierten Eingriffen. Laryngorhinootologie 2023; 102:448-449. [PMID: 37267967 DOI: 10.1055/a-1848-6040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2023]
|
17
|
Schwyn Thöny S, Bärtschi M, Batzer M, Baselgia M, Waldner S, Steinecke M, Badorreck H, Wienke A, Jupé M. Magnetron sputter deposition of Ta 2O 5-SiO 2 quantized nanolaminates. Opt Express 2023; 31:15825-15835. [PMID: 37157674 DOI: 10.1364/oe.487892] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/10/2023]
Abstract
Quantized nanolaminates are a type of optical metamaterials, which were discovered only recently. Their feasibility was demonstrated by atomic layer deposition and ion beam sputtering so far. In this paper, we will report on the successful magnetron sputter deposition of quantized nanolaminates based on Ta2O5-SiO2. We will describe the deposition process, show results and material characterization of films deposited in a very wide parameter range. Furthermore, we will show how quantized nanolaminates deposited by magnetron sputtering were used in optical interference coatings such as antireflection and mirror coatings.
Collapse
|
18
|
Stöver T, Plontke SK, Guntinas-Lichius O, Welkoborsky HJ, Zahnert T, Delank KW, Deitmer T, Esser D, Dietz A, Wienke A, Loth A, Dazert S. [Conception and implementation of a certification system for quality control of cochlear implant treatment in Germany. German version]. HNO 2023:10.1007/s00106-023-01305-x. [PMID: 37115246 DOI: 10.1007/s00106-023-01305-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/27/2023] [Indexed: 04/29/2023]
Abstract
A standardized and structured process is indispensable for optimal hearing rehabilitation with cochlear implants (CI). The Executive Committee of the German Society of Otorhinolaryngology, Head and Neck Surgery (DGHNO-KHC), initiated the conception of a certification system and a Whitepaper based on the Association of the Scientific Medical Societies in Germany (AWMF) clinical practice guideline (CPG) describing the current medical standards of CI care in Germany. The goal was to independently confirm implementation of this CPG and make this information publicly available. With the support of an independent certification organization, successful implementation of the CI-CPG by a hospital would then be verified and confirmed by awarding the "Cochlear implant-provision institution" (Cochlea-Implantat-versorgende Einrichtung, CIVE) quality certificate. A structure for implementation of a certification system was developed based on the CI-CPG. The following steps were required: 1) conception of a quality control system for certification of hospitals working in accordance with the CI-CPG; 2) development of required structures for an independent review of quality-relevant structure, process, and result parameters; 3) development of a standard procedure for independent certification of hospitals; 4) development of a certificate and a logo to demonstrate successful certification; 5) practical implementation of the certification. Following design of the certification system and the required organizational structure, the certification system was successfully launched in 2021. Applications for the quality certificate could be formally submitted from September 2021. A total of 51 off-site evaluations were performed by December 2022. In the first 16 months from introduction, 47 hospitals were successfully certified as CIVE. In this period, 20 experts were trained as auditors, who have since then carried out 18 on-site audits in hospitals. In summary, the conceptual design, structure, and practical implementation of a certification system for quality control in CI care was successfully implemented in Germany.
Collapse
Affiliation(s)
- T Stöver
- Klinik für Hals‑, Nasen‑, Ohrenheilkunde, Universitätsklinikum Frankfurt, Theodor-Stern-Kai 7, 60590, Frankfurt, Deutschland.
| | - S K Plontke
- Klinik für Hals‑, Nasen‑, Ohrenheilkunde, Kopf- und Halschirurgie, Universitätsmedizin Halle, Halle (Saale), Deutschland
| | - O Guntinas-Lichius
- Klinik für Hals‑, Nasen- und Ohrenheilkunde, Universitätsklinikum Jena, Jena, Deutschland
| | - H-J Welkoborsky
- Klinik für Hals‑, Nasen- und Ohrenheilkunde, Klinikum Nordstadt, Hannover, Deutschland
| | - T Zahnert
- Klinik für Hals‑, Nasen- und Ohrenheilkunde, Universitätsklinikum Dresden, Dresden, Deutschland
| | - K W Delank
- Hals-Nasen-Ohren-Klinik, Klinikum Ludwigshafen, Ludwigshafen, Deutschland
| | | | | | - A Dietz
- Klinik für Hals‑, Nasen‑, Ohrenheilkunde, Universitätsklinikum Leipzig, Leipzig, Deutschland
| | - A Wienke
- Kanzlei WBK, Rechtsanwalt Fachanwalt Medizinrecht, Köln, Deutschland
| | - A Loth
- Klinik für Hals‑, Nasen‑, Ohrenheilkunde, Universitätsklinikum Frankfurt, Theodor-Stern-Kai 7, 60590, Frankfurt, Deutschland
| | - S Dazert
- Klinik für Hals‑, Nasen- und Ohrenheilkunde, Universitätsklinikum (St. Elisabeth Hospital), Bochum, Deutschland
| |
Collapse
|
19
|
Rottmann L, Wienke A. Schmerzensgeld nach 14 Jahren? – Zur prozessualen Bedeutung der medizinischen Behandlungsdokumentation. Laryngorhinootologie 2023; 102:303-304. [PMID: 37040752 DOI: 10.1055/a-1848-6016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/13/2023]
|
20
|
Rottmann L, Wienke A. [Risks of digitisation : On the evidential value of digitised patient records]. HNO 2023; 71:189-192. [PMID: 35984459 DOI: 10.1007/s00106-022-01205-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/12/2022] [Indexed: 11/28/2022]
Affiliation(s)
- Lisa Rottmann
- Wienke & Becker - Köln, Sachsenring 6, 50677, Köln, Deutschland
| | - Albrecht Wienke
- Wienke & Becker - Köln, Sachsenring 6, 50677, Köln, Deutschland.
| |
Collapse
|
21
|
Radetzki F, Massarwa H, Wienke A, Delank KS, Zagrodnick J. Treatment management and outcome of polytraumatized patients in a German certified trauma center - comparing standard versus maximum care. Acta Orthop Belg 2023; 89:7-14. [PMID: 37294979 DOI: 10.52628/89.1.0002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
German hospitals are classified as basic, standard and maximum care facilities within the German trauma networks. The Municipal Hospital Dessau was upgraded in 2015 as a maximum care provider. The aim of this study is to investigate whether a change in treatment management and outcome of polytraumatized patients has occurred afterwards. The study compared polytraumatized patients, treated in the Dessau Municipal Clinic as a standard care facility (DessauStandard) from 2012-2014 vs. those treated in the Dessau Municipal Clinic as a maximum care facility (DessauMax) from 2016-2017. Data of the German Trauma Register were analysed using the chi-square test, t-test and odds ratios with 95% confidence intervals.In DessauMax (238 patients; Ø 54 years, SD 22.3; ♂ 160, ♀ 78), the shock room time with 40.7 min (SD 21.4) was shorter than in DessauStandard (206 patients; Ø 56.1 years, SD 22.1; ♂ 133, ♀ 73 ) with 49 min (SD 25.1) (p=0.001). The transfer rate of 1.3% (n=3) to another hospital was lower in DessauMax (p=0.01). DessauStandard had 9 (4%) thromboembolic events and DessauMax 3 (1.3%) (p=0.7). Multiorgan failure was more common in DessauStandard, (16%) than in DessauMax (1.3%; p=0,001). DessauStandard showed a mortality of 13.1% (n=27), and DessauMax 9.2% (n=22) (p=0.22; OR=0.67, 95% CI, 0.37-1.23). The GOS in DessauMax (4.5, SD 1.2) was higher than in DessauStandard (4.1, SD 1.3) (p=0.002).The Dessau Municipal Clinic as a maximum care facility has achieved improved shock room time, fewer complications, lower mortality and an improved outcome.
Collapse
|
22
|
Rottmann L, Wienke A. Der Juniorpartner in der BAG. Laryngorhinootologie 2023; 102:130-131. [PMID: 36750112 DOI: 10.1055/a-1848-5988] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/09/2023]
|
23
|
Rottmann L, Wienke A. [The junior partner in a joint practice : Far-reaching consequences of drawing up an incorrect contract]. HNO 2023; 71:331-333. [PMID: 36633643 DOI: 10.1007/s00106-022-01266-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/07/2022] [Indexed: 01/13/2023]
Affiliation(s)
- Lisa Rottmann
- Wienke & Becker - Köln, Sachsenring 6, 50677, Köln, Deutschland
| | - Albrecht Wienke
- Wienke & Becker - Köln, Sachsenring 6, 50677, Köln, Deutschland.
| |
Collapse
|
24
|
Garbe N, Schäfer C, Pilz A, Schmidt F, Raberger K, Wienke A, Keyßer G. The impact of a structured one-day seminar on disease-specific knowledge, lifestyle habits and disease impairment in ANCA-associated vasculitis. Results of a randomized, controlled study. Scand J Rheumatol 2023; 52:69-76. [PMID: 34643169 DOI: 10.1080/03009742.2021.1972534] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Abstract
OBJECTIVE Anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitis (AAV) is a complex, chronic autoimmune disease, and its diagnosis triggers considerable anxiety and uncertainty for those affected. There are currently no valid data describing the impact of disease-specific patient education on the disease knowledge, subjective impairment, and changes in lifestyle habits related to AAV. METHOD We designed a one-day educational programme to serve AAV patients with information about their disease and its treatment. Patients were randomized into an intervention group and a waiting list control group. Increase in knowledge was measured with a multiple-choice test. The intervention group completed the questionnaire before, directly after, and 3 months after the seminar, while the waiting list control group was additionally tested 3 months before the seminar to rule out non-specific learning. Furthermore, we investigated the burden of the disease and the impact of our intervention on this burden. RESULTS Compared with the control group, the intervention increased the knowledge (mean ± sd score difference 2.2 ± 1.0, 95% confidence interval 0.1-4.3, p = 0.04). From the patients' point of view, their understanding of the disease had improved and the subjective impairment caused by their rheumatic disease had decreased. There was a tendency to include disease-relevant behaviour, such as nasal care or dietary recommendations, more often in everyday life. CONCLUSION A one-day seminar is suitable to increase the disease-specific knowledge of patients with AAV in a sustainable manner. In addition, our measure positively affected the disease-relevant behaviour.
Collapse
Affiliation(s)
- N Garbe
- Department of Internal Medicine II, Rheumatology, University Hospital Halle (Saale), Halle (Saale), Germany
| | - C Schäfer
- Department of Internal Medicine II, Rheumatology, University Hospital Halle (Saale), Halle (Saale), Germany
| | - A Pilz
- Department of Internal Medicine II, Rheumatology, University Hospital Halle (Saale), Halle (Saale), Germany
| | - F Schmidt
- Department of Internal Medicine II, Rheumatology, University Hospital Halle (Saale), Halle (Saale), Germany
| | - K Raberger
- Department of Pediatrics I, University Hospital Halle (Saale), Halle (Saale), Germany
| | - A Wienke
- Institute of Medical Epidemiology, Biometrics, and Informatics, Medical Faculty of the Martin-Luther University Halle-Wittenberg, Halle (Saale), Germany
| | - G Keyßer
- Department of Internal Medicine II, Rheumatology, University Hospital Halle (Saale), Halle (Saale), Germany
| |
Collapse
|
25
|
Wienke A. Schmerzensgeld nach 14 Jahren? Zentralbl Chir 2022; 147:518-519. [PMID: 36479647 DOI: 10.1055/a-1811-3514] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
|
26
|
Wienke A, Rottmann L. Die hypothetische Einwilligung des Patienten. Laryngorhinootologie 2022; 101:995-996. [PMID: 36513090 DOI: 10.1055/a-1848-6089] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
|
27
|
Hoffmann TK, Böhm F, Sommer F, Sommer P, Wienke A, Deitmer T. Telemedizin in der HNO-Heilkunde – wirklich ein Allheilmittel? Laryngorhinootologie 2022; 102:264-271. [PMID: 36400031 DOI: 10.1055/a-1956-9423] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
ZusammenfassungDie Digitalisierung im Gesundheitswesen hat in den letzten Jahren und insbesondere auch durch die COVID-19-Pandemie erheblich an Bedeutung gewonnen. Die Pandemie hat unbestritten die menschlichen Interaktionen stark eingeschränkt. Im Hinblick auf das Infektionsrisiko und auch in Anbetracht der sinkenden Zahl an ärztlichen Konsultationen durch Patienten aufgrund der Angst vor einer Infektion musste die Ärzteschaft neue Plattformen für Arzt-Patienten-Interaktion und -Kommunikation suchen und erreichte diese Ziele vorwiegend durch eine beschleunigte Entwicklung der Digitalisierungsprozesse und der Telemedizin. In der HNO-Heilkunde ist mit dem Begriff der Telemedizin in der Regel eine Videosprechstunde (VS) bzw. Telekonsultation gemeint. Prinzipiell gehören HNO-Ärzte zu der Facharztgruppe, die Videosprechstunden durchführen und abrechnen dürfen. Der Datenschutz und juristische Aspekte stellen die größten Herausforderungen für das Angebot telemedizinischer Leistungen dar. Unter ethischen Gesichtspunkten muss vor jeder telemedizinischen Beratung auch zwingend eine Aufklärung über Risiken und Nachteile dieses Verfahrens erfolgen, wobei die Haftungsgrundlage hier grundsätzlich ebenfalls geklärt werden muss. Die Telemedizin wird sich auch in Anbetracht der Evidenz behaupten müssen. So sollten zumindest von universitärer Seite bei dem Angebot neuer telemedizinischer Verfahren begleitende Studien initiiert werden, um entsprechende Vor- und Nachteile wissenschaftlich gestützt zu evaluieren. Berufspolitisch sollte stets darauf geachtet werden, dass Telemedizin nur von Akteuren im Gesundheitswesen angeboten wird, welche auch eine persönliche Behandlung des telemedizinisch beurteilten Patienten erbringen können.
Collapse
Affiliation(s)
- Thomas Karl Hoffmann
- Klinik für Hals-Nasen-Ohrenheilkunde, Kopf- und Halschirurgie, Universitätsklinikum Ulm, Ulm, Germany
| | - Felix Böhm
- Klinik für Hals-Nasen-Ohrenheilkunde, Kopf- und Halschirurgie, Universitätsklinikum Ulm, Ulm, Germany
| | - Fabian Sommer
- Klinik für Hals-Nasen-Ohrenheilkunde, Kopf- und Halschirurgie, Universitätsklinikum Ulm, Ulm, Germany
| | - Peter Sommer
- Hals-Nasen-Ohrenheilkunde, Hals-Nasen-Ohren-Praxis am Schadowplatz in Düsseldorf, Düsseldorf, Germany
| | | | | |
Collapse
|
28
|
Gayatri D, Efremov L, Wienke A, Mikolajczyk R, Kantelhardt EJ. Quality of life assessment in breast cancer patients during palliative treatment in Indonesia. Eur J Public Health 2022. [PMCID: PMC9593967 DOI: 10.1093/eurpub/ckac131.205] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
Background This study aimed to prospectively assess quality of life (QOL), QOL domains, and pain severity in advanced stage breast cancer patients during palliative oncology treatment in Indonesia. Methods Advanced stage breast cancer patients > 18 years (n = 160) who began palliative oncology treatment were enrolled in the study using convenience sampling. They completed the EORTC QLQ-C15-PAL questionnaire and pain severity (Visual Analogue Scale, VAS) score at three-time points (baseline (T0), three-(T1) and six-months (T2) follow-up). The repeated measures analysis of variance (ANOVA) model was used to assess the QOL, QOL domains, and pain severity changes over time adjusted for age, place of residence, marital status, and Karnofsky Performance Status score at baseline. We classified the change over time in three qualitative groups (deterioration, improvement, or trivial/no difference). We considered it clinically relevant if patients had a 10-point difference. Results The mean age of included patients (n = 159) was 50 years. Most lived in an urban area (72.3%), had low education (71.7%), and were married (81.8%). The repeated measures ANOVA showed that the QOL score, emotional functioning, fatigue, dyspnea, appetite loss, constipation, and VAS pain score remained stable over the 6-months period. In contrast: physical functioning declined (medium to large deterioration (-19.8 (95% CI -27.2 to -12.5)) between T0 to T2), however there was an improvement in the insomnia domain (medium improvement (-13.4 (95% CI -19.9 to -6.9)) between T0 to T2). Conclusions Our findings indicated that advanced stage breast cancer patients adapted well to palliative oncology treatment over six months of observation. There was deterioration in physical functioning, but improvement in insomnia. However, more attention is needed from clinicians to achieve improvement in the overall QOL score and specific QOL domains. Key messages • Focusing on improvement overall QOL score and specific QOL domains will lead to better advanced stage breast cancer patients’ satisfaction and care. • Information is limited on palliative treatment satisfaction in low and lower middle-income countries, therefore this study has important impact on further policy considerations in Indonesia.
Collapse
Affiliation(s)
- D Gayatri
- Institute for Medical Epidemiology, Martin-Luther-University Halle-Wittenberg , Halle, Germany
- Department of Epidemiology, Faculty of Public Health, Universitas Indonesia , Depok, Indonesia
| | - L Efremov
- Institute for Medical Epidemiology, Martin-Luther-University Halle-Wittenberg , Halle, Germany
- Department of Radiation Oncology, Martin-Luther-University Halle-Wittenberg , Halle, Germany
| | - A Wienke
- Institute for Medical Epidemiology, Martin-Luther-University Halle-Wittenberg , Halle, Germany
| | - R Mikolajczyk
- Institute for Medical Epidemiology, Martin-Luther-University Halle-Wittenberg , Halle, Germany
| | - EJ Kantelhardt
- Institute for Medical Epidemiology, Martin-Luther-University Halle-Wittenberg , Halle, Germany
- Department of Gynecology, Martin-Luther-University Halle-Wittenberg , Halle, Germany
| |
Collapse
|
29
|
Bernauer R, Wienke A. Beim Ausstellen von Weiterbildungszeugnissen: Besser kein Auge zudrücken. Laryngorhinootologie 2022; 101:818-819. [PMID: 36174567 DOI: 10.1055/a-1848-6002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
|
30
|
Wienke A. Operation verschoben – Aufklärung wiederholen? Zentralbl Chir 2022; 147:422-424. [PMID: 36220062 DOI: 10.1055/a-1811-3548] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
|
31
|
Rottmann L, Wienke A. [Compensation for pain and suffering after 14 years? : On the procedural significance of medical treatment documentation]. HNO 2022; 70:845-847. [PMID: 35984460 DOI: 10.1007/s00106-022-01206-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/12/2022] [Indexed: 11/28/2022]
Affiliation(s)
- Lisa Rottmann
- Wienke & Becker - Köln, Sachsenring 6, 50677, Köln, Deutschland
| | - Albrecht Wienke
- Wienke & Becker - Köln, Sachsenring 6, 50677, Köln, Deutschland.
| |
Collapse
|
32
|
Rottmann L, Wienke A. [Right to a free copy of the patient file? : GDPR beats the Patients' Rights Act]. HNO 2022; 70:700-701. [PMID: 35969252 DOI: 10.1007/s00106-022-01204-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/16/2021] [Indexed: 11/28/2022]
Affiliation(s)
- Lisa Rottmann
- Wienke & Becker - Köln, Sachsenring 6, 50677, Köln, Deutschland
| | - Albrecht Wienke
- Wienke & Becker - Köln, Sachsenring 6, 50677, Köln, Deutschland.
| |
Collapse
|
33
|
Wienke A. „Nichtstun“ als echte Behandlungsalternative? Zentralbl Chir 2022; 147:346-347. [PMID: 35973693 DOI: 10.1055/a-1811-3489] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
|
34
|
Meyer JH, Wienke A, Surov A. CT-definierte Body Composition als prognostische Marker für Mortalität in COVID-19. Ein systematisches Review und Meta-Analyse. ROFO-FORTSCHR RONTG 2022. [DOI: 10.1055/s-0042-1749897] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- J H Meyer
- Universitätsklinikum Leipzig, Diagnostische und Interventionelle Radiologie, Leipzig
| | - A Wienke
- Medizinische Epidemiologie, Biostatistik und Informatik, Martin-Luther Universität Halle (Saale), Halle (Saale)
| | - A Surov
- Radiologie und Nuklearmedizin, Universitätsklinikum Madgeburg, Magdeburg
| |
Collapse
|
35
|
Meyer JH, Akritidou M, Bach GA, Bailis N, Pech M, Wienke A, Surov A. Ein neuer Score, um die 30-Tage Mortalität von Patienten mit akuter Lungenembolie vorherzusagen: The Pulmonary Embolism Mortality Score (PEMS). ROFO-FORTSCHR RONTG 2022. [DOI: 10.1055/s-0042-1749799] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Affiliation(s)
- J H Meyer
- Universitätsklinikum Leipzig, Diagnostische und Interventionelle Radiologie, Leipzig
| | - M Akritidou
- Innere Medizin, Otto-von-Guericke University Magdeburg, Magdeburg
| | - G A Bach
- Radiologie, Universitätsklinikum Halle (Saale), Halle (Saale)
| | - N Bailis
- Radiologie, Universitätsklinikum Leipzig, Leipzig
| | - M Pech
- Radiologie und Nuklearmedizin, Universitätsklinikum Magdeburg, Magdeburg
| | - A Wienke
- Medizinische Epidemiologie, Biostatistik und Informatik, Martin-Luther Universität Halle (Saale), Halle (Saale)
| | - A Surov
- Radiologie und Nuklearmedizin, Universitätsklinikum Magdeburg, Magdeburg
| |
Collapse
|
36
|
Bernauer R, Wienke A. Zulässige Kooperation oder unzulässige Korruption – Was hat das Antikorruptionsgesetz verändert? Laryngorhinootologie 2022; 101:671-672. [PMID: 35915905 DOI: 10.1055/a-1848-5964] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/16/2022]
|
37
|
Rottmann L, Wienke A. Risiken der Digitalisierung. Geburtshilfe Frauenheilkd 2022. [DOI: 10.1055/a-1871-7472] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022] Open
|
38
|
Seibert KV, Wienke A. Rechtzeitigkeit der Aufklärung bei ambulanten Eingriffen. Laryngorhinootologie 2022; 101:516-517. [PMID: 35649404 DOI: 10.1055/a-1646-6567] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
|
39
|
Wienke A. Rechtzeitigkeit der Aufklärung bei ambulanten Eingriffen. Zentralbl Chir 2022; 147:231-232. [PMID: 35705083 DOI: 10.1055/a-1811-3572] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
|
40
|
Wienke A. Operation verschoben – Aufklärung wiederholen? DGNeurologie 2022. [PMCID: PMC8970059 DOI: 10.1007/s42451-022-00428-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- A. Wienke
- Wienke & Becker – Köln, Sachsenring 6, 50677 Köln, Deutschland
| |
Collapse
|
41
|
Wienke A, Hübner L. Mama, Papa, Oma, Onkel – wer darf mit zum Arzt? Zentralbl Chir 2022; 147:135-136. [PMID: 35378550 DOI: 10.1055/a-1335-7145] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
|
42
|
Wienke A. Aufklärung bald nur noch via Skype?! Zu den Möglichkeiten und Grenzen der Fernaufklärung. Aktuelle Urol 2022; 53:128-130. [PMID: 35345012 DOI: 10.1055/a-1668-3934] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
|
43
|
Wienke A. Vorsicht bei der Vernichtung von Patientenunterlagen. Aktuelle Urol 2022; 53:125-126. [PMID: 35345011 DOI: 10.1055/a-1668-3999] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
|
44
|
Bernauer R, Wienke A. OP, Strahlentherapie oder Abwarten? – Zur Aufklärungspflicht über Behandlungsalternativen. Laryngorhinootologie 2022; 101:333-334. [PMID: 35345025 DOI: 10.1055/a-1555-0510] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
|
45
|
Rottmann L, Wienke A. Kostenloser Anspruch auf Kopie der Patientenakte? – DSGVO schlägt Patientenrechtegesetz. Laryngorhinootologie 2022; 101:154-155. [DOI: 10.1055/a-1646-6496] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
|
46
|
Wienke A. Operation, Strahlentherapie oder Abwarten? – Zur Aufklärungspflicht über Behandlungsalternativen. Geburtshilfe Frauenheilkd 2021. [DOI: 10.1055/a-1688-0893] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
|
47
|
Rottmann L, Wienke A. Risiken der Digitalisierung. Laryngorhinootologie 2021; 100:1002-1003. [PMID: 34826860 DOI: 10.1055/a-1646-6552] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
|
48
|
Bernauer R, Wienke A. „Nichtstun“ als echte Behandlungsalternative? Laryngorhinootologie 2021; 100:830-831. [PMID: 34614528 DOI: 10.1055/a-1555-0436] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
|
49
|
Wienke A. Wie häufig ist „gelegentlich“? – Zur Angabe von Häufigkeiten im Aufklärungsgespräch. Aktuelle Urol 2021; 52:432-434. [PMID: 34428824 DOI: 10.1055/a-1323-8964] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
|
50
|
Friese KV, Wienke A. Rettung in letzter Not – Der „Immer-so-Beweis“ bei der ärztlichen Patientenaufklärung. Laryngorhinootologie 2021; 100:736-737. [PMID: 34461654 DOI: 10.1055/a-1506-7442] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
|