Alt-Epping, Bernd

[["dc.bibliographiccitation.firstpage","395"],["dc.bibliographiccitation.issue","06"],["dc.bibliographiccitation.journal","Frauenheilkunde up2date"],["dc.bibliographiccitation.lastpage","406"],["dc.bibliographiccitation.volume","7"],["dc.contributor.author","Nauck, Friedemann"],["dc.contributor.author","Alt-Epping, Bernd"],["dc.date.accessioned","2022-02-21T16:45:07Z"],["dc.date.available","2022-02-21T16:45:07Z"],["dc.date.issued","2013"],["dc.identifier.doi","10.1055/s-0033-1346910"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/100165"],["dc.language.iso","de"],["dc.relation.issn","1439-3719"],["dc.relation.issn","1611-650X"],["dc.relation.orgunit","Klinik für Palliativmedizin"],["dc.title","Palliativmedizinische Aspekte in der Gynäkologie"],["dc.title.subtitle","Behandlung und Begleitung schwerkranker und sterbender Patientinnen"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","2297"],["dc.bibliographiccitation.issue","45"],["dc.bibliographiccitation.journal","DMW - Deutsche Medizinische Wochenschrift"],["dc.bibliographiccitation.lastpage","2301"],["dc.bibliographiccitation.volume","136"],["dc.contributor.author","Alt-Epping, Bernd"],["dc.contributor.author","Suerig, R."],["dc.contributor.author","Lindena-Gläß, Gabriele"],["dc.contributor.author","Nauck, Friedemann"],["dc.date.accessioned","2018-11-07T08:50:16Z"],["dc.date.available","2018-11-07T08:50:16Z"],["dc.date.issued","2011"],["dc.description.abstract","How much diagnostics is required in palliative care? Results from a representative survey and own experiences Background: Applying diagnostic techniques in palliative care (PC) requires a thorough balance between a physical, psychosocial (and financial) burden and its therapeutic relevance in far advanced diseases. The extent of diagnostic employment in PC, preferred techniques, application problems, its informative value and therapeutic significance still have to be described. Methods: The Hospice and Palliative Care Evaluation (HOPE) 2007 collected data from the application of microbiological and imaging techniques in German PC institutions. Furthermore, 70 consecutive ultrasound scans in our PC unit have been retrospectively analyzed. In 691 PC patients (from a total of 3184 in HOPE), diagnostic techniques (DIA) were applied and documented. Results: In-patients with DIA (86,1%) and the HOPE collective showed a comparable age and duration of hospital stay. Microbiological techniques contributed to 26,1% of all documented in-patient investigations, imaging techniques 69,1%. Ultrasound was the preferred imaging technique on PC units (67,1%), whilst radiography, CT or MRI scans were rather employed on oncology wards. Nuclear imaging was rarely documented. In 80,8%, imaging diagnostics were considered relevant for further treatment decisions (inpatients only); transportation problems and pain during imaging were relevant obstacles. In our own patient cohort, ultrasound was applied rather for general prognostic purposes, less often resulting in immediate therapeutic actions. Transportation problems could be almost entirely avoided by using a mobile ultrasound device. Conclusion: DIA in PC are applied independently of age or duration of hospital stay; its therapeutic significance is considered to be high; procedural problems may be resolvable. Therefore, this survey might challenge the tradition of low technology in PC."],["dc.identifier.doi","10.1055/s-0031-1292042"],["dc.identifier.isi","000296724600005"],["dc.identifier.pmid","22048934"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/21659"],["dc.language.iso","de"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.relation.issn","0012-0472"],["dc.relation.orgunit","Klinik für Palliativmedizin"],["dc.title","Wieviel Diagnostik braucht die Palliativmedizin? Ergebnisse einer multizentrischen Studie und Fallserie"],["dc.title.alternative","How much diagnostics is required in palliative care? Results from a representative survey and own experiences"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","255"],["dc.bibliographiccitation.issue","06"],["dc.bibliographiccitation.journal","Zeitschrift für Palliativmedizin"],["dc.bibliographiccitation.lastpage","256"],["dc.bibliographiccitation.volume","17"],["dc.contributor.author","Alt-Epping, Bernd"],["dc.contributor.author","Radbruch, Lukas"],["dc.contributor.author","Nauck, Friedemann"],["dc.date.accessioned","2022-02-21T12:48:01Z"],["dc.date.available","2022-02-21T12:48:01Z"],["dc.date.issued","2016"],["dc.identifier.doi","10.1055/s-0042-118124"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/100145"],["dc.language.iso","de"],["dc.relation.issn","1615-2921"],["dc.relation.issn","1615-293X"],["dc.relation.orgunit","Klinik für Palliativmedizin"],["dc.title","Freiwilliger Verzicht auf Nahrung und Flüssigkeit – mehr Fragen als Antworten"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","842"],["dc.bibliographiccitation.issue","8"],["dc.bibliographiccitation.journal","Geburtshilfe und Frauenheilkunde"],["dc.bibliographiccitation.lastpage","844"],["dc.bibliographiccitation.volume","68"],["dc.contributor.author","Nauck, Friedemann"],["dc.contributor.author","Alt-Epping, Bernd"],["dc.date.accessioned","2022-03-17T19:16:20Z"],["dc.date.available","2022-03-17T19:16:20Z"],["dc.date.issued","2008"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/104821"],["dc.language.iso","de"],["dc.relation.orgunit","Klinik für Palliativmedizin"],["dc.title","Palliativmedizinische Konzepte in der Gynäkologie"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","405"],["dc.bibliographiccitation.issue","4"],["dc.bibliographiccitation.journal","Der Schmerz"],["dc.bibliographiccitation.lastpage","413"],["dc.bibliographiccitation.volume","28"],["dc.contributor.author","Kopf, A."],["dc.contributor.author","Dusch, M."],["dc.contributor.author","Alt-Epping, Bernd"],["dc.contributor.author","Petzke, Frank"],["dc.contributor.author","Treede, Rolf-Detlef"],["dc.date.accessioned","2018-11-07T09:37:17Z"],["dc.date.available","2018-11-07T09:37:17Z"],["dc.date.issued","2014"],["dc.description.abstract","Unrelieved pain is a substantial public health concern owing in part to deficits in clinical expertise among physicians. In most medical faculties worldwide, teaching on pain and pain management is either nonexistent or limited to a small number of students attending voluntary courses. In light of the fact that pain is the most frequent reason to seek medical advice, the lack of formal training of pain medicine is considered the leading reason for inadequate pain management. Therefore, the patients' unmet needs for adequate diagnosis and therapy call for action. Pain assessment and effective pain management should be a priority in the health care system. The limited number of pain specialists available in hospitals and primary care and CME (continuous medical education) activities focusing on pain are not sufficient to solve the problem. Every practicing physician should, therefore, have basic knowledge of the most prominent painful conditions and management strategies. To achieve this goal, pain medicine should become an integral part of the undergraduate curriculum for medical students. In Germany, pain medicine became a mandatory subject in undergraduate medical studies in 2012. The introduction of pain medicine into the undergraduate curriculum in Germany is a major challenge regarding the development and implementation processes. This article describes current instruments and implementation strategies for pain medicine as a new cross-sectional subject in Germany."],["dc.identifier.doi","10.1007/s00482-014-1433-3"],["dc.identifier.isi","000339875700008"],["dc.identifier.pmid","24939241"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/32809"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.relation.issn","1432-2129"],["dc.relation.issn","0932-433X"],["dc.title","Pain medicine as a cross-sectional subject in German medical schools An opportunity for general pain management"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","430"],["dc.bibliographiccitation.issue","4-5"],["dc.bibliographiccitation.journal","Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz"],["dc.bibliographiccitation.lastpage","435"],["dc.bibliographiccitation.volume","58"],["dc.contributor.author","Alt-Epping, Bernd"],["dc.contributor.author","Nauck, F."],["dc.date.accessioned","2018-11-07T09:58:58Z"],["dc.date.available","2018-11-07T09:58:58Z"],["dc.date.issued","2015"],["dc.description.abstract","Specialized palliative home care (\"Spezialisierte Ambulante Palliativversorgung\", SAPV) denotes an intensified, multi-professional support system at home for patients suffering from complex symptoms and needs associated with severe and advanced illness. In 2007, a change in legislation guaranteed SAPV to any patient (covered by public health insurance) in need of specialized palliative care. Despite further specifications by federal institutions, SAPV has been transferred into German clinical practice in a very regionally diverse manner. This contribution describes the legislative and conceptual framework of SAPV, the financial and clinical aspects, and its future perspectives for the comprehensive palliative care of patients with complex demands."],["dc.identifier.doi","10.1007/s00103-015-2125-6"],["dc.identifier.isi","000353056800012"],["dc.identifier.pmid","25673015"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/37478"],["dc.language.iso","de"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.relation.issn","1437-1588"],["dc.relation.issn","1436-9990"],["dc.relation.orgunit","Klinik für Palliativmedizin"],["dc.title","Spezialisierte Ambulante Palliativversorgung (SAPV). Vernetzung von Sektoren, Disziplinen und Professionen"],["dc.title.alternative","Specialized palliative home care. An interprofessional network"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","275"],["dc.bibliographiccitation.issue","3"],["dc.bibliographiccitation.journal","Der Schmerz"],["dc.bibliographiccitation.lastpage","280"],["dc.bibliographiccitation.volume","27"],["dc.contributor.author","Schiessl, Christine"],["dc.contributor.author","Ilse, Benjamin"],["dc.contributor.author","Hildebrandt, J."],["dc.contributor.author","Scherg, Alexandra"],["dc.contributor.author","Giegerich, A."],["dc.contributor.author","Alt-Epping, Bernd"],["dc.date.accessioned","2018-11-07T09:24:12Z"],["dc.date.available","2018-11-07T09:24:12Z"],["dc.date.issued","2013"],["dc.description.abstract","In 2013 palliative medicine (PM) will be integrated into the undergraduate curriculum as part of the mandatory education in German medical universities. The aim of this study is to determine the current state of implementation at German medical faculties (MF). All German MFs were contacted using a written postal survey in June 2012. A total of 32 out of 36 MFs participated. Teaching staff consists of 15 or more lecturers in 8 MFs (30 %) and includes psychologists in 24 MFs (75 %) and also nurses in 18 MFs (56 %). Participating physicians are specialized in anesthesiology, internal medicine and general medicine. Teaching staff include palliative outpatient (20 MFs, 63 %) and consultation services (22 MFs, 69 %). Bedside teaching is provided in 15 MFs (47 %). Multiple choice tests are the major form of assessment (29 MFs, 84 %). The total number of teaching units in PM is between 12 and 43 and is usually provided at the end of medical school education. Nurses are employed in the education significantly more in MFs with a chair in PM. General practitioners were engaged only by faculties without a chair in PM. The implementation of the mandatory training in PM at MFs in Germany is inhomogeneous. Further steps include in particular the development of a competence-based curriculum and assessment."],["dc.identifier.doi","10.1007/s00482-013-1322-1"],["dc.identifier.isi","000320036100005"],["dc.identifier.pmid","23736747"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/29767"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.relation.issn","0932-433X"],["dc.title","Implementation of intersectional field 13. A survey of medical faculties in Germany"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","633"],["dc.bibliographiccitation.issue","6"],["dc.bibliographiccitation.journal","Der Schmerz"],["dc.bibliographiccitation.lastpage","639"],["dc.bibliographiccitation.volume","24"],["dc.contributor.author","Alt-Epping, Bernd"],["dc.contributor.author","Nauck, F."],["dc.date.accessioned","2018-11-07T08:36:34Z"],["dc.date.available","2018-11-07T08:36:34Z"],["dc.date.issued","2010"],["dc.description.abstract","In modern oncology, paradigmatic developments can be witnessed with respect to conceptual strategies and to individualized diagnostics and treatment approaches, but foremost with respect to the amazing number of new anticancer substances available. These developments will certainly influence the care of patients suffering from incurable and advanced cancer, where pain therapy and symptom control, quality of life and other intentions of palliative care are urgent. For cancer pain therapy and palliative care, knowledge about these developments may be helpful not only with respect to interdisciplinary decision making, but also for thoroughly balancing risks, side effects and benefits of oncological interventions that have the potential to stabilize disease progression and thereby reduce symptom intensity."],["dc.identifier.doi","10.1007/s00482-010-0940-0"],["dc.identifier.isi","000284958500013"],["dc.identifier.pmid","20882301"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/18341"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Springer"],["dc.relation.issn","0932-433X"],["dc.relation.orgunit","Klinik für Palliativmedizin"],["dc.title","Implications of modern anticancer therapies for palliative care concepts"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","650"],["dc.bibliographiccitation.issue","12"],["dc.bibliographiccitation.journal","Oncology Research and Treatment"],["dc.bibliographiccitation.lastpage","659"],["dc.bibliographiccitation.volume","42"],["dc.contributor.author","Kuon, Jonas"],["dc.contributor.author","Vogt, Jeannette"],["dc.contributor.author","Mehnert, Anja"],["dc.contributor.author","Alt-Epping, Bernd"],["dc.contributor.author","van Oorschot, Birgitt"],["dc.contributor.author","Sistermanns, Jochen"],["dc.contributor.author","Ahlborn, Miriam"],["dc.contributor.author","Ritterbusch, Ulrike"],["dc.contributor.author","Stevens, Susanne"],["dc.contributor.author","Kahl, Christoph"],["dc.contributor.author","Ruellan, Anne"],["dc.contributor.author","Matthias, Kathrin"],["dc.contributor.author","Kubin, Thomas"],["dc.contributor.author","Stahlhut, Kerstin"],["dc.contributor.author","Heider, Andrea"],["dc.contributor.author","Lordick, Florian"],["dc.contributor.author","Thomas, Michael"],["dc.date.accessioned","2020-04-06T07:33:51Z"],["dc.date.available","2020-04-06T07:33:51Z"],["dc.date.issued","2019"],["dc.description.abstract","Little is known on symptom burden, psychosocial needs, and perception of prognosis in advanced lung cancer patients at the time of diagnosis, although early assessment is strongly recommended within the setting of daily routine care."],["dc.identifier.doi","10.1159/000502751"],["dc.identifier.pmid","31634889"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/63773"],["dc.language.iso","en"],["dc.relation.eissn","2296-5262"],["dc.relation.issn","2296-5270"],["dc.relation.issn","2296-5262"],["dc.title","Symptoms and Needs of Patients with Advanced Lung Cancer: Early Prevalence Assessment"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.artnumber","151"],["dc.bibliographiccitation.journal","BMC Medical Education"],["dc.bibliographiccitation.volume","15"],["dc.contributor.author","Ilse, Benjamin"],["dc.contributor.author","Alt-Epping, Bernd"],["dc.contributor.author","Kiesewetter, Isabel"],["dc.contributor.author","Elsner, Frank"],["dc.contributor.author","Hildebrandt, Johanna"],["dc.contributor.author","Laske, Alexander"],["dc.contributor.author","Scherg, Alexandra"],["dc.contributor.author","Schiessl, Christine"],["dc.date.accessioned","2018-11-07T09:51:35Z"],["dc.date.available","2018-11-07T09:51:35Z"],["dc.date.issued","2015"],["dc.description.abstract","Background: In 2009, palliative medicine became an integrated and compulsory part of undergraduate training in Germany by legislation. After a transitional period, all medical faculties were required to provide adequate teaching with an according examination and certification procedure. In parallel, we conducted bi-annual surveys on all medical faculties in Germany to examine for potential discrepancies between the implementation process and their intended consequences on teaching time and content. Methods: Four consecutive bi-annual surveys (2006, 2008, 2010, 2012) of all 36 medical faculties in Germany were performed, using purposively for this study developed questionnaires. Likert scales and closed questions were analyzed descriptively. Results: Medical Faculty response rate increased from 50 % in 2006 to 88.9 % in 2012. Teaching coordinators in palliative medicine primarily had an anesthesiology or internal medicine background. There was a noted increase over time of the involvement of specialized palliative care units (PCUs) as providing the setting for education. The number of faculties that were able to offer a complete 16 weeks of training in palliative medicine during the \"final year\" rose steadily. In addition, increased patient-centered teaching formats have been implemented over time. The faculties which offered innovative teaching formats with actors as patients (standardized patient interaction) increased, as did the total number of mandatory examinations. The number of faculties that provided compulsory teaching in a condensed manner within a single academic year increased sharply from 3 of 31 responding faculties in 2010 to 19 of 32 responding faculties in 2012. Conclusions: Until now, teaching conditions and structures in palliative medicine in Germany have proven to be extraordinarily heterogeneous. Although professorships (\"Chairs\") in palliative medicine proved to be particularly beneficial and supportive in curricular and structural development, only a minority of faculties provide leading academic positions in palliative medicine."],["dc.identifier.doi","10.1186/s12909-015-0439-6"],["dc.identifier.isi","000361280100001"],["dc.identifier.pmid","26383546"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/12293"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/35944"],["dc.notes.intern","Merged from goescholar"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Biomed Central Ltd"],["dc.relation.issn","1472-6920"],["dc.rights","CC BY 4.0"],["dc.rights.uri","https://creativecommons.org/licenses/by/4.0"],["dc.title","Undergraduate education in palliative medicine in Germany: a longitudinal perspective on curricular and infrastructural development"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]