Koschack, Janka

[["dc.bibliographiccitation.firstpage","249"],["dc.bibliographiccitation.journal","Zeitschrift für Allgemeinmedizin"],["dc.bibliographiccitation.lastpage","252"],["dc.bibliographiccitation.volume","82"],["dc.contributor.author","Scherer, M."],["dc.contributor.author","Koschack, Janka"],["dc.contributor.author","Wetzel, D."],["dc.contributor.author","Kochen, Michael M."],["dc.date.accessioned","2021-09-15T09:14:28Z"],["dc.date.available","2021-09-15T09:14:28Z"],["dc.date.issued","2006"],["dc.identifier.doi","10.1055/s-2006-933477"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/89456"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.title","Kennen Patientinnen und Patienten mit Herzinsuffizienz die Symptome ihrer Erkrankung?"],["dc.title.alternative","Do Patients with Heart Failure Know the Symptoms of Their Disease?"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","185"],["dc.bibliographiccitation.issue","3"],["dc.bibliographiccitation.journal","Zeitschrift für ärztliche Fortbildung und Qualitätssicherung"],["dc.bibliographiccitation.lastpage","190"],["dc.bibliographiccitation.volume","101"],["dc.contributor.author","Scherer, Martin"],["dc.contributor.author","Stanske, Beate"],["dc.contributor.author","Wetzel, Dirk"],["dc.contributor.author","Koschack, Janka"],["dc.contributor.author","Kochen, Michael M."],["dc.contributor.author","Herrmann-Lingen, Christoph"],["dc.date.accessioned","2021-09-14T14:43:55Z"],["dc.date.available","2021-09-14T14:43:55Z"],["dc.date.issued","2007"],["dc.description.abstract","Quality of Life (QoL) is an important predictor of mortality and re-admission in patients with heart failure (HF). Our aim was to analyze disease-specific quality of life and its relationship to psycho-social factors and HF severity."],["dc.identifier.doi","10.1016/j.zgesun.2007.02.021"],["dc.identifier.pmid","17608037"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/89420"],["dc.language.iso","other"],["dc.relation.issn","1431-7621"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.title","Die krankheitsspezifische Lebensqualität von hausärztlichen Patienten mit Herzinsuffizienz"],["dc.title.alternative","Disease-specific quality of life in primary care patients with heart failure"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","801"],["dc.bibliographiccitation.issue","543"],["dc.bibliographiccitation.journal","British Journal of General Practice"],["dc.bibliographiccitation.lastpage","807"],["dc.bibliographiccitation.volume","57"],["dc.contributor.author","Scherer, Martin"],["dc.contributor.author","Himmel, Wolfgang"],["dc.contributor.author","Stanske, Beate"],["dc.contributor.author","Scherer, Franziska"],["dc.contributor.author","Koschack, Janka"],["dc.contributor.author","Kochen, Michael M."],["dc.contributor.author","Herrmann-Lingen, Christoph"],["dc.date.accessioned","2018-11-07T10:57:56Z"],["dc.date.available","2018-11-07T10:57:56Z"],["dc.date.issued","2007"],["dc.description.abstract","Background Psychological distress is a common phenomenon in patients with heart failure. Depressive symptoms are often under-diagnosed or inadequately treated in primary care. Aim To analyse anxiety and/or depression in primary care patients with heart failure according to psychosocial factors, and to identify protective factors for the resolution of psychological distress. Design of study Longitudinal observation study. Setting Primary care practices in lower Saxony, Germany. Method In 291 primary care patients with heart failure the following factors were measured using validated questionnaires at baseline and 9 months later: anxiety and depression (Hospital Anxiety and Depression Scale [HADS]), quality of life (Minnesota Living with Heart Failure Questionnaire), coping with illness (Freiburg questionnaire for coping with illness), and social support (social support questionnaire). Severity of heart failure (New York Heart Association [NYHA] classification and Goldman's Specific Activity Scale), and sociodemographic characteristics were documented using self-report instruments. Results Twenty-six (32.5%) of the 80 patients who were distressed at baseline had normal HADS scores 9 months later, while the remainder stayed distressed. In logistic regression, baseline distress (odds ratios [OR] 5.51; 95% confidence intervals [Cl] = 2.56 to 11.62), emotional problems (OR = 1.08; 95% Cl = 1.00 to 1.17), social support (OR = 0.54; 95% Cl = 0.35 to 0.83), and NYHA classification (OR = 1.70; 95% Cl = 1.05 to 2.77) independently predicted distress at follow up. High social support contributed to a resolution of anxiety or depression, while partnership and low levels of emotional problems protected patients who began the study in a good emotional state from psychological distress. Conclusion In everyday practice it is important to consider that a high NYHA classification and emotional problems may contribute to anxiety or depression, while high social support and living in a relationship may positively influence the psychological health of patients with heart failure."],["dc.identifier.isi","000250860300008"],["dc.identifier.pmid","17925137"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/50369"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.relation.issn","0960-1643"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.title","Psychological distress in primary care patients with heart failure: a longitudinal study"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.artnumber","14"],["dc.bibliographiccitation.journal","BMC Family Practice"],["dc.bibliographiccitation.volume","9"],["dc.contributor.author","Koschack, Janka"],["dc.contributor.author","Scherer, Martin"],["dc.contributor.author","Luers, Claus"],["dc.contributor.author","Kochen, Michael M."],["dc.contributor.author","Wetzel, Dirk"],["dc.contributor.author","Kleta, Sibylle"],["dc.contributor.author","Pouwels, Claudia"],["dc.contributor.author","Wachter, R. Rolf"],["dc.contributor.author","Herrmann-Lingen, Christoph"],["dc.contributor.author","Pieske, Burkert M."],["dc.contributor.author","Binder, Lutz"],["dc.date.accessioned","2018-11-07T11:18:13Z"],["dc.date.available","2018-11-07T11:18:13Z"],["dc.date.issued","2008"],["dc.description.abstract","Background: Screening of primary care patients at risk for left ventricular systolic dysfunction by a simple blood-test might reduce referral rates for echocardiography. Whether or not natriuretic peptide testing is a useful and cost-effective diagnostic instrument in primary care settings, however, is still a matter of debate. Methods: N-terminal pro-brain natriuretic peptide (NT-proBNP) levels, clinical information, and echocardiographic data of left ventricular systolic function were collected in 542 family practice patients with at least one cardiovascular risk factor. We determined the diagnostic power of the NT-proBNP assessment in ruling out left ventricular systolic dysfunction and compared it to a risk score derived from a logistic regression model of easily acquired clinical information. Results: 23 of 542 patients showed left ventricular systolic dysfunction. Both NT-proBNP and the clinical risk score consisting of dyspnea at exertion and ankle swelling, coronary artery disease and diuretic treatment showed excellent diagnostic power for ruling out left ventricular systolic dysfunction. AUC of NT-proBNP was 0.83 (95% CI, 0.75 to 0.92) with a sensitivity of 0.91 (95% CI, 0.71 to 0.98) and a specificity of 0.46 (95% CI, 0.41 to 0.50). AUC of the clinical risk score was 0.85 (95% CI, 0.79 to 0.91) with a sensitivity of 0.91 (95% CI, 0.71 to 0.98) and a specificity of 0.64 (95% CI, 0.59 to 0.67). 148 misclassifications using NT-proBNP and 55 using the clinical risk score revealed a significant difference (McNemar test; p < 0.001) that was based on the higher specificity of the clinical risk score. Conclusion: The evaluation of clinical information is at least as effective as NT-proBNP testing in ruling out left ventricular systolic dysfunction in family practice patients at risk. If these results are confirmed in larger cohorts and in different samples, family physicians should be encouraged to rely on the diagnostic power of the clinical information from their patients."],["dc.identifier.doi","10.1186/1471-2296-9-14"],["dc.identifier.isi","000254051900001"],["dc.identifier.pmid","18298821"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/8928"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/54989"],["dc.notes.intern","Merged from goescholar"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.relation.issn","1471-2296"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","Goescholar"],["dc.rights.uri","https://goescholar.uni-goettingen.de/licenses"],["dc.title","Natriuretic peptide vs. clinical information for diagnosis of left ventricular systolic dysfunction in primary care"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.subtype","original_ja"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","18"],["dc.bibliographiccitation.journal","Zeitschrift für Allgemeinmedizin"],["dc.bibliographiccitation.volume","82"],["dc.contributor.author","Marx, Gabriella"],["dc.contributor.author","Witte, Nicole"],["dc.contributor.author","Simmenroth-Nayda, Anne"],["dc.contributor.author","Kühnel, Steffen M."],["dc.contributor.author","Kochen, Michael M."],["dc.contributor.author","Koschack, Janka"],["dc.date.accessioned","2022-04-28T13:12:48Z"],["dc.date.available","2022-04-28T13:12:48Z"],["dc.date.issued","2007"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/106980"],["dc.title","\"Manche Ärzte nehmen sich gar nicht die Zeit\" - Zur Bedeutung der Arzt-Patient-Interaktion innerhalb der Hypertoniebehandlung"],["dc.title.subtitle","Eine qualitative Studie"],["dc.type","journal_article"],["dc.type.internalPublication","unknown"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","299"],["dc.bibliographiccitation.issue","3"],["dc.bibliographiccitation.journal","Journal of Clinical Epidemiology"],["dc.bibliographiccitation.lastpage","306"],["dc.bibliographiccitation.volume","63"],["dc.contributor.author","Koschack, Janka"],["dc.contributor.author","Marx, Gabriella"],["dc.contributor.author","Schnakenberg, Joerg"],["dc.contributor.author","Kochen, Michael M."],["dc.contributor.author","Himmel, Wolfgang"],["dc.date.accessioned","2018-11-07T08:45:31Z"],["dc.date.available","2018-11-07T08:45:31Z"],["dc.date.issued","2010"],["dc.description.abstract","Objective: In cases of insufficiently controlled blood pressure, it is important for practitioners to distinguish between \"nonadherence\" and \"nonresponse\" to anti hypertensive drug treatment. A reliable and valid adherence measurement based on the patient's self-report may be helpful in daily practice. Study Design and Setting: In a primary care sample with 353 hypertensive patients, we applied two self-rating instruments to assess medication adherence (the \"Hill-Bone Compliance to High Blood Pressure Therapy Scale\" and Morisky's \"Self-Reported Measure of Medication Adherence\") and compared their psychometric properties. Results: Both scales showed low acceptability and insufficiency to moderate internal consistency (Cronbach's alpha = 0.25 and 0.73, respectively). Their convergent validity as indexed by kappa = 0.39 could be judged as \"fair\" at best. Testing the power to predict blood pressure > 140/90 mm Hg, both scales showed an accuracy of 57% and 62%, respectively. The positive likelihood, that is, the increase in likelihood of high blood pressure in cases of nonadherence was 1.00 and 1.32, respectively. Conclusion: The use of both scales cannot be recommended. They showed considerable floor effects, and their ability to identify medication adherence was inconsistent for nearly every third patient. The power of both scales to predict uncontrolled blood pressure was essentially a chance. The underlying conceptual framework of medication adherence therefore needs to be rethought. (C) 2010 Elsevier Inc. All rights reserved."],["dc.identifier.doi","10.1016/j.jclinepi.2009.06.011"],["dc.identifier.isi","000274750500009"],["dc.identifier.pmid","19762213"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/6195"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/20461"],["dc.notes.intern","Merged from goescholar"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.relation.issn","0895-4356"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","Goescholar"],["dc.rights.uri","https://goescholar.uni-goettingen.de/licenses"],["dc.title","Comparison of two self-rating instruments for medication adherence assessment in hypertension revealed insufficient psychometric properties"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.subtype","original_ja"],["dc.type.version","submitted_version"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","23"],["dc.bibliographiccitation.issue","Suppl. 1"],["dc.bibliographiccitation.journal","Prävention und Gesundheitsförderung"],["dc.bibliographiccitation.lastpage","24"],["dc.bibliographiccitation.volume","2"],["dc.contributor.author","Marx, Gabriella"],["dc.contributor.author","Witte, Nicole"],["dc.contributor.author","Simmenroth-Nayda, Anne"],["dc.contributor.author","Kühnel, Steffen"],["dc.contributor.author","Kochen, Michael M."],["dc.contributor.author","Koschack, Janka"],["dc.date.accessioned","2022-04-28T13:12:44Z"],["dc.date.available","2022-04-28T13:12:44Z"],["dc.date.issued","2007"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/106979"],["dc.title","\"So kann ein Arzt auch sein\" - Zur Relevanz einer patientenorientierten ärztlichen Gesprächshaltung für die Behandlung der Hypertonie"],["dc.title.subtitle","Eine qualitative Studie"],["dc.type","journal_article"],["dc.type.internalPublication","unknown"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","1"],["dc.bibliographiccitation.issue","69"],["dc.bibliographiccitation.journal","BioMed Central family practice"],["dc.bibliographiccitation.lastpage","6"],["dc.bibliographiccitation.volume","7"],["dc.contributor.author","Scherer, Martin"],["dc.contributor.author","Sobek, Cordula"],["dc.contributor.author","Wetzel, Dirk"],["dc.contributor.author","Koschack, Janka"],["dc.contributor.author","Kochen, Michael M."],["dc.date.accessioned","2019-07-09T11:41:54Z"],["dc.date.available","2019-07-09T11:41:54Z"],["dc.date.issued","2006"],["dc.description.abstract","Background: To date, evidence-based recommendations help doctors to manage patients with heart failure (HF). However, the implementation of these recommendations in primary care is still problematic as beneficial drugs are infrequently prescribed. The aim of the study was to determine whether admission to hospital increases usage of beneficial HF medication and if this usage is maintained directly after discharge. Methods: The study was conducted from November 2002 until January 2004. In 77 patients hospitalised with heart failure (HF), the medication prescribed by the referring general practitioner (GP) and drug treatment directed by the hospital physicians was documented. Information regarding the post-discharge (14 d) therapy by the GP was evaluated via a telephone interview. Ejection fraction values, comorbidity and specifics regarding diagnostic or therapeutic intervention were collected by chart review. Results: When compared to the referring GPs, hospital physicians prescribed more ACEinhibitors (58.4% vs. 76.6%; p = 0.001) and beta-blockers of proven efficacy in HF (metoprolol, bisoprolol, carvedilol; 58.4% vs. 81.8%). Aldosterone antagonists were also administered more frequently in the hospital setting compared to general practice (14.3% vs. 37.7%). The New York Heart Association classification for heart failure did not influence whether aldosterone antagonists were administered either in primary or secondary care. Fourteen days after discharge, there was no significant discontinuity in discharge medication."],["dc.identifier.doi","10.1186/1471-2296-7-69"],["dc.identifier.fs","53189"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?goescholar/1256"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/58544"],["dc.language.iso","en"],["dc.notes.intern","Merged from goescholar"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.rights","CC BY 2.0"],["dc.rights.uri","https://goescholar.uni-goettingen.de/licenses"],["dc.subject.ddc","610"],["dc.subject.ddc","616"],["dc.subject.ddc","616.1"],["dc.title","Changes in heart failure medications in patients hospitalised and discharged"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.subtype","original_ja"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","873"],["dc.bibliographiccitation.issue","17"],["dc.bibliographiccitation.journal","Deutsche medizinische Wochenschrift"],["dc.bibliographiccitation.lastpage","878"],["dc.bibliographiccitation.volume","134"],["dc.contributor.author","Blozik, Eva"],["dc.contributor.author","Demmer, Iris"],["dc.contributor.author","Kochen, Michael M."],["dc.contributor.author","Koschack, Janka"],["dc.contributor.author","Niebling, W."],["dc.contributor.author","Himmel, Wolfgang"],["dc.contributor.author","Scherer, M."],["dc.date.accessioned","2018-11-07T08:30:41Z"],["dc.date.available","2018-11-07T08:30:41Z"],["dc.date.issued","2009"],["dc.description.abstract","Objective: This study investigates health-related quality of life in asthma patients from general practices in comparison with a general population sample. It further examines the association between health-related quality of life, socio-demographic characteristics and smoking behaviour. Patients and methods: 838 asthma patients with a mean age of 47.8 +/- 16.3 years and 66% female participants from 83 general practices in the region of Gottingen and Freiburg/Germany completed the St. George's Respiratory Questionnaire (SGRQ), an instrument to assess health-related quality of life, and they completed questions on socio-demographic variables and smoking behaviour. SGRQ values were compared with estimates for the general population generated in Spain. The association between SGRQ and socio-demographic characteristics and smoking behaviour was analysed by multivariate linear regression models. Results: The SGRQ total values for asthma patients were three times higher than in the general population sample corresponding to a higher level of restrictions in quality of life. Both in the general population sample and in asthma patients non-smokers had a better health-related quality of life than smokers, especially with respect to respiratory symptoms. In the multivariate analysis, socio-demographic characteristics and smoking behaviour were differently related to health-related quality of life. In smokers, the level of impairment by asthma symptoms was the higher the more they had smoked. Impairment in daily activities increased with increasing age and decreasing professional status. Increasing psycho-social restrictions were associated with higher age and lower educational level. Conclusion: Assessing health-related quality of life in its different dimensions enables the general practitioner to conclude on the individual impairment caused by the disease. This facilitates targeted therapeutic interventions. Results from this study underline once more that quality of life should be integrated as an additional clinical parameter in population-based analyses of health care use."],["dc.identifier.doi","10.1055/s-0029-1220241"],["dc.identifier.isi","000265711000001"],["dc.identifier.pmid","19370499"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/16949"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.relation.issn","0012-0472"],["dc.relation.orgunit","Institut für Allgemeinmedizin"],["dc.title","Gesundheitsbezogene Lebensqualität bei Asthmapatienten in der Hausarztpraxis"],["dc.title.alternative","Symptom-related quality of life in asthma patients from general practices"],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.subtype","original_ja"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.issue","7"],["dc.bibliographiccitation.journal","Das Gesundheitswesen"],["dc.bibliographiccitation.volume","67"],["dc.contributor.author","Scherer, M."],["dc.contributor.author","Stanske, Beate"],["dc.contributor.author","Wetzel, D."],["dc.contributor.author","Koschack, Janka"],["dc.contributor.author","Kochen, Michael M."],["dc.contributor.author","Herrmann-Lingen, Christoph"],["dc.date.accessioned","2018-11-07T09:12:22Z"],["dc.date.available","2018-11-07T09:12:22Z"],["dc.date.issued","2005"],["dc.format.extent","578"],["dc.identifier.isi","000231627100254"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/26934"],["dc.notes.status","zu prüfen"],["dc.notes.submitter","Najko"],["dc.publisher","Georg Thieme Verlag Kg"],["dc.publisher.place","Stuttgart"],["dc.relation.issn","0941-3790"],["dc.title","Mental cosymptomatics of family doctor patients with heart failure - Baseline results of the MedViP study"],["dc.type","conference_abstract"],["dc.type.internalPublication","yes"],["dc.type.peerReviewed","yes"],["dc.type.status","published"],["dspace.entity.type","Publication"]]