Stürmer, Klaus Michael

[["dc.bibliographiccitation.artnumber","Doc13"],["dc.bibliographiccitation.journal","German medical science : GMS e-journal"],["dc.bibliographiccitation.volume","8"],["dc.contributor.author","Kolios, Leila"],["dc.contributor.author","Kolios, Georg"],["dc.contributor.author","Beyersdorff, Marius"],["dc.contributor.author","Dumont, Clemens"],["dc.contributor.author","Stromps, Jan"],["dc.contributor.author","Freytag, Sebastian"],["dc.contributor.author","Stuermer, Klaus"],["dc.date.accessioned","2019-07-09T11:53:05Z"],["dc.date.available","2019-07-09T11:53:05Z"],["dc.date.issued","2010"],["dc.description.abstract","Extended traumatic wounds require extended reconstructive operations and are accompanied by long hospitalizations and risks of infection, thrombosis and flap loss. In particular, the frequently used Topical Negative Pressure (TNP) Therapy is regarded as cost-intensive. The costs of TNP in the context of traumatic wounds is analyzed using the method of health economic evaluation. All patients (n=67: 45 male, 22 female; average age 54 y) with traumatically acquired wounds being treated with TNP at the university hospital of Goettingen in the period 01/01/2005-31/12/2007 comprise the basis for this analysis. The concept of activity-based costing based on clinical pathways according to InEK (National Institute for the Hospital Remuneration System) systematic calculations was chosen for cost accounting. In addition, a special module system adaptable for individual courses of disease was developed. The treated wounds were located on a lower extremity in 83.7% of cases (n=56) and on an upper extremity in 16.3% of cases (n=11). The average time of hospitalization of the patients was 54 days. Twenty-five patients (37.31%) exceeded the \"maximum length of stay\" of their associated DRG (Diagnosis Related Groups). The total PCCL (patient clinical complexity level = patient severity score) of 2.99 reflects the seriousness of disease. For the treatment of the 67 patients, total costs were ,729,922.32 (1,249,176.91 euro). The cost calculation showed a financial deficit of ehB210,932.50 (-152,314.36 euro). Within the entire treatment costs of 18,848.07 (158,030.19 euro), 12.65% per case were created by TNP with material costs of 02,528.74 (74,036 euro), representing 5.92% of entire costs. The cost of TNP per patient averaged ,266.39 (2,358.66 euro). The main portion of the costs was not - as is often expected - due to high material costs of TNP but instead to long-term treatments. Because of their complexity, the cases are insufficiently represented in the lump-sum calculation of the InEK. A differentiated integration of complex TNP-treatment in the DRG system (e.g., as an expanded DRG I98Z) would be a step towards cost recovery. In addition, the refunding of outpatient TNP-treatment would lead to enhanced quality of life for the patients and to a reduction of hospital costs and length of stay."],["dc.identifier.doi","10.3205/000102"],["dc.identifier.fs","575231"],["dc.identifier.pmid","20577642"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/6898"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/60339"],["dc.language.iso","en"],["dc.notes.intern","Merged from goescholar"],["dc.relation.issn","1612-3174"],["dc.rights","Goescholar"],["dc.rights.uri","https://goescholar.uni-goettingen.de/licenses"],["dc.subject.ddc","610"],["dc.subject.mesh","Costs and Cost Analysis"],["dc.subject.mesh","Female"],["dc.subject.mesh","Germany"],["dc.subject.mesh","Hospital Costs"],["dc.subject.mesh","Hospitalization"],["dc.subject.mesh","Humans"],["dc.subject.mesh","Infection"],["dc.subject.mesh","Length of Stay"],["dc.subject.mesh","Male"],["dc.subject.mesh","Middle Aged"],["dc.subject.mesh","Negative-Pressure Wound Therapy"],["dc.subject.mesh","Nursing Staff, Hospital"],["dc.subject.mesh","Reconstructive Surgical Procedures"],["dc.subject.mesh","Surgical Flaps"],["dc.subject.mesh","Thrombosis"],["dc.subject.mesh","Wounds and Injuries"],["dc.title","Cost analysis of Topical Negative Pressure (TNP) Therapy for traumatic acquired wounds."],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]

[["dc.bibliographiccitation.firstpage","1756"],["dc.bibliographiccitation.issue","8"],["dc.bibliographiccitation.journal","The American journal of sports medicine"],["dc.bibliographiccitation.lastpage","1761"],["dc.bibliographiccitation.volume","39"],["dc.contributor.author","Balcarek, Peter"],["dc.contributor.author","Jung, Klaus"],["dc.contributor.author","Frosch, Karl-Heinz"],["dc.contributor.author","Stürmer, Klaus Michael"],["dc.date.accessioned","2019-07-09T11:53:48Z"],["dc.date.available","2019-07-09T11:53:48Z"],["dc.date.issued","2011-08-01"],["dc.description.abstract","BACKGROUND: A lateralized tibial tubercle may be a relevant anatomic factor in patients with patellar instability and can be used as an indication for a distal realignment procedure. However, parameter values for the tibial tuberosity-trochlear groove (TT-TG) distance in the young patient have not been defined. It also remains to be determined how this parameter contributes to patellar instability in the growing knee joint. PURPOSE: The purpose of this study was to evaluate the value of the TT-TG distance in patellar instability in the young athlete. STUDY DESIGN: Case control study; Level of evidence, 3. METHODS: Knee magnetic resonance images were collected from 109 patients with lateral patellar instability and from 136 control subjects. Student t test and multiple logistic regression analysis were used to compare the absolute and relative values of the TT-TG distance between patients and controls. The relative value was defined as the ratio between the TT-TG distance and the total width of the distal femur. RESULTS: The TT-TG distance (absolute and relative to femur width) differed significantly between patients with patellar dislocation and the control group (both P < .01). The TT-TG distances were on average 4 mm larger in patients with patellar dislocation; TT-TG distance divided by femur width was on average 5% larger in patients with patellar dislocation. Multiple logistic regression analysis confirmed the TT-TG distance as a significant risk factor for patellar dislocation (P = .04), but showed no significant interaction with patient age or femur width (P = .95 and P = .15, respectively). CONCLUSION: A lateralized tibial tubercle is a relevant anatomic factor in the young athlete and in the adult patient with lateral patellar instability. Its parameter values and its influence on patellar dislocation are independent of patient age and should therefore be evaluated as in adults."],["dc.identifier.doi","10.1177/0363546511404883"],["dc.identifier.fs","578191"],["dc.identifier.pmid","21566067"],["dc.identifier.purl","https://resolver.sub.uni-goettingen.de/purl?gs-1/8057"],["dc.identifier.uri","https://resolver.sub.uni-goettingen.de/purl?gro-2/60499"],["dc.language.iso","en"],["dc.notes.intern","Merged from goescholar"],["dc.relation.issn","1552-3365"],["dc.rights","Goescholar"],["dc.rights.uri","https://goescholar.uni-goettingen.de/licenses"],["dc.subject.mesh","Adolescent"],["dc.subject.mesh","Adult"],["dc.subject.mesh","Aging"],["dc.subject.mesh","Case-Control Studies"],["dc.subject.mesh","Child"],["dc.subject.mesh","Female"],["dc.subject.mesh","Humans"],["dc.subject.mesh","Joint Instability"],["dc.subject.mesh","Male"],["dc.subject.mesh","Middle Aged"],["dc.subject.mesh","Patellar Dislocation"],["dc.subject.mesh","Patellofemoral Joint"],["dc.subject.mesh","Tibia"],["dc.subject.mesh","Young Adult"],["dc.title","Value of the tibial tuberosity-trochlear groove distance in patellar instability in the young athlete."],["dc.type","journal_article"],["dc.type.internalPublication","yes"],["dc.type.version","published_version"],["dspace.entity.type","Publication"]]