Julia Klews

ORCID: 0009-0004-7080-4503
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About
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Research Areas
  • Enhanced Recovery After Surgery
  • Cardiac, Anesthesia and Surgical Outcomes
  • Nutrition and Health in Aging
  • Delphi Technique in Research
  • Clinical practice guidelines implementation
  • Ovarian cancer diagnosis and treatment
  • Colorectal Cancer Surgical Treatments
  • BRCA gene mutations in cancer
  • Cancer survivorship and care
  • Endometrial and Cervical Cancer Treatments
  • Cancer Genomics and Diagnostics

Charité - Universitätsmedizin Berlin
2022-2024

Freie Universität Berlin
2023-2024

Humboldt-Universität zu Berlin
2023-2024

<h3>Background</h3> Advanced ovarian cancer is managed by extensive surgery, which could be associated with high morbidity. A personalized pre-habilitation strategy combined an 'enhanced recovery after surgery' (ERAS) pathway may decrease post-operative <h3>Primary Objective</h3> To analyze the effects of a multi-modal and ERAS on severe morbidity for patients (primary diagnosis or first recurrence) undergoing cytoreductive surgery. <h3>Study Hypothesis</h3> algorithm entailing physical...

10.1136/ijgc-2023-004531 article EN cc-by-nc-nd International Journal of Gynecological Cancer 2023-05-19

With growing knowledge about ovarian cancer over the last decades, diagnosis, evaluation and treatment of patients have become highly specialized, an individually adapted approach should be made in each woman by interdisciplinary cooperation. The present study aims to show variety extent medical specialties involved at our institution according European Society Gynecologic Oncology (ESGO) Quality indicators (QI).

10.1007/s00404-023-07368-z article EN cc-by Archives of Gynecology and Obstetrics 2024-03-20

<h3>Introduction/Background</h3> The implementation of perioperative care pathways such as the Enhanced Recovery After Surgery (ERAS) program can improve quality healthcare in complex operations multivisceral surgery for patients with ovarian cancer. Adherence to individual ERAS-items is essential effective treatment. One ERAS-item preoperative carbohydrate intake (CHO), which associated reduction postoperative insulin resistance and improved clinical outcomes. <h3>Methodology</h3> KORE...

10.1136/ijgc-2024-esgo.771 article EN 2024-03-01

<h3>Introduction/Background</h3> Preferred treatment for ovarian cancer is a primary debulking surgery associated with surgical stress and high levels of morbidity. Implementing the Enhanced Recovery After Surgery (ERAS) pathway has shown improved postoperative outcomes. However, preoperative screening risk factors optimization general health status not widely implemented, even though they could increase reconvalescence by improving baseline status. Patient's compliance critical successful...

10.1136/ijgc-2023-esgo.862 article EN other-oa 2023-09-01

<h3>Introduction/Background</h3> The perioperative ERAS pathway has been established in many surgical fields and shown to improved health care quality costs. We report our first experiences implementing the as part of KORE INNOVATION trial patients with ovarian cancer. <h3>Methodology</h3> is an ongoing clinical assess effects innovative reduce complications for undergoing surgery cancer by a prehabilitation strategy combined pathway. conducted at two study sites Germany, both ESGO centers...

10.1136/ijgc-2022-esgo.670 article EN Ovarian cancer 2022-10-01

<h3>Introduction/Background</h3> The effectiveness of prehabilitation in improving physical capacity for patients undergoing surgery has been shown orthopedic, abdominal, or cardiological surgeries. Ovarian cancer have an exceptionally high risk severe postoperative complications due to the extent surgical treatment, often including multi-visceral resection. We report our first experiences implementing a tri-modal intervention as part KORE-INNOVATION trial. <h3>Methodology</h3> is ongoing...

10.1136/ijgc-2022-esgo.632 article EN Ovarian cancer 2022-10-01

<h3>Introduction/Background</h3> Patient empowerment is an essential, yet neglected resource of the patient's health journey. Through a patient-centered approach, patients are encouraged to take on active role in their and recovery. We report our first experiences patient walk intervention as part module, which embedded KORE-INNOVATION trial subpopulation analysis. <h3>Methodology</h3> The ongoing clinical assess innovative perioperative care pathway reduce complications for undergoing...

10.1136/ijgc-2022-esgo.994 article EN 2022-10-01
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