A5001003299- Peripheral Artery Disease Management
- Health and Medical Studies
- Musculoskeletal pain and rehabilitation
- Clinical practice guidelines implementation
- Health Systems, Economic Evaluations, Quality of Life
- Cerebrovascular and Carotid Artery Diseases
- Palliative Care and End-of-Life Issues
- Childhood Cancer Survivors' Quality of Life
- Venous Thromboembolism Diagnosis and Management
- Psychiatric care and mental health services
- COVID-19 and healthcare impacts
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Heart Failure Treatment and Management
- Rheumatoid Arthritis Research and Therapies
- Intensive Care Unit Cognitive Disorders
- Spondyloarthritis Studies and Treatments
- Cardiac Arrhythmias and Treatments
- Cardiac, Anesthesia and Surgical Outcomes
- Antiplatelet Therapy and Cardiovascular Diseases
- Cardiac pacing and defibrillation studies
- Healthcare cost, quality, practices
- Pediatric Pain Management Techniques
- Medical Practices and Rehabilitation
- Pharmaceutical Practices and Patient Outcomes
- Family and Patient Care in Intensive Care Units
BARMER GEK
2016-2025
Yahoo (United Kingdom)
2023
Barro Colorado Island
2023
National Association of Statutory Health Insurance Physicians
2019-2022
Institut für Arbeitsmedizin, Sicherheitstechnik und Ergonomie
2022
Heidelberg University
2021
Universitätsklinikum Würzburg
2021
University of Würzburg
2021
Comprehensive Cancer Center Mainfranken
2021
University Medical Center Hamburg-Eppendorf
2020
Abstract Aims Drug-eluting devices (DED) represent a well-established therapy being widely used for endovascular revascularization (EVR) of peripheral vessels. Recent data indicate two-fold increased long-term mortality in patients treated with paclitaxel-based DED. The subsequent safety concerns affected international regulatory authorities to enunciate several alerts further application Methods and results In 9.2 million insurants the German BARMER Health Insurance, on drug-eluting stents...
There is no consensus on the instruments for diagnosis of post-intensive care syndrome (PICS). We present a proposal set outcome measurement PICS in outpatient care.We conducted three-round, semi-structured consensus-seeking process with medical experts, followed each by exploratory feasibility investigations intensive unit survivors (n1 = 5; n2 n3 7). Fourteen participants from nine stakeholder groups participated first and second meeting. In third meeting, core group six clinical...
Patients suffering from peripheral arterial occlusive disease (PAOD) are a central target population for multidisciplinary vascular medicine. This study aimed to highlight trends in treatment patterns and comorbidities using up date longitudinal patient related data Germany.This is retrospective health insurance claims analysis of patients insured by the second largest provider Germany, BARMER. All PAOD hospitalisations between 2008 2016 were included. The categorised with Elixhauser groups...
Abstract Aims The first reports of declining hospital admissions for major cardiovascular emergencies during the COVID-19 pandemic attracted public attention. However, systematic evidence on this subject is sparse. We aimed to investigate rate emergent admissions, subsequent invasive treatments and comorbidities in Germany. Methods results This was a retrospective analysis health insurance claims data from second largest fund Germany, BARMER. Patients hospitalized acute myocardial...
Acute appendicitis is one of the most common reasons for emergency medical consultation. While simple can be treated with antibiotics or surgery, complex including gangrene, abscess, and perforation requires appendectomy. During COVID-19 pandemic in early 2020, an overall drop room consultations was observed. We therefore aimed to investigate incidence treatment strategies acute during that period. Data insurance holders ICD code "acute appendicitis" OPS procedure appendectomy a major health...
There is a paucity of evidence concerning the risk bleeding after hospitalisation for symptomatic peripheral artery disease (PAD) in everyday clinical practice, as randomised trials commonly exclude patients with heightened risk. The current study aimed to develop pragmatic score that enables prediction major during first year index discharge.Unselected retrospective data from second largest insurance fund Germany, BARMER, were used identify PAD registered between 1 January 2010 and 31...
Cardiac resynchronization therapy (CRT) is an established treatment for heart failure. There contradictory evidence whether defibrillator capability improves prognosis in patients receiving CRT. We compared the survival of undergoing de novo implantation a CRT with (CRT-D) option and pacemaker (CRT-P) large health claims database.
Supporting the provision of intensive care medicine through telehealth potentially improves process quality. This may improve patient recovery and long-term outcomes. We investigated effectiveness a multifaceted telemedical programme on adherence to German quality indicators (QIs) in regional network units (ICUs) Germany. conducted an investigator-initiated, large-scale, open-label, stepped-wedge cluster randomised controlled trial enrolling adult ICU patients with expected stay ≥ 24 h....
No data are available on the prevalence and predictors of (high-dose) long-term opioid therapy (LTOT) abuse/addiction prescribed opioids by patients with chronic non-cancer pain (CNCP) outside North America Scandinavia.We analysed randomly selected claims records 870,000 persons (10% insureds) in a large German medical health insurance organization during fiscal year 2012.The LTOT prescriptions (defined at least one prescription per quarter for three consecutive quarters) CNCP was 1.3% all...
Purpose: Non-specific low back pain (NLBP) causes an enormous burden to patients and tremendous costs for health care systems worldwide. Frequently, treatments are not oriented existing guidelines. In the future, digital elements may be promising tools support guideline-oriented treatment in a broader range of patients. The cluster-randomized controlled "Rise-uP" trial aims General Practitioner (GP)-centered (Registration No: DRKS00015048) includes following elements: 1) electronic case...
Abstract Aims To evaluate the use of novel oral anticoagulants (NOACs) compared with vitamin K antagonists (VKAs) in adult congenital heart disease (ACHD) and assess outcome a nationwide analysis. Methods results Using data from one Germany’s largest Health Insurers, all ACHD patients treated VKAs or NOACs were identified changes prescription patterns assessed. Furthermore, association between anticoagulation regimen complications including mortality was studied. Between 2005 2018, increased...
Zusammenfassung Hintergrund Das Angebot an Palliativversorgung hat in Deutschland stark zugenommen. Weitgehend unbekannt ist, wie viele Menschen am Lebensende welche palliativen Versorgungsformen Anspruch nehmen und regionalen Unterschiede bestehen. Methode Retrospektive Kohortenstudie mit GKV-Routinedaten (BARMER) über Versicherte Sterbedatum im Jahr 2016: Anhand einer mindestens einmalig abgerechneten Leistung den letzten 6 Lebensmonaten wurde die Inanspruchnahme allgemeiner ambulanter...
Patients with peripheral arterial occlusive disease (PAOD) face an increased risk of both lower limb amputation and death. To date, it has been challenging to predict the long term outcomes for PAOD. The aim was develop a score worse five year free survival (AFS).In this retrospective analysis claims data, symptomatic PAOD patients were split into training validation sets. Variables in model patient age sex, Elixhauser comorbidities, 190 most common secondary diagnoses. Penalised Cox...
The aim of this study was to provide population-based data on the healthcare provision for adults with congenital heart disease (ACHD) and impact cardiology care morbidity mortality in vulnerable population.Based administrative from one largest German Health Insurance Companies, all insured ACHD patients (<70 years age) were included. Patients stratified into those followed exclusively by primary physicians (PCPs) additional follow-up between 2014 2016. Associations level outcome assessed...
The aim of this study was to provide population-based data on maternal and neonatal complications outcome in the pregnancies women with congenital heart disease (CHD).Based administrative from one largest German Health Insurance Companies (BARMER GEK, ∼9 million members representative for Germany), all CHD between 2005 2018 were analysed. In addition, an age-matched non-CHD control group included comparison association adult (ACHD) or outcomes investigated. Overall, 7512 occurred 4015 CHD....
Abstract Background Frailty is expressed by a reduction in physical capacity, mobility, muscle strength, and endurance. (Pre-)frailty present up to 42% of the older surgical population, with an increased risk for peri- postoperative complications. Consequently, these patients often suffer from delayed or limited recovery, loss autonomy quality life, decrease functional cognitive capacities. Since frailty modifiable, prehabilitation may improve physiological reserves reduce care dependency 12...
Objective To investigate prevalence, incidence and medication of interstitial lung disease (ILD) among German individuals with rheumatoid arthritis (RA). Methods Nationwide BARMER claims data from 2007 to 2020 were used. RA-ILD was identified by diagnosis codes, prescription disease-modifying antirheumatic drugs (DMARDs) diagnostics. ILD assigned as incident or prevalent relative the year first diagnosis. We prescriptions glucocorticoids, conventional synthetic (cs), biological (b) targeted...
Abstract Background Palliative care (PC) contributes to improved end-of-life for patients with hematologic malignancies (HM) and solid tumors (ST) by addressing physical psychological symptoms spiritual needs. Research on PC in HM vs. ST is fragmented suggests less use. Methods We analyzed claims data of all deceased members a large German health insurance provider the year before death. First, we frequency beginning different types compared ST. Second, adjusted impact use several quality...
Optimal pharmacological treatment (OPT) for peripheral arterial occlusive disease (PAOD) includes prescription of lipid lowering drugs, antithrombotics, and antihypertensives to symptomatic patients affected by intermittent claudication or chronic limb threatening ischaemia. This study sought determine sex disparities time trends in OPT this population (clinicaltrials.gov NCT03909022).Using data from the second largest insurance fund Germany, BARMER, on with an index admission PAOD between 1...
Zusammenfassung Hintergrund In Deutschland findet Palliativversorgung (PV) ambulant, stationär, allgemein und spezialisiert statt. Da bisher wenig bekannt ist über die zeitliche Entwicklung regionale Unterschiede in den Versorgungsformen, war es Ziel der vorliegenden Studie, dies zu untersuchen. Methoden Retrospektive Routinedatenstudie mit 417.405 Jahren 2016–2019 verstorbenen BARMER-Versicherten. Anhand mindestens einmalig abgerechneter Leistung im letzten Lebensjahr ermittelten wir...
Studies on prevalence rates of mental comorbidities in patients with juvenile idiopathic arthritis (JIA) have reported varying results and provided limited information related drugs. The purpose this study was to determine the selected health diagnoses range associated drug prescriptions among adolescents young adults (AYA) JIA compared general population controls.
Abstract Aims To provide population-based data on the prevalence and clinical significance of immune deficiency syndromes (IDS) associated with congenital heart disease (CHD). Methods results Utilizing administrative German Health System increased susceptibility to infection (ISI) or confirmed IDS was assessed in CHD patients compared an age-matched non-congenital control group. Furthermore, prognostic using all-cause mortality freedom from emergency hospital admission. A total 54 449 were...
Abstract Background Up to 27% of the German population suffers from recurrent or persistent pain (lasting more than three months). Therefore, prevention chronic is one major object management interventions. The aim this nationwide, multicentre, randomised controlled trial evaluate efficacy a 10-week ambulatory (outpatient) interdisciplinary multimodal therapy (A-IMPT) for patients with and at risk developing pain. This project was initiated by Pain Society (Deutsche Schmerzgesellschaft e.V.)...