A5053827718- Palliative Care and End-of-Life Issues
- Meta-analysis and systematic reviews
- Health Systems, Economic Evaluations, Quality of Life
- Patient Dignity and Privacy
- Ethics in Clinical Research
- Health and Medical Studies
- Family Support in Illness
- Health Services Management and Policy
- Polish Legal and Social Issues
- Mental Health Treatment and Access
- Geriatric Care and Nursing Homes
- Chronic Disease Management Strategies
- Colorectal Cancer Treatments and Studies
- Statistical Methods in Clinical Trials
- scientometrics and bibliometrics research
- Patient-Provider Communication in Healthcare
- Adolescent and Pediatric Healthcare
- Grief, Bereavement, and Mental Health
- Social and Demographic Issues in Germany
- Bipolar Disorder and Treatment
- Health and Medical Research Impacts
- Clinical practice guidelines implementation
- Medication Adherence and Compliance
- Childhood Cancer Survivors' Quality of Life
- Child and Adolescent Health
Universitätsmedizin Greifswald
2020-2025
University of Freiburg
2020-2022
Universität Greifswald
2022
Careers Europe
2021
University Medical Center Freiburg
2016
Background We previously found that 25% of 1,017 randomized clinical trials (RCTs) approved between 2000 and 2003 were discontinued prematurely, 44% remained unpublished at a median 12 years follow-up. aimed to assess decade later (1) whether rates completion publication have increased; (2) the extent which nonpublished RCTs can be identified in trial registries; (3) association reporting quality protocols premature discontinuation or nonpublication RCTs. Methods findings included 326 RCT...
Background The aim of palliative care is to improve the quality life patients with a limiting illness. In Germany, nursing homes are increasingly last residence and common place death for older people. This renders these institutions as places high need care. However, frequency specialised services in Germany often low. Objectives this study 1) analyse types frequencies provided by ambulatory teams German federal state Mecklenburg-Western Pomerania, 2) examine whether comparable living their...
Objectives Comprehensive protocols are key for the planning and conduct of randomised clinical trials (RCTs). Evidence low reporting quality RCT led to publication Standard Protocol Items: Recommendations Interventional Trials (SPIRIT) checklist in 2013. We aimed examine from three countries before after SPIRIT checklist. Design Repeated cross sectional study. Setting Swiss, German Canadian research ethics committees (RECs). Participants approved by RECs 2012 (n=257) 2016 (n=292). Primary...
To investigate the adherence of randomised controlled trial (RCT) protocols evaluating non-regulated interventions (including dietary interventions, surgical procedures, behavioural and lifestyle exercise programmes) in comparison with regulated to Standard Protocol Items: Recommendations for Interventional Trials (SPIRIT) 2013 Statement.We conducted a repeated cross-sectional investigation random sample RCT approved 2012 (n = 257) or 2016 292) by research ethics committees Switzerland,...
Abstract Background Clearly structured and comprehensive protocols are an essential component to ensure safety of participants, data validity, successful conduct, credibility results randomized clinical trials (RCTs). Funding agencies, research ethics committees (RECs), regulatory medical journals, systematic reviewers, other stakeholders rely on appraise the conduct reporting RCTs. In response evidence poor protocol quality, Standard Protocol Items: Recommendations for Interventional Trials...
The goal of palliative care is to prevent and alleviate a suffering incurable ill patients. A continuous intersectoral important. aim this study analyse the continuity care, particularly time gaps between hospital discharge subsequent as well timing last before patient's death.The analysis was based on claims data from large statutory health insurance. Patients who received their first in 2015 were included. course followed for 12 months. Time intervals death analysed. defined an interval...
Although pediatricians in Germany work as general practitioners for children, they are planned and trained medical specialists. In consequence, distances between practices residences of patients can be very large. The implementation task-sharing models is a promising option to sustain pediatric outpatient care rural regions. this study we assessed the need acceptance delegation tasks healthcare non-physician professionals developed concept. A standardized questionnaire was addressed wide...
Palliative care is a particular challenge in rural regions with low population density. Every patient should have access to palliative regardless of age, diagnosis, prognosis, place residence and economic aspects. The aim was identify problem areas find possible solutions from the perspective health service providers.A standardised written survey conducted among providers general specialised federal state Mecklenburg-Western Pomerania. In total, 489 were sent questionnaire. A random sample...
The care of palliative patients takes place as non-specialized and specialized care, in outpatient inpatient settings. However, is largely provided General Outpatient Palliative Care (GOPC). This study aimed to investigate whether the survival curves GOPC differed from those more intensive modalities was appropriate terms timing.
Hintergrund: Evidence Maps sind ein methodischer Ansatz, um die vorhandene Evidenz zu einem bestimmten Thema ubersichtlich zusammenzufassen und Evidenzlucken identifizieren. Vor dem Hintergrund der voranschreitenden Akademisierung in Pflege limitierter Ressourcen sollte praxisrelevanten Themenfeldern ressourcenschonend aufbereitet transparent dargestellt werden. Ein solches Themenfeld ist Wirksamkeit von Interventionen zur Versorgung Menschen mit Demenz. Ziele: spezielles Format Map, das...
In rural areas, healthcare providers, patients and relatives have to cover long distances. For specialised ambulatory palliative care (SAPV), a supply radius of max. 30 km is recommended. The aim this study was analyse whether there are regional disparities in the SAPV it associated with distance between team’s site patient’s location. Therefore, anonymised data Association Statutory Health Insurance Physicians Federal State Mecklenburg-Western Pomerania (M-V) were retrospectively analysed...
Abstract Background The care of palliative patients takes place as non-specialized and specialized care, in both ambulatory stationary settings. However, is largely provided the sector (AAPV). This study aimed to investigate whether survival curves AAPV differed from those more intensive modalities was appropriate terms timing.Methods based on claims data a large statutory health insurance. analysis included 4,177 who received starting 2015 were fully insured one year before after or until...