{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T06:08:23Z","timestamp":1769753303146,"version":"3.49.0"},"reference-count":19,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,6,26]],"date-time":"2025-06-26T00:00:00Z","timestamp":1750896000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"},{"start":{"date-parts":[[2025,6,26]],"date-time":"2025-06-26T00:00:00Z","timestamp":1750896000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"}],"funder":[{"DOI":"10.13039\/501100017268","name":"Berlin Institute of Health","doi-asserted-by":"publisher","award":["Junior Clinician Scientist Program"],"award-info":[{"award-number":["Junior Clinician Scientist Program"]}],"id":[{"id":"10.13039\/501100017268","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Universit\u00e4tsklinikum Halle (Saale)"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Herz"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Hintergrund<\/jats:title>\n                    <jats:p>Palliative Versorgung ist Teil der ganzheitlichen Behandlung bei fortgeschrittener Herzinsuffizienz. Wie diese Versorgung im ambulanten Bereich in Deutschland derzeit tats\u00e4chlich aussieht, ist unklar.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methode<\/jats:title>\n                    <jats:p>Wir f\u00fchrten eine Umfrage zur aktuellen palliativen Versorgungspraxis bei fortgeschrittener Herzinsuffizienz unter niedergelassenen Kardiolog:innen und Haus\u00e4rzt:innen in Deutschland durch. Die Umfrage wurde von einer multiprofessionellen Projektgruppe der Deutschen Gesellschaft f\u00fcr Kardiologie \u2013 Herz- und Kreislaufforschung e.\u202fV. entwickelt und durch den Bundesverband Niedergelassener Kardiologen e.\u00a0V. online durchgef\u00fchrt.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ergebnisse<\/jats:title>\n                    <jats:p>An der Studie nahmen 235\u00a0Personen teil. Eine Mehrheit der Befragten gab an, h\u00e4ufig oder immer mit Patient:innen mit fortgeschrittener Herzinsuffizienz \u00fcber ihre Therapieziele gesprochen zu haben. Haus\u00e4rzt:innen gaben wesentlich \u00f6fter als Kardiolog:innen an, immer oder h\u00e4ufig Aufgaben der palliativen Grundversorgung zu \u00fcbernehmen. Keine:r der befragten niedergelassenen Kardiolog:innen, jedoch 35,1\u202f% der Haus\u00e4rzt:innen gaben an, bei Patient:innen mit fortgeschrittener Herzinsuffizienz h\u00e4ufig oder immer eine spezialisierte ambulante Palliativversorgung (SAPV) verordnet zu haben. \u00dcber 90\u202f% der Kardiolog:innen gaben an, Patient:innen selten oder nie weiter zu betreuen, wenn diese nicht mehr selbst in die Praxis kommen konnten.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Konklusion<\/jats:title>\n                    <jats:p>Nur wenige Niedergelassene in Deutschland \u00fcberweisen ihre Patient:innen mit fortgeschrittener Herzinsuffizienz an spezialisierte palliativmedizinische Versorgungsstrukturen. Palliative Grundversorgung und die Involvierung der SAPV werden wesentlich h\u00e4ufiger von Haus\u00e4rzt:innen als von niedergelassen Kardiolog:innen \u00fcbernommen.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00059-025-05325-x","type":"journal-article","created":{"date-parts":[[2025,6,26]],"date-time":"2025-06-26T11:42:10Z","timestamp":1750938130000},"page":"45-55","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Palliative Versorgung und Therapieziel\u00e4nderung bei Herzinsuffizienz im ambulanten Bereich","Palliative care and change in treatment goals for heart failure in the outpatient sector"],"prefix":"10.1007","volume":"51","author":[{"given":"Moritz","family":"Blum","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark","family":"Weber-Kr\u00fcger","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hashim","family":"Abdul-Khaliq","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bernd","family":"Alt-Epping","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc","family":"Dittrich","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tanja","family":"Henking","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gerald","family":"Neitzke","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harald","family":"Rittger","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Henrikje","family":"Stanze","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dorit","family":"Knappe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Klaus K.","family":"Witte","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1406-2221","authenticated-orcid":false,"given":"Jochen","family":"Dutzmann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Franz","family":"Goss","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,6,26]]},"reference":[{"key":"5325_CR1","doi-asserted-by":"publisher","first-page":"1684","DOI":"10.1089\/jpm.2018.0431","volume":"21","author":"BR Ferrell","year":"2018","unstructured":"Ferrell\u00a0BR, Twaddle\u00a0ML, Melnick\u00a0A, Meier\u00a0DE (2018) National Consensus Project Clinical Practice Guidelines for Quality Palliative Care Guidelines, 4th\u00a0Edition. 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(DGK). M.\u00a0Blum ist Vertreter der Deutschen Gesellschaft f\u00fcr Thorax\u2011, Herz- und Gef\u00e4\u00dfchirurgie, H.\u00a0Abdul-Khaliq der Deutschen Gesellschaft f\u00fcr P\u00e4diatrische Kardiologie, B.\u00a0Alt-Epping der Deutschen Gesellschaft f\u00fcr Palliativmedizin, D.\u00a0Knappe der AG\u00a010 (Herzinsuffizienz) der DGK, F.\u00a0Goss des Bundesverbandes Niedergelassener Kardiologen e.\u202fV.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}},{"value":"Als anonyme Umfrage ohne Beteiligung von Patient:innen war diese Studie nicht zustimmungspflichtig durch eine Ethikkommission.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}