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Ziel dieser ersten Auswertung war eine Darstellung der Versorgungsrealit\u00e4t f\u00fcr Nebenniereneingriffe in einem homogenen Versorgungsumfeld, entsprechend des deutschsprachigen Raums \u2013 bzw. des Pr\u00e4senzgebiets der Chirurgischen Arbeitsgemeinschaft Endokrinologie (CAEK) der Deutschen Gesellschaft f\u00fcr Allgemein- und Viszeralchirurgie (DGAV) \u2013 einschlie\u00dflich einer Analyse der Adh\u00e4renz zu geltenden Therapieempfehlungen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methodik<\/jats:title>\n                <jats:p>Es erfolgte eine deskriptive Analyse der pr\u00e4operativen Diagnostik, der angewandten Operationstechniken sowie der zugrunde liegenden histologischen Entit\u00e4ten der zwischen den Jahren 2015 und 2019 \u00fcber EUROCRINE\u00ae in Deutschland, \u00d6sterreich und der Schweiz dokumentierten Nebennierenoperationen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>In den insgesamt 21\u00a0teilnehmenden Kliniken des deutschsprachigen EUROCRINE\u00ae-Gebiets wurden 658 Operationen an Nebennieren durchgef\u00fchrt. In 90\u202f% erfolgten unilaterale, in 3\u202f% bilaterale Adrenalektomien und in 7\u202f% andere Resektionsverfahren. Die in 41\u202f% der Operationen dokumentierte histologische Hauptdiagnose war das adrenokortikale Adenom. In 15\u202f% lagen maligne Befunde zugrunde (einschlie\u00dflich 6\u202f% Nebennierenrindenkarzinome (ACC) und 8\u202f% Nebennierenmetastasen). 23\u202f% der Operationen erfolgten bei Ph\u00e4ochromozytomen. Diese wurden zu 82\u202f% minimal-invasiv operiert, Nebennierenrindenkarzinome lediglich zu 28\u202f% und Nebennierenmetastasen zu 66\u2009%.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Schlussfolgerung<\/jats:title>\n                <jats:p>\u00dcberraschenderweise wurden nach Nebennierenadenomen und Ph\u00e4ochromozytomen an dritth\u00e4ufigster Stelle Nebennierenmetastasen unterschiedlicher Prim\u00e4rtumoren reseziert. 28\u202f% der ACC waren f\u00fcr minimal-invasive Techniken vorgesehen, wobei 20\u202f% dieser F\u00e4lle eine Konversion zur offenen Operation erforderten. Die aktuelle Analyse deckte Diskrepanzen zwischen Versorgungsrealit\u00e4t und Leitlinienempfehlungen auf, aus denen sich zahlreiche Fragestellungen ergeben, welche nun in ein \u00fcberarbeitetes EUROCRINE\u00ae-Modul zur Dokumentation von Nebennierenoperationen einflie\u00dfen werden.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00104-020-01277-6","type":"journal-article","created":{"date-parts":[[2020,9,18]],"date-time":"2020-09-18T10:39:23Z","timestamp":1600425563000},"page":"448-463","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["EUROCRINE\u00ae: Nebennierenoperationen 2015 bis 2019 \u2013 \u00fcberraschende erste Ergebnisse","EUROCRINE\u00ae: adrenal surgery 2015\u20132019\u2014\u00a0surprising initial results"],"prefix":"10.1007","volume":"92","author":[{"given":"J. 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