{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,11,17]],"date-time":"2023-11-17T00:16:19Z","timestamp":1700180179243},"reference-count":18,"publisher":"Springer Science and Business Media LLC","issue":"7","license":[{"start":{"date-parts":[[2023,3,29]],"date-time":"2023-03-29T00:00:00Z","timestamp":1680048000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,3,29]],"date-time":"2023-03-29T00:00:00Z","timestamp":1680048000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Medizinische Hochschule Brandenburg CAMPUS gGmbH"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Chirurgie"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Hintergrund<\/jats:title>\n                <jats:p>Die Herausforderungen einer ad\u00e4quaten, effizienten und rationellen medizinischen Versorgung und Betreuung von Patienten stehen immer im Zusammenhang mit der interprofessionellen T\u00e4tigkeit mehrerer Fachdisziplinen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ziel<\/jats:title>\n                <jats:p>Die Breite variabler Diagnosen und des Profils der chirurgischen Entscheidungsfindung mit weiterf\u00fchrenden chirurgischen Ma\u00dfnahmen im Rahmen des allgemein- und viszeralchirurgischen Oberarztkonsils f\u00fcr medizinische Nachbardisziplinen wurde \u00fcber einen definierten Beobachtungszeitraum an einer repr\u00e4sentativen Patientenklientel analysiert.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Patienten und Methode<\/jats:title>\n                <jats:p>\u00dcber 10\u00a0Jahre (01.10.2006 bis 30.09.2016) wurden alle konsekutiven Patienten (<jats:italic>n<\/jats:italic>\u202f=\u2009549\u00a0F\u00e4lle) im Rahmen einer klinisch-systematischen, prospektiven unizentrischen Observationsstudie an einem terti\u00e4ren Zentrum in einer computerbasierten Patientendatei erfasst und hinsichtlich klinischem Befund\u2011, Diagnose- und therapeutischem Entscheidungsspektrum und ihrer signifikanten Einflussfaktoren sowie Geschlechts- und Altersunterschied als auch hinsichtlich zeitabh\u00e4ngiger Entwicklungstrends mittels \u03c7<jats:sup>2<\/jats:sup>-Test und <jats:italic>U<\/jats:italic>-Test analysiert.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse (Eckpunkte)<\/jats:title>\n                <jats:p>Die dominierende Fachdisziplin der Konsilabforderung war die Kardiologie (19,9\u202f%), gefolgt von anderen chirurgischen F\u00e4chern (11,8\u202f%) und der Gastroenterologie (11,3\u202f%). Das Diagnoseprofil wurde von Wundheilungsst\u00f6rungen (7,1\u202f%) und akutem Abdomen (7,1\u202f%) bestimmt. Bei 11,7\u202f% der Patienten wurde die unmittelbare Operationsindikation gestellt und bei 12,9\u202f% wurde die Operation elektiv empfohlen. Die \u00dcbereinstimmungsrate von Verdachts- und definitiver Diagnose lag bei lediglich 58,4\u202f%.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Schlussfolgerung<\/jats:title>\n                <jats:p>Die chirurgische Konsilt\u00e4tigkeit ist ein wichtiges Standbein f\u00fcr die suffiziente und vor allem zeitgerechte Kl\u00e4rung chirurgisch relevanter Fragestellungen in fast jeder medizinischen Einrichtung, so vor allem auch in einem Zentrum. Sie dient i) der chirurgischen Qualit\u00e4tssicherung bei der klinischen Mitbetreuung von Patienten mit interdisziplin\u00e4rem, hier chirurgischem Versorgungsbedarf in der t\u00e4glichen allgemein-\/viszeralchirurgischen Praxis im Rahmen der klinischen Versorgungsforschung; ii) dem Klinikmarketing sowie monet\u00e4ren Aspekten im Sinne von Patientenrekrutierung (und) iii) nicht zuletzt der Notfallversorgung von Patienten. Aufgrund des hohen Anteils von 12\u202f% folgenden Notfalloperationen nach gestellter allgemein-\/viszeralchirurgischer Konsilanforderung sind diese zeitnah in der Dienstzeit abzuarbeiten.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00104-023-01855-4","type":"journal-article","created":{"date-parts":[[2023,3,29]],"date-time":"2023-03-29T16:23:01Z","timestamp":1680106981000},"page":"625-634","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Allgemein- und viszeralchirurgische Oberarztkonsile f\u00fcr andere medizinische Disziplinen \u00fcber 10\u00a0Jahre an einem terti\u00e4ren Zentrum\u00a0\u2013 ist eine schnelle, zeitaufwendige Abarbeitung notwendig?","Consultations by senior physicians in general and abdominal surgery for other medical disciplines over 10\u00a0years at a\u00a0tertiary center\u2014Is a fast time-consuming processing necessary?"],"prefix":"10.1007","volume":"94","author":[{"given":"C.","family":"Schildberg","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Kropf","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Perrakis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R. 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