{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T04:00:25Z","timestamp":1781841625345,"version":"3.54.5"},"reference-count":32,"publisher":"Springer Science and Business Media LLC","issue":"9","license":[{"start":{"date-parts":[[2023,6,2]],"date-time":"2023-06-02T00:00:00Z","timestamp":1685664000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,6,2]],"date-time":"2023-06-02T00:00:00Z","timestamp":1685664000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100006447","name":"University of Zurich","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100006447","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Chirurgie"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Hintergrund<\/jats:title>\n                <jats:p>Das Thoraxtrauma ist mit einer hohen Morbidit\u00e4t und Mortalit\u00e4t assoziiert. Zur Festlegung der Behandlungsstrategie bei Patienten mit Thoraxtrauma ist eine Absch\u00e4tzung dieses Risikos elementar.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ziel der Arbeit<\/jats:title>\n                <jats:p>Ziel der Arbeit war 1)\u00a0eine Analyse der Begleitverletzungen bei ein- bzw. beidseitigen Rippenfrakturen respektive Lungenkontusionen. Des Weiteren erfolgte 2)\u00a0eine Evaluierung hinsichtlich von Unterschieden in der Komplikationsrate bei ein- bzw. beidseitigen Rippenfrakturen respektive Lungenkontusionen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Material und Methoden<\/jats:title>\n                <jats:p>Retrospektive Analyse aller station\u00e4ren Patienten mit einem Thoraxtrauma w\u00e4hrend einer 5\u2011Jahres-Periode in einem Level-I-Trauma-Zentrum. Wir verwendeten bi- und multivariate Analysen, um die Assoziation von ein- bzw. beidseitigen Rippenfrakturen respektive Lungenkontusionen mit diversen Begleitverletzungen und Outcomes zu ermitteln.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Insgesamt 714\u00a0Patienten mit mindestens einer Rippenfraktur oder Lungenkontusion wurden analysiert. Patienten mit Lungenkontusionen waren signifikant j\u00fcnger als Patienten ohne (45\u00a0vs. 59\u00a0Jahre). Patienten mit beidseitigen Rippenfrakturen oder Lungenkontusionen hatten signifikant h\u00e4ufiger eine zus\u00e4tzliche Verletzung der Brustwirbels\u00e4ule. Der durchschnittliche Injury\u00a0Severity Score (ISS) lag bei\u00a019.<\/jats:p>\n                <jats:p>Komplikationen traten bei 36\u202f% der Patienten auf. Beidseitige Thoraxverletzungen f\u00fchrten bis zu einer 70\u202f%igen Erh\u00f6hung der Komplikationsrate. Die Einlage von Thoraxdrainagen, zus\u00e4tzliche Becken- und Abdominalverletzungen sowie h\u00f6heres Alter waren signifikante Risikofaktoren f\u00fcr Komplikationen. Die Mortalit\u00e4t lag bei 10\u202f% und war bei beidseitigen Thoraxverletzungen mehr als doppelt so hoch. H\u00f6heres Alter, Sch\u00e4del- und Beckenverletzungen waren Pr\u00e4diktoren hierf\u00fcr.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Diskussion\/Schlussfolgerungen<\/jats:title>\n                <jats:p>Bilaterale Verletzungen wiesen klar h\u00f6here Mortalit\u00e4ts- und Komplikationsraten auf. Die genannten signifikanten Risikofaktoren m\u00fcssen bei der Behandlung bedacht werden. Beim beidseitigen Thoraxtrauma sollte zudem gezielt nach einer zus\u00e4tzlichen Brustwirbels\u00e4ulenverletzung gesucht werden.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00104-023-01891-0","type":"journal-article","created":{"date-parts":[[2023,6,2]],"date-time":"2023-06-02T19:01:52Z","timestamp":1685732512000},"page":"789-795","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Beidseitiges Thoraxtrauma\u00a0\u2013 \u201edouble the trouble\u201c?","Bilateral thoracic trauma\u2014\u201cdouble the trouble\u201d?"],"prefix":"10.1007","volume":"94","author":[{"given":"Katharina","family":"Schmelzer","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Franziska","family":"Ziegenhain","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudio","family":"Canal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hans-Christoph","family":"Pape","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valentin","family":"Neuhaus","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,6,2]]},"reference":[{"issue":"11","key":"1891_CR1","doi-asserted-by":"publisher","first-page":"1172","DOI":"10.1007\/s00101-006-1092-6","volume":"55","author":"U Klein","year":"2006","unstructured":"Klein\u00a0U, Laubinger\u00a0R, Malich\u00a0A, Hapich\u00a0A, Gunkel\u00a0W (2006) Emergency treatment of thoracic trauma. Anaesthesist 55(11):1172\u20131188","journal-title":"Anaesthesist"},{"issue":"Suppl 3","key":"1891_CR2","doi-asserted-by":"publisher","first-page":"S172","DOI":"10.21037\/jtd.2017.03.52","volume":"9","author":"C Ludwig","year":"2017","unstructured":"Ludwig\u00a0C, Koryllos\u00a0A (2017) Management of chest trauma. J\u00a0Thorac Dis 9(Suppl 3):S172","journal-title":"J Thorac Dis"},{"issue":"3","key":"1891_CR3","doi-asserted-by":"publisher","first-page":"576","DOI":"10.1097\/01.TA.0000091107.00699.C7","volume":"57","author":"P Kulshrestha","year":"2004","unstructured":"Kulshrestha\u00a0P, Munshi\u00a0I, Wait\u00a0R (2004) Profile of chest trauma in a\u00a0level I trauma center. J\u00a0Trauma Acute Care Surg 57(3):576\u2013581","journal-title":"J Trauma Acute Care Surg"},{"issue":"6","key":"1891_CR4","doi-asserted-by":"publisher","first-page":"395","DOI":"10.1177\/1708538113518205","volume":"22","author":"CN Antonopoulos","year":"2014","unstructured":"Antonopoulos\u00a0CN, Sfyroeras\u00a0GS, Kallinis\u00a0A, Kakisis\u00a0JD, Liapis\u00a0CD, Petridou\u00a0ET (2014) Epidemiology of concomitant injuries in traumatic thoracic aortic rupture: a\u00a0meta-analysis. Vascular 22(6):395\u2013405","journal-title":"Vascular"},{"issue":"2","key":"1891_CR5","doi-asserted-by":"publisher","first-page":"293","DOI":"10.1016\/j.injury.2004.08.012","volume":"36","author":"F Hildebrand","year":"2005","unstructured":"Hildebrand\u00a0F, Giannoudis\u00a0PV, Griensven\u00a0M, Zelle\u00a0B, Ulmer\u00a0B, Krettek\u00a0C et\u00a0al (2005) Management of polytraumatized patients with associated blunt chest trauma: a\u00a0comparison of two European countries. Injury 36(2):293\u2013302","journal-title":"Injury"},{"issue":"5","key":"1891_CR6","doi-asserted-by":"publisher","first-page":"1527","DOI":"10.1007\/s00068-019-01183-5","volume":"47","author":"CP Marini","year":"2021","unstructured":"Marini\u00a0CP, Petrone\u00a0P, Soto-S\u00e1nchez\u00a0A, Garc\u00eda-Santos\u00a0E, Stoller\u00a0C, Verde\u00a0J (2021) Predictors of mortality in patients with rib fractures. Eur J Trauma Emerg Surg 47(5):1527\u20131534","journal-title":"Eur J Trauma Emerg Surg"},{"issue":"3","key":"1891_CR7","doi-asserted-by":"publisher","first-page":"478","DOI":"10.1097\/01.TA.0000037095.83469.4C","volume":"54","author":"E Bergeron","year":"2003","unstructured":"Bergeron\u00a0E, Lavoie\u00a0A, Clas\u00a0D, Moore\u00a0L, Ratte\u00a0S, Tetreault\u00a0S et\u00a0al (2003) Elderly trauma patients with rib fractures are at greater risk of death and pneumonia. J\u00a0Trauma Acute Care Surg 54(3):478\u2013485","journal-title":"J Trauma Acute Care Surg"},{"issue":"4","key":"1891_CR8","doi-asserted-by":"publisher","first-page":"544","DOI":"10.1016\/j.injury.2004.10.017","volume":"36","author":"F Hildebrand","year":"2005","unstructured":"Hildebrand\u00a0F, Giannoudis\u00a0P, van Griensven\u00a0M, Chawda\u00a0M, Probst\u00a0C, Harms\u00a0O et\u00a0al (2005) Secondary effects of femoral instrumentation on pulmonary physiology in a\u00a0standardised sheep model: what is the effect of lung contusion and reaming? Injury 36(4):544\u2013555","journal-title":"Injury"},{"key":"1891_CR9","doi-asserted-by":"publisher","unstructured":"Van Vledder MG, Kwakernaak V, Hagenaars T, Van Lieshout EM, Verhofstad MH, Group SWNTRS (2019) Patterns of injury and outcomes in the elderly patient with rib fractures: a\u00a0multicenter observational study. Eur J Trauma Emerg Surg 45(4):575\u2013583. https:\/\/doi.org\/10.1007\/s00068-018-0969-9. Epub 2018 Jun 15","DOI":"10.1007\/s00068-018-0969-9"},{"issue":"1","key":"1891_CR10","doi-asserted-by":"publisher","first-page":"42","DOI":"10.1186\/s13049-017-0384-y","volume":"25","author":"K Chrysou","year":"2017","unstructured":"Chrysou\u00a0K, Halat\u00a0G, Hoksch\u00a0B, Schmid\u00a0RA, Kocher\u00a0GJ (2017) Lessons from a\u00a0large trauma center: impact of blunt chest trauma in polytrauma patients-still a\u00a0relevant problem? Scand J Trauma Resusc Emerg Med 25(1):42","journal-title":"Scand J Trauma Resusc Emerg Med"},{"issue":"1","key":"1891_CR11","doi-asserted-by":"publisher","first-page":"198","DOI":"10.1016\/j.surg.2020.04.032","volume":"168","author":"JE Baker","year":"2020","unstructured":"Baker\u00a0JE, Millar\u00a0DA, Heh\u00a0V, Goodman\u00a0MD, Pritts\u00a0TA, Janowak\u00a0CF (2020) Does chest wall Organ Injury Scale (OIS) or Abbreviated Injury Scale (AIS) predict outcomes? An analysis of 16,000\u00a0consecutive rib fractures. Surgery 168(1):198\u2013204","journal-title":"Surgery"},{"key":"1891_CR12","doi-asserted-by":"publisher","first-page":"221","DOI":"10.1016\/j.jss.2022.02.055","volume":"276","author":"E Sawyer","year":"2022","unstructured":"Sawyer\u00a0E, Wullschleger\u00a0M, Muller\u00a0N, Muller\u00a0M (2022) Surgical rib fixation of multiple rib fractures and flail chest: a systematic review and meta-analysis. J\u00a0Surg Res 276:221\u2013234","journal-title":"J Surg Res"},{"key":"1891_CR13","doi-asserted-by":"publisher","first-page":"302","DOI":"10.1016\/j.jmbbm.2014.09.002","volume":"41","author":"AM Agnew","year":"2015","unstructured":"Agnew\u00a0AM, Schafman\u00a0M, Moorhouse\u00a0K, White\u00a0SE, Kang\u00a0Y\u2011S (2015) The effect of age on the structural properties of human ribs. J\u00a0Mech Behav Biomed Mater 41:302\u2013314","journal-title":"J Mech Behav Biomed Mater"},{"issue":"7","key":"1891_CR14","doi-asserted-by":"publisher","first-page":"1483","DOI":"10.1007\/s00402-021-03830-2","volume":"142","author":"UJ Spiegl","year":"2022","unstructured":"Spiegl\u00a0UJ, Osterhoff\u00a0G, Bula\u00a0P, Hartmann\u00a0F, Scheyerer\u00a0MJ, Schnake\u00a0KJ et\u00a0al (2022) Concomitant injuries in patients with thoracic vertebral body fractures\u2014a systematic literature review. Arch Orthop Trauma Surg 142(7):1483\u20131490","journal-title":"Arch Orthop Trauma Surg"},{"key":"1891_CR15","doi-asserted-by":"publisher","first-page":"139","DOI":"10.1007\/978-3-030-11149-6_12","volume-title":"Diseases of the chest, breast, heart and vessels 2019\u20132022: diagnostic and Interventional imaging","author":"L Ketai","year":"2019","unstructured":"Ketai\u00a0L, Primack\u00a0SL (2019) Thoracic trauma. In: Hodler\u00a0J, Kubik-Huch\u00a0RA, von Schulthess\u00a0GK (Hrsg) Diseases of the chest, breast, heart and vessels 2019\u20132022: diagnostic and Interventional imaging. Springer, Cham, S 139\u2013154"},{"issue":"12","key":"1891_CR16","doi-asserted-by":"publisher","first-page":"1023","DOI":"10.1007\/s00113-015-0026-7","volume":"119","author":"S Schulz-Drost","year":"2016","unstructured":"Schulz-Drost\u00a0S, Oppel\u00a0P, Grupp\u00a0S, Krinner\u00a0S, Langenbach\u00a0A, Lefering\u00a0R et al (2016) Kn\u00f6cherne Verletzung der Brustwand beim Polytrauma. Unfallchirurg 119(12):1023\u20131030","journal-title":"Unfallchirurg"},{"issue":"3","key":"1891_CR17","doi-asserted-by":"publisher","first-page":"1068","DOI":"10.1016\/j.injury.2021.12.005","volume":"53","author":"A Tang","year":"2022","unstructured":"Tang\u00a0A, Gambhir\u00a0N, Menken\u00a0LG, Shah\u00a0JK, D\u2019Ambrosio\u00a0M, Ramakrishnan\u00a0V et\u00a0al (2022) Identification of concomitant injuries associated with specific spine level fractures in polytrauma patients. Injury 53(3):1068\u20131072","journal-title":"Injury"},{"key":"1891_CR18","first-page":"100057","volume":"6","author":"NS Anandasivam","year":"2021","unstructured":"Anandasivam\u00a0NS, Ondeck\u00a0NT, Bagi\u00a0PS, Galivanche\u00a0AR, Samuel\u00a0AM, Bohl\u00a0DD et\u00a0al (2021) Spinal fractures and\/or spinal cord injuries are associated with orthopedic and internal organ injuries in proximity to the spinal injury. N\u00a0Am Spine Soc\u00a0J 6:100057","journal-title":"N Am Spine Soc J"},{"issue":"2","key":"1891_CR19","doi-asserted-by":"publisher","first-page":"115","DOI":"10.1177\/1457496914543976","volume":"104","author":"T S\u00f6derlund","year":"2015","unstructured":"S\u00f6derlund\u00a0T, Ikonen\u00a0A, Pyh\u00e4lt\u00f6\u00a0T, Handolin\u00a0L (2015) Factors associated with in-hospital outcomes in 594\u00a0consecutive patients suffering from severe blunt chest trauma. Scand J Surg 104(2):115\u2013120","journal-title":"Scand J Surg"},{"issue":"2","key":"1891_CR20","doi-asserted-by":"publisher","first-page":"395","DOI":"10.1097\/TA.0b013e3181a601cb","volume":"68","author":"P Michelet","year":"2010","unstructured":"Michelet\u00a0P, Couret\u00a0D, Br\u00e9geon\u00a0F, Perrin\u00a0G, D\u2019Journo\u00a0X\u2011B, Pequignot\u00a0V et al (2010) Early onset pneumonia in severe chest trauma: a\u00a0risk factor analysis. J\u00a0Trauma Acute Care Surg 68(2):395\u2013400","journal-title":"J Trauma Acute Care Surg"},{"issue":"6","key":"1891_CR21","doi-asserted-by":"publisher","first-page":"605","DOI":"10.1007\/s00068-013-0291-5","volume":"39","author":"H Abdulrahman","year":"2013","unstructured":"Abdulrahman\u00a0H, Afifi\u00a0I, El-Menyar\u00a0A, Al-Hassani\u00a0A, Almadani\u00a0A, Al-Thani\u00a0H et al (2013) Clinical outcomes of multiple rib fractures: does age matter? Eur J Trauma Emerg Surg 39(6):605\u2013611","journal-title":"Eur J Trauma Emerg Surg"},{"issue":"6","key":"1891_CR22","doi-asserted-by":"publisher","first-page":"1642","DOI":"10.1097\/01.CCM.0000217926.40975.4B","volume":"34","author":"KJ Brasel","year":"2006","unstructured":"Brasel\u00a0KJ, Guse\u00a0CE, Layde\u00a0P, Weigelt\u00a0JA (2006) Rib fractures: relationship with pneumonia and mortality. Crit Care Med 34(6):1642\u20131646","journal-title":"Crit Care Med"},{"issue":"3","key":"1891_CR23","doi-asserted-by":"publisher","first-page":"374","DOI":"10.1016\/s1010-7940(02)00813-8","volume":"23","author":"ST Liman","year":"2003","unstructured":"Liman\u00a0ST, Kuzucu\u00a0A, Tastepe\u00a0AI, Ulasan\u00a0GN, Topcu\u00a0S (2003) Chest injury due to blunt trauma. Eur J Cardiothorac Surg 23(3):374\u2013378","journal-title":"Eur J Cardiothorac Surg"},{"issue":"4","key":"1891_CR24","doi-asserted-by":"publisher","first-page":"335","DOI":"10.1097\/01.smj.0000203815.29757.d3","volume":"99","author":"GM Testerman","year":"2006","unstructured":"Testerman\u00a0GM (2006) Adverse outcomes in younger rib fracture patients. South Med\u00a0J 99(4):335\u2013340","journal-title":"South Med J"},{"issue":"4","key":"1891_CR25","doi-asserted-by":"publisher","first-page":"549","DOI":"10.1016\/S1072-7515(02)01894-X","volume":"196","author":"JB Holcomb","year":"2003","unstructured":"Holcomb\u00a0JB, McMullin\u00a0NR, Kozar\u00a0RA, Lygas\u00a0MH, Moore\u00a0FA (2003) Morbidity from rib fractures increases after age 45. J\u00a0Am Coll Surg 196(4):549\u2013555","journal-title":"J Am Coll Surg"},{"key":"1891_CR26","doi-asserted-by":"publisher","first-page":"295","DOI":"10.1016\/j.bone.2018.08.016","volume":"116","author":"HT Mai","year":"2018","unstructured":"Mai\u00a0HT, Tran\u00a0TS, Ho-Le\u00a0TP, Pham\u00a0TT, Center\u00a0JR, Eisman\u00a0JA et al (2018) Low-trauma rib fracture in the elderly: risk factors and mortality consequence. Bone 116:295\u2013300","journal-title":"Bone"},{"issue":"6","key":"1891_CR27","doi-asserted-by":"publisher","first-page":"1040","DOI":"10.1097\/00005373-200006000-00007","volume":"48","author":"EM Bulger","year":"2000","unstructured":"Bulger\u00a0EM, Arneson\u00a0MA, Mock\u00a0CN, Jurkovich\u00a0GJ (2000) Rib fractures in the elderly. J\u00a0Trauma 48(6):1040\u20131046 (discussion 6\u20137)","journal-title":"J Trauma"},{"issue":"1","key":"1891_CR28","doi-asserted-by":"publisher","first-page":"71","DOI":"10.1016\/S0749-0704(03)00098-8","volume":"20","author":"S Wanek","year":"2004","unstructured":"Wanek\u00a0S, Mayberry\u00a0JC (2004) Blunt thoracic trauma: flail chest, pulmonary contusion, and blast injury. Crit Care Clin 20(1):71\u201381","journal-title":"Crit Care Clin"},{"issue":"1","key":"1891_CR29","first-page":"7","volume":"1","author":"FA Ganie","year":"2013","unstructured":"Ganie\u00a0FA, Lone\u00a0H, Lone\u00a0GN, Wani\u00a0ML, Singh\u00a0S, Dar\u00a0AM (2013) Lung contusion: a\u00a0clinico-pathological entity with unpredictable clinical course. Bull Emerg Trauma 1(1):7","journal-title":"Bull Emerg Trauma"},{"issue":"4","key":"1891_CR30","first-page":"127","volume":"3","author":"M Hosseini","year":"2015","unstructured":"Hosseini\u00a0M, Ghelichkhani\u00a0P, Baikpour\u00a0M, Tafakhori\u00a0A, Asady\u00a0H, Ghanbari\u00a0MJH et al (2015) Diagnostic accuracy of ultrasonography and radiography in detection of pulmonary contusion; a\u00a0systematic review and meta-analysis. Emergency 3(4):127","journal-title":"Emergency"},{"issue":"8","key":"1891_CR31","doi-asserted-by":"publisher","first-page":"1959","DOI":"10.1007\/s00268-010-0599-9","volume":"34","author":"SM Cohn","year":"2010","unstructured":"Cohn\u00a0SM, DuBose\u00a0JJ (2010) Pulmonary contusion: an update on recent advances in clinical management. World J Surg 34(8):1959\u20131970","journal-title":"World J Surg"},{"issue":"8","key":"1891_CR32","doi-asserted-by":"publisher","first-page":"735","DOI":"10.1055\/s-0039-1700505","volume":"69","author":"S Schulz-Drost","year":"2021","unstructured":"Schulz-Drost\u00a0S, Finkbeiner\u00a0R, Lefering\u00a0R, Grosso\u00a0M, Krinner\u00a0S, Langenbach\u00a0A (2021) Lung Contusion in Polytrauma: An Analysis of the TraumaRegister DGU. Thorac Cardiovasc Surg 69(8):735\u2013748","journal-title":"Thorac Cardiovasc Surg"}],"container-title":["Die Chirurgie"],"original-title":[],"language":"de","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00104-023-01891-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00104-023-01891-0\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00104-023-01891-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,23]],"date-time":"2023-08-23T13:02:45Z","timestamp":1692795765000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00104-023-01891-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,2]]},"references-count":32,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2023,9]]}},"alternative-id":["1891"],"URL":"https:\/\/doi.org\/10.1007\/s00104-023-01891-0","relation":{},"ISSN":["2731-6971","2731-698X"],"issn-type":[{"value":"2731-6971","type":"print"},{"value":"2731-698X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,6,2]]},"assertion":[{"value":"19 April 2023","order":1,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"2 June 2023","order":2,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Einhaltung ethischer Richtlinien"}},{"value":"K.\u00a0Schmelzer, F.\u00a0Ziegenhain, C.\u00a0Canal, H.-C.\u00a0Pape und V.\u00a0Neuhaus geben an, dass kein Interessenkonflikt besteht.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}},{"value":"F\u00fcr diesen Beitrag wurden von den Autor\/-innen keine Studien an Menschen oder Tieren durchgef\u00fchrt. F\u00fcr die aufgef\u00fchrten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Interessenkonflikt"}}]}}