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Lymphoven\u00f6se Anastomosen (LVA), vaskularisierte Lymphknotentransplantationen (VLNT) und Liposuktionen stehen als operative Therapieverfahren zur Verf\u00fcgung. Die Verg\u00fctung im DRG(\u201ediagnosis related groups\u201c)-System ist jedoch teils unzureichend oder nur nach individuellem Kosten\u00fcbernahmeantrag m\u00f6glich. Dabei sind die Kosten der verh\u00e4ltnism\u00e4\u00dfig neuen operativen Verfahren noch nicht in Relation zu denen der KPE gesetzt worden.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methodik<\/jats:title>\n            <jats:p>Die Kosten der leitliniengem\u00e4\u00dfen konservativen Therapie wurden ermittelt. Die Kosten f\u00fcr LVA, VLNT und Liposuktion jeweils an oberer und unterer Extremit\u00e4t wurden anhand der DRG-Fallpauschalen sowie der nach aktuellem Kenntnisstand erwarteten Reduktion konservativer Ma\u00dfnahmen gesch\u00e4tzt. Anschlie\u00dfend erfolgte ein Vergleich der j\u00e4hrlichen Therapiekosten.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Ergebnisse<\/jats:title>\n            <jats:p>Die j\u00e4hrlichen Therapiekosten nach LVA und VLNT sind bereits im 2.\u00a0postoperativen Jahr niedriger als bei konservativer Therapie allein. Die Liposuktion erreicht diesen Punkt im\u00a06. (obere Extremit\u00e4t) bzw. 47.\u00a0postoperativen Jahr (untere Extremit\u00e4t).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Diskussion<\/jats:title>\n            <jats:p>Die Evidenz f\u00fcr die positiven Effekte der Lymphchirurgie ist noch begrenzt. Es ist jedoch erkennbar, dass der kurative operative Ansatz sowohl die Therapiekosten deutlich senken als auch die Lebensqualit\u00e4t Betroffener verbessern kann. Es mangelt jedoch an einer ad\u00e4quaten Abbildung des operativen Aufwands in der Verg\u00fctung.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s00104-024-02123-9","type":"journal-article","created":{"date-parts":[[2024,6,28]],"date-time":"2024-06-28T12:02:35Z","timestamp":1719576155000},"page":"41-47","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Kostenvergleich der konservativen vs. operativen Therapie des chronischen Lymph\u00f6dems","Cost comparison of conservative vs. surgical treatment of chronic lymphedema"],"prefix":"10.1007","volume":"96","author":[{"given":"Rima","family":"Nuwayhid","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefan","family":"Langer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nikolaus","family":"von Dercks","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,6,28]]},"reference":[{"issue":"4","key":"2123_CR1","doi-asserted-by":"publisher","first-page":"905","DOI":"10.1097\/PRS.0000000000000010","volume":"133","author":"MN Basta","year":"2014","unstructured":"Basta\u00a0MN, Gao\u00a0LL, Wu\u00a0LC (2014) Operative treatment of peripheral lymphedema: a\u00a0systematic meta-analysis of the efficacy and safety of lymphovenous microsurgery and tissue transplantation. 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