{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T14:49:31Z","timestamp":1791643771862,"version":"4.3.4"},"reference-count":18,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2021,1,28]],"date-time":"2021-01-28T00:00:00Z","timestamp":1611792000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,1,28]],"date-time":"2021-01-28T00:00:00Z","timestamp":1611792000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100001652","name":"Friedrich-Alexander-Universit\u00e4t Erlangen-N\u00fcrnberg","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100001652","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Hautarzt"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Hintergrund und Fragestellung<\/jats:title>\n                <jats:p>Die Versorgungswege von Patienten mit chronischen Wunden sind h\u00e4ufig sehr langwierig. Dies kann zu einer verminderten Versorgungsqualit\u00e4t und zu einer versp\u00e4teten Diagnose der eigentlichen Ursache f\u00fchren. Gleichzeitig existieren zertifizierte Einrichtungen f\u00fcr diese Patientengruppe. Die vorliegende Arbeit untersucht m\u00f6gliche Gr\u00fcnde f\u00fcr eine verz\u00f6gerte Zuweisung an diese Zentren und ob eine spezifische Patientenauswahl an universit\u00e4re Zentren gelangt.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Patienten und Methoden<\/jats:title>\n                <jats:p>Durch eine retrospektive Auswertung der Patientendatens\u00e4tze zum Zeitpunkt der Erstvorstellung im zertifizierten Wundzentrum wurden Variablen zum Versorgungszustand vor der universit\u00e4ren Vorstellung analysiert.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Es konnten Datens\u00e4tze von 177\u00a0Patienten ausgewertet werden (53\u202f% weiblich, 47\u202f% m\u00e4nnlich). Die Altersspanne lag zwischen 27 und 95\u00a0Jahren. Die mittlere Bestandsdauer der Wunde betrug 22\u00a0Monate. Eine Gef\u00e4\u00dfdiagnostik war im Vorfeld in 32\u202f% (arterielle Diagnostik) bzw. 36\u202f% (phlebologische Diagnostik) durchgef\u00fchrt worden. Eine Gewebeprobe war in 9\u202f% der F\u00e4lle entnommen worden, v.\u00a0a. bei Patienten mit &gt;\u202f24\u00a0Monaten bestehender Wunde. In nur 45\u202f% der F\u00e4lle stimmte die externe Diagnose mit der im Wundzentrum abschlie\u00dfend gestellten Diagnose \u00fcberein.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Diskussion<\/jats:title>\n                <jats:p>Die Versorgungssituation von Patienten mit chronischen Wunden au\u00dferhalb spezialisierter Versorgungsstrukturen ist als unzureichend anzusehen. Eine fr\u00fchzeitige Versorgung nach etablierten Standards in Diagnostik und Therapie sowie zeitnahe \u00dcberweisung bei stagnierendem Verlauf an eine Spezialsprechstunde sind anzustreben.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00105-021-04759-8","type":"journal-article","created":{"date-parts":[[2021,1,28]],"date-time":"2021-01-28T12:44:47Z","timestamp":1611837887000},"page":"517-524","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Versorgungszustand von Patienten vor Zuweisung an ein universit\u00e4res Wundzentrum","Standard of patient-centred care before admission to a university wound centre"],"prefix":"10.1007","volume":"72","author":[{"given":"Cornelia","family":"Erfurt-Berge","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melanie","family":"Michler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Regina","family":"Renner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,1,28]]},"reference":[{"issue":"2","key":"4759_CR1","doi-asserted-by":"publisher","first-page":"434","DOI":"10.1111\/wrr.12387","volume":"24","author":"K Heyer","year":"2016","unstructured":"Heyer\u00a0K, Herberger\u00a0K, Protz\u00a0K et\u00a0al (2016) Epidemiology of chronic wounds in Germany: analysis of statutory health insurance data. 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