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Trotz Standardisierung mithilfe papierbasierter Checklisten stellen Dokumentation von Anamnese und notwendigen Befunden zur Erf\u00fcllung aktueller Verordnungskriterien eine gro\u00dfe Herausforderung f\u00fcr \u00c4rzt:innen dar. Ziel der vorliegenden Studie war es, mithilfe von strukturierter Befunderhebung (\u201e<jats:italic>structured reporting<\/jats:italic>\u201c, SR) die Qualit\u00e4t jener Dokumentation und den Therapieentscheidungsprozess effizienter zu gestalten. Als Vergleich dienten hierzu die bisher erh\u00e4ltlichen Papier-Checklisten.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methoden<\/jats:title>\n            <jats:p>F\u00fcr diese Studie wurde ein inkrementelles Tool programmiert, um aktuelle Befunde zu erfassen und die Erf\u00fcllung der Indikationskriterien zu \u00fcberpr\u00fcfen. Das Tool wurde in puncto Vollst\u00e4ndigkeit, Zeitaufwand und Lesbarkeit mit anderen Checklisten verglichen<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Ergebnisse<\/jats:title>\n            <jats:p>F\u00fcr jede der 3\u00a0Dokumentationsm\u00f6glichkeiten wurden 20\u00a0Befunde erhoben und in die Analyse einbezogen. Die Dokumentation auf den papierbasierten Checklisten hatte einen vergleichbaren Informationsgehalt: 17,5\u202f\u00b1\u20095,1\u00a0bzw. 21,7\u202f\u00b1\u20097,6 von maximal 43\u00a0m\u00f6glichen Punkten; <jats:italic>p<\/jats:italic>\u202f<jats:italic>&gt;<\/jats:italic>\u2009<jats:italic>0<\/jats:italic>,05. Die Dokumentation mit der digitalen Anwendung f\u00fchrte zu einem signifikanten Anstieg des Informationsgehalts im Vergleich zu allen papierbasierten Dokumentationen. Die durchschnittliche Punktzahl betrug 38,25\u202f\u00b1\u20093,7 (88,9\u202f% der Maximalpunktzahl; <jats:italic>p<\/jats:italic>\u202f&lt;\u20090,001). Die Nutzerzufriedenheit war im Durchschnitt hoch (9,6\/10). Die Nutzung der digitalen Anwendung war anfangs zeitaufwendiger, verringerte sich aber mit zunehmender Anzahl der dokumentierten F\u00e4lle erheblich.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Schlussfolgerung<\/jats:title>\n            <jats:p>Die strukturierte Befundung mittels (Web\u2011)Apps k\u00f6nnte in Zukunft die papierbasierte Befundung zur Indikation einer Biologikatherapie bei CRSwNP-Patient:innen ersetzen und zus\u00e4tzliche Vorteile in Bezug auf die Datenqualit\u00e4t und Nachvollziehbarkeit der Ergebnisse bieten. Das zuk\u00fcnftig steigende Dokumentationsvolumen, die fortschreitende Digitalisierung und die M\u00f6glichkeit der Vernetzung zwischen einzelnen Zentren machen die Einf\u00fchrung einer App in naher Zukunft wahrscheinlich und wirtschaftlich.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1007\/s00106-024-01488-x","type":"journal-article","created":{"date-parts":[[2024,6,3]],"date-time":"2024-06-03T11:03:41Z","timestamp":1717412621000},"page":"103-110","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Qualit\u00e4tssteigerung der Dokumentation zur Biologikatherapie der chronischen Rhinosinusitis durch digitale, strukturierte Befunderhebung und Indikationsstellung?","Enhanced quality of documentation for biologic therapy of chronic rhinosinusitis through structured digital reporting and indication?"],"prefix":"10.1007","volume":"73","author":[{"given":"Jan","family":"Hagemann","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher","family":"Seifen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Koll","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manuel","family":"Reissig","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Barbara","family":"Leggewie","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Berit","family":"Hackenberg","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julia","family":"D\u00f6ge","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kai","family":"Helling","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sven","family":"Becker","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ludger","family":"Klimek","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christoph","family":"Matthias","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Benjamin-Philipp","family":"Ernst","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,5,30]]},"reference":[{"issue":"8","key":"1488_CR1","doi-asserted-by":"publisher","first-page":"511","DOI":"10.1055\/a-1197-0136","volume":"99","author":"L Klimek","year":"2020","unstructured":"Klimek\u00a0L, F\u00f6rster-Ruhrmann\u00a0U, Becker\u00a0S et\u00a0al (2020) Positionspapier: Anwendung von Biologika bei chronischer Rhinosinusitis mit Polyposis nasi (CRSwNP) im deutschen Gesundheitssystem \u2013 Empfehlungen des \u00c4rzteverbandes Deutscher Allergologen (AeDA) und der AGs Klinische Immunologie, Allergologie und Umweltmedizin und Rhinologie und Rhinochirurgie der Deutschen Gesellschaft f\u00fcr HNO-Heilkunde, Kopf- und Halschirurgie (DGHNOKHC). 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