{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T13:40:35Z","timestamp":1792676435468,"version":"4.5.0"},"reference-count":29,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T00:00:00Z","timestamp":1776816000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T00:00:00Z","timestamp":1776816000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["HNO"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Hintergrund<\/jats:title>\n                    <jats:p>Die Behandlung von Patienten mit Kopf-Hals-Tumoren, insbesondere im Zusammenhang mit Radio(chemo)therapie (R[C]T), f\u00fchrt h\u00e4ufig zu Einschr\u00e4nkungen der Schluckfunktion, des Ern\u00e4hrungszustands und der Lebensqualit\u00e4t. Am Universit\u00e4tsspital Z\u00fcrich (USZ) wurde eine logop\u00e4disch-phoniatrische Sprechstunde zur pr\u00e4therapeutischen Untersuchung und Behandlung eingef\u00fchrt, um (Sp\u00e4t\u2011)Folgen der Tumorbehandlung potenziell vorzubeugen oder zu reduzieren. Obwohl das Modell urspr\u00fcnglich nicht auf die \u00dcbertragbarkeit auf andere Einrichtungen ausgerichtet war, k\u00f6nnte es als Beispiel f\u00fcr \u00e4hnliche Konzepte in anderen Kliniken dienen.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Zielsetzung<\/jats:title>\n                    <jats:p>Im vorliegenden Artikel wird ein strukturiertes Sprechstundenmodell zur Betreuung vor und nach einer R(C)T oder Operation vorgestellt. Der Fokus liegt auf praktischen Aspekten wie der Ressourcenplanung, Patientenzahlen und Herausforderungen bei der Umsetzung.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methoden<\/jats:title>\n                    <jats:p>Das Modell wurde auf Basis einer Literaturrecherche und praktischer Erfahrungen entwickelt. Es definiert Zeitpunkte f\u00fcr Erstuntersuchungen, Nachkontrollen und therapeutische Interventionen. Seit 2019 ist es Bestandteil des interdisziplin\u00e4ren Kopf-Hals-Tumorzentrums am USZ.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ergebnisse<\/jats:title>\n                    <jats:p>Seit 2019 wurden mehr als 400 Patienten betreut. Eine beispielhafte Analyse der Daten von 2024 zeigt, dass etwa 70\u202f% der Patienten w\u00e4hrend der R(C)T die logop\u00e4dischen Termine wahrnahmen. Drei Monate nach der R(C)T betrug die Teilnahme an den Kontrollen 76\u202f%, nach einer Operation 94\u202f%. Diese hohe Wahrnehmungsquote spiegelt die Akzeptanz des Modells wider. Herausforderungen bei der Integration und Durchf\u00fchrung betreffen v.\u00a0a. die Ressourcenplanung und die interdisziplin\u00e4re Zusammenarbeit.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Schlussfolgerung<\/jats:title>\n                    <jats:p>Das vorgestellte Sprechstundenmodell bietet eine Struktur zur logop\u00e4dischen Betreuung von Kopf-Hals-Tumorpatienten. Die erfolgreiche Umsetzung am USZ zeigt, dass es als Beispiel f\u00fcr \u00e4hnliche Konzepte in anderen Kliniken dienen kann. Die beschriebenen Herausforderungen und praktischen \u00dcberlegungen bieten Einsichten f\u00fcr die Implementierung solcher Modelle.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00106-026-01760-2","type":"journal-article","created":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T14:46:58Z","timestamp":1776869218000},"page":"340-347","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Ein Modell f\u00fcr Pretreatment Assessment und Pr\u00e4habilitation bei Kopf-Hals-Tumoren","A\u00a0model for pretreatment assessment and prehabilitation in head and neck cancer"],"prefix":"10.1007","volume":"74","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7100-1578","authenticated-orcid":false,"given":"Miriam E. 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