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Berufspolitisch wird seit vielen Jahren ein zunehmender Verlust dieses Schwerpunkts bef\u00fcrchtet. Ziel dieser Studie ist es, reale Fallzahlen und eine m\u00f6gliche Dynamik in der Verteilung kinderurologischer Eingriffe auf die Fachabteilungen f\u00fcr Urologie und Kinderchirurgie in Deutschland zu pr\u00fcfen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Material und Methoden<\/jats:title>\n                <jats:p>Als Index-Eingriffe definierten wir Operationen des Hodenhochstands, der Hypospadie und des vesikoureteralen Refluxes (VUR). Mithilfe der Software reimbursement.INFO (RI Innovation GmbH, H\u00fcrth) werteten wir die \u00f6ffentlich zug\u00e4nglichen Qualit\u00e4tsberichtsdaten der deutschen Krankenh\u00e4user von 2006 bis 2019 aus und wiesen sie den entsprechenden Fachrichtungen zu.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse<\/jats:title>\n                <jats:p>Die Orchidopexie erfolgt h\u00e4ufiger in der Urologie, wohingegen die Hypospadiekorrektur und die operative Therapie des VUR h\u00e4ufiger in der Kinderchirurgie durchgef\u00fchrt werden. Anteilig zeigte sich f\u00fcr die Orchidopexie und die operative Refluxtherapie keine relevante Verschiebung zwischen urologischen und kinderchirurgischen Kliniken im Untersuchungszeitraum. Bei den Hypospadiekorrekturen nimmt der Anteil der Operationen in kinderchirurgischen Einheiten zu (<jats:italic>p<\/jats:italic>\u202f&lt;\u20090,0001). In der Kinderchirurgie erfolgen 84\u201393\u202f% der analysierten Eingriffe in High-volume-Abteilungen w\u00e4hrend dieser Anteil in der Urologie bei 56\u201373\u202f% liegt. Insbesondere die operative Refluxtherapie in der Urologie erfolgt zu einem hohen Anteil als Gelegenheitseingriff (30\u202f% \u201every low volume\u201c).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Schlussfolgerung<\/jats:title>\n                <jats:p>Die Qualit\u00e4tsberichtsdaten erm\u00f6glichen die Erfassung der Fallzahlen und die Analyse der Verteilung zwischen Urologie und Kinderchirurgie in Deutschland. Dabei ist f\u00fcr die Hypospadiekorrektur eine relevante Verschiebung in Richtung der Kinderchirurgie zu beobachten. Die Ursachen und m\u00f6glichen berufspolitischen Konsequenzen dieser ersten Erhebung sind komplex und bed\u00fcrfen weiterer Analysen.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00120-021-01636-z","type":"journal-article","created":{"date-parts":[[2021,9,15]],"date-time":"2021-09-15T15:04:09Z","timestamp":1631718249000},"page":"1291-1303","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Versorgungswirklichkeit ausgew\u00e4hlter kinderurologischer Eingriffe in Deutschland von 2006 bis 2019","Health care reality of selected pediatric urologic surgeries in Germany from 2006 to 2019"],"prefix":"10.1007","volume":"60","author":[{"given":"Markus","family":"Maier","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne-Karoline","family":"Ebert","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Baunacke","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christer","family":"Groeben","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicole","family":"Eisenmenger","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"Thomas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johannes","family":"Huber","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,9,15]]},"reference":[{"key":"1636_CR1","volume-title":"Zukunftsoffensive Urologie 2025: Positionspapier der DGU e.\u202fV","author":"M Michel","year":"2018","unstructured":"Michel\u00a0M, Fornara\u00a0P (2018) Zukunftsoffensive Urologie 2025: Positionspapier der DGU e.\u202fV"},{"key":"1636_CR2","unstructured":"Bundesinstitut f\u00fcr Bev\u00f6lkerungsforschung (2019) https:\/\/www.bib.bund.de\/DE\/Fakten\/Fakt\/B77-Bevoelkerungsdichte-Kreise.html. 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