{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,9,27]],"date-time":"2023-09-27T10:15:10Z","timestamp":1695809710805},"reference-count":23,"publisher":"Georg Thieme Verlag KG","issue":"08","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Klin Monbl Augenheilkd"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Hintergrund Die Behandlung von Tumorerkrankungen erfolgt zunehmend in interdisziplin\u00e4ren Zentren. Therapieentscheidungen werden dabei h\u00e4ufig im Rahmen von Fallkonferenzen getroffen. Erkrankungen der Orbita betreffen mehrere Disziplinen. Neben Augen\u00e4rzten sind in erster Linie Mund-, Kiefer- und Gesichtschirurgen, HNO-\u00c4rzte, Neurochirurgen, aber auch P\u00e4diater, Strahlentherapeuten und Radiologen beteiligt. Ziel unserer Arbeit ist die Vorstellung einer multidisziplin\u00e4ren Fallkonferenz f\u00fcr Orbitaerkrankungen. Dargestellt werden die bisherige Inanspruchnahme, die Indikationen und die Therapieentscheidungen.<\/jats:p><jats:p>Methoden Wir analysierten alle Patienten, welche von 2008 bis 2018 in der Fallkonferenz des Orbitazentrums des Universit\u00e4tsklinikums Freiburg vorgestellt wurden, im Hinblick auf klinische Diagnose, histologische Diagnosen, Anzahl der operativen Eingriffe sowie Rate der interdisziplin\u00e4ren Therapieentscheidungen. Der Datensatz wurde vor Analyse vollst\u00e4ndig anonymisiert.<\/jats:p><jats:p>Ergebnisse Von 2008 bis 2018 wurden 545 F\u00e4lle in die w\u00f6chentliche Fallkonferenz eingebracht. Davon lagen 453 anonymisiert zur Auswertung vor. Das mediane Alter bei Vorstellung betrug \u200956 Jahre (Quartile 41; 69). Die h\u00e4ufigste Indikation war ein Orbitatumor unklarer Dignit\u00e4t (n\u2009=\u200952; 11%). Weitere Indikationen waren endokrine Orbitopathie (n\u2009=\u200939; 9%), Pseudotumor orbitae (n\u2009=\u200936; 8%), eine Augenmuskelparese (n\u2009=\u200922; 5%) oder ein Lymphom der Orbita (n\u2009=\u200922; 5%). Die h\u00e4ufigsten histologischen Diagnosen waren B-Zell-Lymphome (n\u2009=\u200910; 2%), kavern\u00f6ses H\u00e4mangiom (n\u2009=\u20098; 2%), Marginalzonenlymphome (n\u2009=\u20098; 2%) und Plattenepithelkarzinome (n\u2009=\u20096; 1%). Bei 174 Patienten wurde ein konkretes Vorgehen interdisziplin\u00e4r festgelegt.<\/jats:p><jats:p>Schlussfolgerungen Es zeigt sich eine hohe Inanspruchnahme der Fallkonferenz Orbitazentrum am Universit\u00e4tsklinikum Freiburg. Die hohe Anzahl an interdisziplin\u00e4ren Entscheidungen untermauert die Notwendigkeit einer solchen Konferenz. Den Patienten bleiben so mehrfache Untersuchungen in den einzelnen Fachabteilungen erspart und es k\u00f6nnen schnelle und effektive interdisziplin\u00e4re Therapieentscheidungen getroffen werden.<\/jats:p>","DOI":"10.1055\/a-1078-1412","type":"journal-article","created":{"date-parts":[[2020,2,4]],"date-time":"2020-02-04T00:00:02Z","timestamp":1580774402000},"page":"985-989","source":"Crossref","is-referenced-by-count":0,"title":["Inanspruchnahme der multidisziplin\u00e4ren spezialisierten Fallkonferenz im Freiburger Orbitazentrum"],"prefix":"10.1055","volume":"237","author":[{"given":"Stefan J.","family":"Lang","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Augenheilkunde, Albert-Ludwigs-Universit\u00e4t Freiburg, Freiburg im Breisgau"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lutz","family":"Joachimsen","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Augenheilkunde, Albert-Ludwigs-Universit\u00e4t Freiburg, Freiburg im Breisgau"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julia","family":"Stifter","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Augenheilkunde, Albert-Ludwigs-Universit\u00e4t Freiburg, Freiburg im Breisgau"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Reich","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Augenheilkunde, Albert-Ludwigs-Universit\u00e4t Freiburg, Freiburg im Breisgau"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sebastian","family":"K\u00fcchlin","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Augenheilkunde, Albert-Ludwigs-Universit\u00e4t Freiburg, Freiburg im Breisgau"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"B\u00f6hringer","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Augenheilkunde, Albert-Ludwigs-Universit\u00e4t Freiburg, Freiburg im Breisgau"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc","family":"Metzger","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Mund-, Kiefer- und Gesichtschirurgie, Albert-Ludwigs-Universit\u00e4t Freiburg, Freiburg im Breisgau"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wolf Alexander","family":"Lagr\u00e8ze","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Augenheilkunde, Albert-Ludwigs-Universit\u00e4t Freiburg, Freiburg im Breisgau"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2020,2,3]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"E1074","DOI":"10.1097\/BSD.0000000000000482","article-title":"Treatment of Spinal Tumors in a High Volume Center has Direct Impact on Local Recurrence, Morbidity, and Mortality","volume":"30","author":"R Lador","year":"2017","journal-title":"Clin Spine Surg"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"1277","DOI":"10.1136\/bjophthalmol-2017-311082","article-title":"Treatment of conjunctival melanoma in a Dutch referral centre","volume":"102","author":"N J Brouwer","year":"2018","journal-title":"Br J Ophthalmol"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"2380","DOI":"10.1002\/(SICI)1097-0142(19970615)79:12<2380::AID-CNCR12>3.0.CO;2-N","article-title":"Multidisciplinary breast cancer clinics. 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