{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,7,31]],"date-time":"2024-07-31T11:51:50Z","timestamp":1722426710285},"reference-count":18,"publisher":"Georg Thieme Verlag KG","issue":"07","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Laryngorhinootologie"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n          Einleitung\u2002Der Gemeinsame Bundesausschuss hat im Jahr 2017 Tonsillotomie, Tonsillektomie und Hysterektomie f\u00fcr ein Zweitmeinungsverfahren ausgew\u00e4hlt. Die vorliegende Untersuchung pr\u00fcfte die rechtfertigende qualitative wie quantitative Grundlage dieses bundesweiten Verfahrens.<\/jats:p><jats:p>\n          Material und Methoden\u2002Die Daten des Statistischen Bundesamtes zur Fallzahlentwicklung wurden erfasst; Zahl und Standortverteilung der HNO-Zweitmeiner wurden \u00fcber die Websites der Kassen\u00e4rztlichen Vereinigungen ausgewertet.<\/jats:p><jats:p>\n          Ergebnisse:\u2002Zwischen 2005 und 2018 nahm die Zahl der (Adeno-) Tonsillektomien von 119\u200a808 auf 42\u200a548 ab; die Zahl der Tonsillotomien stieg von 4659 (2007) auf 18\u200a369. Unabh\u00e4ngig davon bleiben signifikante Unterschiede zwischen den Bundesl\u00e4ndern bestehen. 218 HNO-\u00c4rzte in 142 St\u00e4dten sind derzeit als Zweitmeiner t\u00e4tig; entsprechend der Operationszahlen von 2018 entfielen auf einen Zweitmeiner ca. 280 Patienten (1:90\u20131:800).<\/jats:p><jats:p>\n          Schlussfolgerungen\u2002Bei sinkender Pr\u00e4valenz der ausgew\u00e4hlten Eingriffe \u2013 die Tonsillektomie geh\u00f6rt seit 2013 nicht mehr zu den 50 am h\u00e4ufigsten in Deutschland durchgef\u00fchrten Operationen \u2013 kann von einer \u201eMengenanf\u00e4lligkeit\u201c nicht ausgegangen werden. Die Umsetzung des Zweitmeinungsverfahrens, nicht zuletzt der Ausgleich regionaler Unterschiede der Operationsindikation, ist au\u00dferdem durch die regionale Verteilung der Zweitmeiner kompromittiert. Eine wissenschaftliche Begleitung der bereits initiierten Zweitmeinungsverfahren und die Pr\u00fcfung des tats\u00e4chlichen Bedarfs erscheinen sinnvoll.<\/jats:p>","DOI":"10.1055\/a-1341-9564","type":"journal-article","created":{"date-parts":[[2021,1,18]],"date-time":"2021-01-18T23:37:03Z","timestamp":1611013023000},"page":"556-561","source":"Crossref","is-referenced-by-count":2,"title":["Zweitmeinungsverfahren f\u00fcr die Tonsillektomie und Tonsillotomie: eine Analyse der rechtfertigenden quantitativen und qualitativen Voraussetzungen"],"prefix":"10.1055","volume":"100","author":[{"given":"Achim M.","family":"Franzen","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Hals-Nasen-Ohrenheilkunde, Medizinische Hochschule Brandenburg, Campus Ruppiner Kliniken"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jochen P.","family":"Windfuhr","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Hals-Nasen-Ohrenheilkunde, Klinikum Maria Hilf, 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