{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,10,12]],"date-time":"2022-10-12T04:34:28Z","timestamp":1665549268474},"reference-count":44,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Zentralbl Chir"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Die narrative \u00dcbersichtsarbeit fasst die Studienlage zum Thema Gehtraining bei Patienten mit Claudicatio intermittens (CI) zusammen. Eindringlich wird auf die evidenzbasierten\n          Leitlinienempfehlungen und die dahinterstehenden Studien eingegangen. Aspekte zum angiomorphologischen Befund, zu Patientenadh\u00e4renz, Langzeitwirkung, Studienqualit\u00e4t und ihre\n          Vergleichbarkeit werden diskutiert. Der Problematik in der Versorgungsrealit\u00e4t mit Abweichungen von den Leitlinien und der oftmals invasiven Erstlinientherapie des PAVK-IIb-Patienten werden\n          besondere Bedeutung geschenkt. Dabei wird die Rolle des Rehasports und die gesundheitspolititsche Bedeutung von Gehtraining in Deutschland er\u00f6rtert. Gr\u00fcnde f\u00fcr die fehlende Leitlinientreue\n          und deren Umsetzung im Gesundheitssystem werden analysiert. Dementsprechend werden Handlungsempfehlungen, in Anlehnung an internationale Erfahrungen (Niederlande, D\u00e4nemark), zur Besserung\n          der Situation in Deutschland formuliert.<\/jats:p>","DOI":"10.1055\/a-1798-0602","type":"journal-article","created":{"date-parts":[[2022,4,12]],"date-time":"2022-04-12T23:29:17Z","timestamp":1649806157000},"page":"453-459","source":"Crossref","is-referenced-by-count":0,"title":["Prim\u00e4rtherapie der Claudicatio intermittens \u2013 Anspruch und Wirklichkeit"],"prefix":"10.1055","volume":"147","author":[{"given":"Jan David","family":"S\u00fcss","sequence":"additional","affiliation":[{"name":"Gef\u00e4\u00dfchirurgie, St-Antonius-Hospital gGmbH, Eschweiler, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Gawenda","sequence":"additional","affiliation":[{"name":"Gef\u00e4\u00dfchirurgie, St-Antonius-Hospital gGmbH, Eschweiler, 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A nationwide survey among vascular surgeons","volume":"43","author":"GJ Lauret","year":"2012","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"ref46","doi-asserted-by":"publisher","first-page":"149","DOI":"10.1016\/j.avsg.2017.08.022","article-title":"Supervised Exercise Therapy for Intermittent Claudication Is Increasingly Endorsed by Dutch Vascular Surgeons","volume":"47","author":"D Hageman","year":"2018","journal-title":"Ann Vasc Surg"},{"key":"ref47","doi-asserted-by":"publisher","first-page":"432","DOI":"10.1016\/j.ejvs.2021.05.001","article-title":"Real World Practice Deviation from Nationwide Guidelines in Patients with Intermittent Claudication","volume":"62","author":"AGL Aaij","year":"2021","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"ref48","doi-asserted-by":"publisher","first-page":"361","DOI":"10.1080\/14017431.2019.1654614","article-title":"National survey of current practice and opinions on rehabilitation for intermittent claudication in the Danish Public Healthcare System","volume":"53","author":"JD Jensen","year":"2019","journal-title":"Scand Cardiovasc J"}],"container-title":["Zentralblatt f\u00fcr Chirurgie - Zeitschrift f\u00fcr Allgemeine, Viszeral-, Thorax- und Gef\u00e4\u00dfchirurgie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1798-0602.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,10,11]],"date-time":"2022-10-11T23:39:34Z","timestamp":1665531574000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1798-0602"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4,12]]},"references-count":44,"journal-issue":{"issue":"05","published-online":{"date-parts":[[2022,10,11]]},"published-print":{"date-parts":[[2022,10]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1798-0602","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0044-409X","1438-9592"],"issn-type":[{"value":"0044-409X","type":"print"},{"value":"1438-9592","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,4,12]]}}}