{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T08:33:46Z","timestamp":1740126826879,"version":"3.37.3"},"reference-count":21,"publisher":"Georg Thieme Verlag KG","issue":"09","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Gastroenterol"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>In Deutschland sind rund 1 Mio. Menschen von einer Leberzirrhose betroffen. Eine h\u00e4ufige Komplikation stellt dabei das Auftreten von Aszites dar. Durch die steigende Leistungsverdichtung im Krankenhaus sowie die zunehmende \u00d6konomisierung im Gesundheitssektor befinden sich die Kliniken im Spannungsfeld zwischen Wirtschaftlichkeit und patientenorientierter Gesundheitsversorgung. Angesichts geringer Erl\u00f6sflexibilit\u00e4t durch Fallpauschalen sind die Behandlungskosten ein wichtiger Ansatzpunkt der Erfolgsoptimierung und des effektiven Umgangs mit Ressourcen. Das Ziel dieser Arbeit war daher eine Aufarbeitung der Kosten- und Erl\u00f6sstrukturen der Aszitesbehandlung in einem universit\u00e4ren Zentrum mit hepatologischem Schwerpunkt. F\u00fcr diese Studie wurden die Behandlungsdaten von 778 Patienten, die im Zeitraum von 2016 bis 2019 in der Medizinischen Klinik III des Universit\u00e4tsklinikums Aachen aufgenommen wurden, retrospektiv und anonymisiert ausgewertet. Die ermittelten Leistungen wurden im Rahmen einer Prozesskostenrechnung wirtschaftlich bewertet und den Erl\u00f6santeilen der Matrix aus Kostenstellen und Kostenarten des Diagnosis-Related-Groups (DRG)-Systems gegen\u00fcbergestellt. Es zeigten sich Unterdeckungen in allen untersuchten Bereichen entlang des Behandlungspfades, sodass gegenw\u00e4rtig die Versorgung des Aszites bei Zirrhose nicht kostendeckend im deutschen DRG-System abgebildet ist. Dies ist insbesondere auf eine h\u00f6here Fallschwere der universit\u00e4r behandelten Patienten zur\u00fcckzuf\u00fchren.<\/jats:p>","DOI":"10.1055\/a-1909-2383","type":"journal-article","created":{"date-parts":[[2022,9,21]],"date-time":"2022-09-21T23:10:30Z","timestamp":1663801830000},"page":"1197-1206","source":"Crossref","is-referenced-by-count":0,"title":["Kosteneffizienz der Behandlung von Aszites bei Leberzirrhose im Rahmen des G-DRG-Systems"],"prefix":"10.1055","volume":"61","author":[{"given":"Simone","family":"Claus","sequence":"additional","affiliation":[{"name":"Medizinische Klinik III, Universit\u00e4tsklinikum Aachen, Aachen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonathan Frederik","family":"Brozat","sequence":"additional","affiliation":[{"name":"Medizinische Klinik III, Universit\u00e4tsklinikum Aachen, Aachen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian","family":"Trautwein","sequence":"additional","affiliation":[{"name":"Medizinische Klinik III, Universit\u00e4tsklinikum Aachen, Aachen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4452-4151","authenticated-orcid":false,"given":"Alexander","family":"Koch","sequence":"additional","affiliation":[{"name":"Medizinische Klinik III, Universit\u00e4tsklinikum Aachen, Aachen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,9,21]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"278","DOI":"10.1055\/s-0032-1325486","article-title":"Economic aspects of inpatient treatment for decompensated liver cirrhosis: a prospective study employing an evidence-based clinical pathway","volume":"51","author":"N Hahn","year":"2013","journal-title":"Z Gastroenterol"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"323","DOI":"10.1055\/a-1068-3138","article-title":"Prognostic significance and economic burden of hepatic encephalopathy in liver cirrhosis in German hospitals based on G-DRG data","volume":"58","author":"F Gundling","year":"2020","journal-title":"Z Gastroenterol"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"3738","DOI":"10.3748\/wjg.v25.i28.3738","article-title":"Current approaches to the management of patients with cirrhotic ascites","volume":"25","author":"DV Garbuzenko","year":"2019","journal-title":"World J Gastroenterol"},{"key":"ref4","first-page":"1018","article-title":"Evaluation of Prognostic Factors in Decompensated Liver Cirrhosis with Ascites and Spontaneous Bacterial Peritonitis","volume":"119","author":"RM Danulescu","year":"2015","journal-title":"Rev Med Chir Soc Med Nat Iasi"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"611","DOI":"10.1055\/a-0873-4658","article-title":"Updated S2k-Guideline \u201cComplications of liver cirrhosis\u201d. 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