{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T23:26:15Z","timestamp":1787268375627,"version":"build-2736575974"},"reference-count":29,"publisher":"Georg Thieme Verlag KG","issue":"08","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pneumologie"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title>\n                  <jats:p>F\u00fcr Patient*innen mit fortgeschrittenen Lungenerkrankungen kann eine Lungentransplantation die letzte Therapiem\u00f6glichkeit darstellen. Obwohl die Patient*innen eine sehr vulnerable Gruppe sind und eine palliativmedizinische Mitversorgung der Patient*innen gefordert wird, ist diese kaum etabliert. Die vorliegende Studie zielt darauf ab, das Krankheits- und Versorgungsgeschehen von Patient*innen auf der Warteliste zur Lungentransplantation umfassend zu beschreiben sowie Indikatoren f\u00fcr palliativmedizinische Bedarfe und Risikofaktoren f\u00fcr ein Versterben w\u00e4hrend der Wartezeit zu identifizieren.<\/jats:p>\n                  <jats:p>Retrospektive Kohortenanalyse von Patient*innen auf der Warteliste zur Lungentransplantation des LMU Klinikums M\u00fcnchen. Auswertung von routinem\u00e4\u00dfig erfassten Gesundheitsdaten zwischen dem 01.07.2016 und dem 30.06.2018 mittels deskriptiver Analysen und logistischer Regression.<\/jats:p>\n                  <jats:p>Insgesamt wurden 242 Patient*innen eingeschlossen, davon waren n=119\/242 (49%) weiblich. Bei Aufnahme in die Warteliste betrug das Alter im Mittel 51 Jahre (SD=12,1) und der Lung Allocation Score (LAS) 37,7 (SD=10,9; n=241\/242). Die h\u00e4ufigsten Grunderkrankungen waren chronisch obstruktive Lungenerkrankung (n= 91\/242, 38%), fibrosierende Lungenerkrankungen (n=73\/242, 30%) und zystische Fibrose (n=36\/242, 15%). Dazu lagen durchschnittlich 4 weitere chronische Erkrankungen vor (SD=2,5; n=242). 137\/242 Patient*innen (57%) erhielten ein Transplantat, 24\/242 (10%) verstarben vor einer Transplantation. W\u00e4hrend der Beobachtungszeit waren 195\/242 Patient*innen (81%) im Median zweimal im LMU Klinikum, 54\/195 Patient*innen (28%) f\u00fcr eine Akutbehandlung. Zur Symptomkontrolle erhielten 119\/195 Patient*innen (59%) Medikamente mit palliativmedizinischer Relevanz. 5\/195 Patient*innen (3%) hatten Kontakt zum Palliativteam. Eine h\u00f6here Anzahl an Nebendiagnosen (p=0,03; OR=1,26; KI=1,02\u20131,54) und die Anzahl an station\u00e4ren Tagen pro beobachteten Monat (p=0,00; OR=1,32; KI=1,13\u20131,53) war mit einer h\u00f6heren Wahrscheinlichkeit assoziiert, w\u00e4hrend der Wartezeit zu versterben.<\/jats:p>\n                  <jats:p>Bei Patient*innen auf der Warteliste zur Lungentransplantation zeigen sich deutliche Indikatoren f\u00fcr einen palliativmedizinischen Versorgungsbedarf, jedoch erhielt nur ein geringer Anteil eine entsprechende Betreuung. Die Implementierung strukturierter Assessments zur Erfassung der Symptomlast und weiterer palliativmedizinischer Bed\u00fcrfnissen k\u00f6nnten eine gezielte und bedarfsgerechte Integration palliativmedizinischer Teams in die Versorgung erm\u00f6glichen.<\/jats:p>","DOI":"10.1055\/a-2746-4201","type":"journal-article","created":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T00:04:38Z","timestamp":1769040278000},"page":"564-573","source":"Crossref","is-referenced-by-count":0,"title":["Palliativmedizinische Bedarfe und Versorgung von Patient*innen auf der Warteliste zur Lungentransplantation"],"prefix":"10.1055","volume":"80","author":[{"given":"Simone","family":"Holl\u00e4nder","sequence":"first","affiliation":[{"name":"LMU Klinikum, Bavaria, Deutschland","place":["M\u00fcnchen"],"department":["Klinik und Poliklinik f\u00fcr Palliativmedizin"]},{"name":"RoMed Klinikum Rosenheim, Bavaria, Deutschland","place":["Rosenheim"],"department":["Klinik f\u00fcr Urologie und Kinderurologie"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claudia","family":"Bausewein","sequence":"first","affiliation":[{"name":"LMU Klinikum, Bavaria, Deutschland","place":["M\u00fcnchen"],"department":["Klinik und Poliklinik f\u00fcr Palliativmedizin"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00fcrgen","family":"Barton","sequence":"additional","affiliation":[{"name":"Mitglied im Deutschen Zentrum f\u00fcr Lungenforschung (DZL), M\u00fcnchen, LMU Klinikum Medizinische Klinik und Poliklinik V, Bavaria, Deutschland","place":["M\u00fcnchen"],"department":["Medizinische Klinik und Poliklinik V (Pneumologie), Comprehensive Pneumonology Center (CPC)"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claus","family":"Neurohr","sequence":"additional","affiliation":[{"name":"Lungen\u00e4rzte beim Vincentinum, Bavaria, Deutschland","place":["Augsburg"],"department":["Pneumologie"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikolaus","family":"Kneidinger","sequence":"additional","affiliation":[{"name":"Mitglied im Deutschen Zentrum f\u00fcr Lungenforschung (DZL), M\u00fcnchen, LMU Klinikum Medizinische Klinik und Poliklinik V, Bavaria, Deutschland","place":["M\u00fcnchen"],"department":["Medizinische Klinik und Poliklinik V (Pneumologie), Comprehensive Pneumonology Center (CPC)"]},{"name":"Medizinische Universit\u00e4t Graz, Styria, Austria","place":["Graz"],"department":["Klinische Abteilung f\u00fcr Pneumologie, Universit\u00e4tsklinik f\u00fcr Innere Medizin, Lung Research Cluster"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michaela","family":"Schunk","sequence":"additional","affiliation":[{"name":"Fakult\u00e4t f\u00fcr Gesundheits- und Sozialwissenschaften, Bavaria, Deutschland","place":["Rosenheim"],"department":["Technische Hochschule 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