[Evaluation of therapy of patients with rectal carcinoma. Goals of healing (outcome) and implementation of the quality of life concept in total medical care].

Abstract:

:Quality of life (QL) assessment by means of standardised scales allows a valid representation of an individual's subjective sense of well-being in three dimensions: somatic (intensity and frequency of symptoms), psychological (anxiety, depression) and social (family life, employment, sexuality). The question, however, whether routine measurement, documentation and analysis of QL-data could lead to an improvement of patient care is still unsolved. Studies with a clearly defined practical goal in collaboration with physicians and patients should help to resolve this issue. The introduction of the QL concept into everyday clinical practice first requires that this tool is understandable and valuable to the clinician. In this respect, we propose to integrate the factor QL into a broader outcome-concept in parallel to the classical quality indicators (outcome-criteria), to demonstrate individual patient's clinical and therapeutical course in the form of QL-profiles and to correlate the patient's actual clinical and psychosocial situation with the results of QL measurement. We illustrate the feasibility of a stepwise concept of implementation of the QL concept by demonstrating interim results of our field trial on regional management and care of patients with rectal carcinoma in the county of Marburg-Biedenkopf.

journal_name

Zentralbl Chir

authors

Kopp I,Koller M,Rothmund M,Lorenz W,Mitglieder des Qualitätszirkels.

doi

10.1055/s-2000-10069

subject

Has Abstract

pub_date

2000-01-01 00:00:00

pages

940-6

issue

12

eissn

0044-409X

issn

1438-9592

journal_volume

125

pub_type

杂志文章
  • [Our surgical heritage: the tragic destiny of surgeons. A professional tragedy 1914: Emil Dagobert Schumacher].

    abstract::When in 1910 F. Sauerbruch became head of the Surgical Dept. of Zurich-University (Switzerland) he took over a young promising surgeon from his predecessor: E. D. Schumacher. Soon Schumacher became a close and well accepted coworker of the head of the Dept, thus beginning an extraordinary career as an outstanding thor...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 传,历史文章,杂志文章

    doi:

    authors: Schober KL

    更新日期:1984-01-01 00:00:00

  • [What Surgeons Should Know about Risk Management].

    abstract::Background: The fact that medical treatment is associated with errors has long been recognized. Based on the principle of "first do no harm", numerous efforts have since been made to prevent such errors or limit their impact. However, recent statistics show that these measures do not sufficiently prevent grave mistake...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0041-107444

    authors: Strametz R,Tannheimer M,Rall M

    更新日期:2017-02-01 00:00:00

  • [Zenker's diverticulum treated by transoral diverticulostomy: technique and results].

    abstract:AIM OF THE STUDY:The surgical technique of transoral diverticulostomy by a modified Endo-GIAtrade mark Stapler (Multifire Endo GIA, Tyco Healthcare) is described. Experiences of this procedure in 31 patients are analysed and compared with different endoscopic and conventional surgical therapies of Zenker's diverticula,...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2007-981312

    authors: Lang RA,Spelsberg FW,Naumann A,Dellian M,Jauch KW,Hüttl TP

    更新日期:2007-10-01 00:00:00

  • [Imaging of Mediastinal Tumors].

    abstract::In computed tomography, the mediastinum is split into ventral prevascular, middle visceral and dorsal paravertebral compartments. Each compartment contains specific tumours which will be presented and discussed briefly. The focus is on image-based analysis of morphological signs to differentiate between entities using...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/a-1171-2766

    authors: Ley S,Ley-Zaporozhan J

    更新日期:2020-07-06 00:00:00

  • [Laparoscopic hernia surgery].

    abstract::While classical inguinal hernia repair has recently been brought up for discussions among surgeons, at present various modified techniques are being reintroduced in general surgery. Surgical hernia repair techniques which partly are known since several decades are being carried out laparoscopically since 1989. Between...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Said S,Zieren J,Pichlmaier H

    更新日期:1993-01-01 00:00:00

  • [Are there new aspects in thoracic surgery in children?].

    abstract::A comparison was made between the operations of the respiratory tract in childhood and their associated bronchological examinations were analyzed and also there were other kinds of indication for examination and operation. The surgical therapy of abnormalities has the priority. ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Diestelhorst C,Wild L,Bennek J

    更新日期:1990-01-01 00:00:00

  • [Portal vein embolisation prior to extended liver resection - current and future aspects].

    abstract::Extended liver resections are associated with the risk of postoperative liver dysfunction up to liver failure. For this reason, prior to extended liver resections patients are conditioned in multi-modal therapy regimes. Portal vein embolisation is an essential part of such a multi-modal therapy. The aim of this interv...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0032-1328350

    authors: Rauchfuss F,Scheuerlein H,Lopatta E,Dittmar Y,Schüle S,Settmacher U

    更新日期:2013-08-01 00:00:00

  • [Preliminary results of a prospective randomized study vascular replacement above the knee].

    abstract::In case of insufficient or missing greater saphenal vein or if the saphenal vein might be of important use for future bypass grafts, the question arises which alternative bypass material is the more appropriate choice. A literature review to that topic produced only unsatisfactory results. In a prospective randomized ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Erasmi H,Walter M,Schmitz-Rixen T,Kristen F

    更新日期:1996-01-01 00:00:00

  • [Surgical palliation for pancreatic cancer. The 25-year experience of a single reference centre].

    abstract:BACKGROUND:In spite of dynamic development of modern diagnostic and therapeutic methods, the long-term results of surgical therapy in pancreatic cancer are still unsatisfying. The aim of this study was to analyse long-term results of surgical palliation for pancreatic cancer in a pancreatic surgery centre. METHODS:We ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2002-35760

    authors: Popiela T,Kedra B,Sierzega M,Kubisz A

    更新日期:2002-11-01 00:00:00

  • [Pharmacology of regional chemotherapy of colorectal liver metastases].

    abstract::Regional chemotherapy offers a means to enhance the local efficacy of an otherwise ineffective systemic chemotherapy. The regional concentration advantage of a drug is proportional to its total body clearance and inversely proportional to the blood flow through the organ. Regional infusion of adriamycin, cisplatin, me...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:

    authors: Schalhorn A,Kühl M

    更新日期:1995-01-01 00:00:00

  • [Colon carcinoma - duration of anamnesis and survival time (author's transl)].

    abstract::In order to prove the hypothesis--short anamnesis; short survival time--the duration of the anamnesis and the period of survival of 230 patients with carcinoma of the colon were statistically mathematically and graphically investigated. No relationship in accordance with a rule was found between the duration of anamne...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: de Heer K,Eichfuss HP,Vorwig KH

    更新日期:1977-01-01 00:00:00

  • [Intraperitoneal infections and immunosuppression (author's transl)].

    abstract::The growing number of patients showing a restricted immune defence, also causes the surgeon to be faced with big problems; particularly in the case of intraperitoneal infections. In case of peritonitis the organism may dispose of various opportunities of immune defence involving the local limitation by adhesions, phag...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Hau T,Lippert H

    更新日期:1982-01-01 00:00:00

  • [Laparoscopic cholecystectomy in antegrade (prograde) technique].

    abstract::In the case of acute cholecystitis and chronic cholecystitis of lang standing, the inflammatory changes in Calot's triangle make the risk of damaging the bile duct during laparoscopic cholecystectomy particularly high. In view of the difficult anatomical situation in Calot's triangle, such patho-anatomical conditions ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Köckerling F,Schneider C,Reymond MA,Hohenberger W

    更新日期:1997-01-01 00:00:00

  • [Late results of ureterosigmoidostomy in treating extrophy of the bladder (author's transl)].

    abstract::26 children with extrophy of the bladder were treated surgically during a period of 23 years. In all cases a ureterosigmoidostomy was performed with a follow up of 1-22 years in 15 of 26 cases. In 9 children the clinical, radiological, and biochemical findings were good in 4 satisfying and 2 bad due to hydronephrosis ...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Sztaba R,Karcz J

    更新日期:1979-01-01 00:00:00

  • [Pressure conditions under VVS-foams - an experimental in-vitro- and in-vivo-analysis].

    abstract::The aim of this study was to determine the pressure conditions in the tissue beneath and on the surface of wounds. This was done in vitro both on a plain surface and on a bovine muscle. In comparison we measured the pressure of the anterior tibial muscle of a patient with compartment syndrome. Besides, we applied nega...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2004-822650

    authors: Von Lübken F,Von Thun-Hohenstein H,Weymouth M,Kossmann T,Gerngross H,Willy C

    更新日期:2004-05-01 00:00:00

  • [Scoring--criteria for operability].

    abstract::For therapeutic recommendations three different kinds of scores are essential: 1. The severity scores for trauma; 2. Severity scores for mangled extremities; 3. Intensive care scores. The severity of polytrauma patients is measurable by the AIS, ISS, RTS, PTS and TRISS which is a combination of RTS, ISS, age, and mech...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:

    authors: Oestern HJ

    更新日期:1997-01-01 00:00:00

  • [Wound dressings in chronic wounds].

    abstract::Hydroactive wound dressings retain exsudate in the wound region or incorporate wound exsudate by gel formation. They create the local environment for moist wound healing which is experimentally and clinically characterized by accelerated reepithelialization, inflammatory reaction and angiogenesis as well as reduced wo...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:

    authors: Mohr VD,Spelter H,Schmidt J,Zirngibl H

    更新日期:1999-01-01 00:00:00

  • [Pilonidal Sinus -- Primary Closure also in Case of Abscess?].

    abstract::After excision of pilonidal sinus treatment consists either in open procedure or primary closure. We present the results of 45 consecutive patients (male 29, female 16, age 32 +/- 13 years), who underwent surgery between September 2001 and December 2002. Fourteen patients had simple fistula without infection, 18 had f...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2004-822742

    authors: Ommer A,Pitt C,Albrecht K,Marla B,Peitgen K,Walz MK

    更新日期:2004-06-01 00:00:00

  • [Continuous "high flux" dialysis: an effective renal replacement therapy for intensive care patients].

    abstract::Currently available replacement therapies for the treatment of acute renal failure are reviewed. Particular interest is focused on their application in intensive care, especially in septic patients. Underlying principles and mechanisms of action are explained. The continuous "High flux-dialysis" is shown to be a parti...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:

    authors: Ronco C,Bellomo R,Hensel M

    更新日期:1997-01-01 00:00:00

  • [Aspects of vascular physiology in clinical and vascular surgical practice: basic principles of vascular mechanics].

    abstract:BACKGROUND:To be able to evaluate properly a vascular problem, basic concepts of vascular physiology need to be considered, as they have been taught in physiology for a long time. This article deals with selected definitions and laws of passive vascular mechanics, subdivided into parameters of vascular filling and para...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:10.1055/s-0032-1327967

    authors: Nocke H,Meyer F,Lessmann V

    更新日期:2014-10-01 00:00:00

  • [Postoperative wound infections and perioperative preventive antibiotic administration].

    abstract::Nearly 200 clinical studies concerning perioperative antibiotic prophylaxis are compiled and evaluated by biometric methods, however without fulfilling the criteria of meta-analysis. Derived from its results it can be concluded, that this prophylaxis is indicated for the wound categories "clean" and "clean-contaminate...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:

    authors: Röding H

    更新日期:1991-01-01 00:00:00

  • [Diagnosis and treatment strategy of intra-abdominal abscess].

    abstract::Intraabdominal abscesses are life-threatening complications of inflammatory processes or major surgery. Ultrasonography, computed tomography, magnetic resonance, and scintigraphy are the diagnostic methods of choice. The sole diagnosis intraabdominal abcess" is insufficient to recommend a specific therapeutic strategy...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:

    authors: Schöffel U,Häring R,Farthmann EH

    更新日期:1993-01-01 00:00:00

  • [Revision operations following vagotomy].

    abstract::Recurrent duodenal ulceration after highly selective vagotomy is best managed by antral gastric resection and gastroduodenostomy (BI). In cases of gastral localisation of the recurrent ulcer and in cases with high postoperative acidity a 2/3 partial gastrectomy (BI) should be performed. Revagotomy after highly selecti...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Reisig J,Vinz H,Georgi W

    更新日期:1985-01-01 00:00:00

  • [Laparoscopic splenectomy: first experiences with a 3-trocar-technique and the 'hanging-spleen-maneuver'].

    abstract:AIMS:Laparoscopic splenectomy has been established as standard procedure for elective splenectomy and is performed for a variety of haematological diseases. However, different techniques have been used and a four- to five trocar technique is applied in most instances. We report our experience with a three-trocar techni...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2004-820359

    authors: Seelig MH,Senninger N,Kocher T

    更新日期:2004-10-01 00:00:00

  • [Ulcerative colitis-associated colorectal carcinoma. DNA ploidy as indicator of impending malignant transformation?].

    abstract::The onset of a malignant transformation in long-standing ulcerative colitis is difficult to predict. The value of the clinical and histomorphological parameters in current use is limited. It was thus aim of the present study to investigate the value of DNA-ploidy for the early detection of a malignant transformation i...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2000-10063

    authors: Schimmelpenning H,Habermann J,Krüger S,Roblick UJ,Stange E,Ludwig D,Kujath P,Broll R,Auer G,Bruch HP

    更新日期:2000-01-01 00:00:00

  • [Effect of blood viscosity on the function of isolated perfused porcine kidney after cold preservation].

    abstract::With the new method of gas exchange and dialysis carried out simultaneously with a standard dialysis module, for the first time normothermic ex-vivo whole blood perfusion of pig kidneys becomes practicable under nearly physiological conditions. To show the possibility of animal experiment replacements we use slaughter...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Dittrich S,Schuth A,von Baeyer H,Grosse-Siestrup C,Lange PE,Kaczmarczyk G

    更新日期:1998-01-01 00:00:00

  • [Effect of perioperative allogenic blood transfusion on prognosis of colorectal cancer].

    abstract::In 1973 the observation was published that in patients who had received non specific blood transfusions before kidney transplantation graft survival was improved. An immunosuppressive effect of blood transfusion was suggested. Indeed, modulation on the cellular and humoral immunologic system has been demonstrated duri...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Zimmermann T,Dobroschke J,Borowek U,Padberg W

    更新日期:1991-01-01 00:00:00

  • [Cost effectiveness of V.A.C. therapy after post-sternotomy mediastinitis].

    abstract::Since November 2001 all patients with postoperative sternum bone infections were treated with V.A.C. therapy. The mean length of stay at intensive care unit was reduced from 9 to 1 day and reduces costs for 33 714.- USD per patient. Additionally patients who had to be closed with pectoralis muscle flap had significant...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:10.1055/s-2006-921492

    authors: Moidl R,Fleck T,Giovanoli P,Grabenwöger M,Wolner E

    更新日期:2006-04-01 00:00:00

  • [G. I. diagnostics; its ranking and interdisciplinary organisation (author's transl)].

    abstract::The complicated and expensive diagnostic apparatus available today has to be applied in an orderly sequence. This order depends on certain prerequisites, e.g. on the disease, urgent complications, patient tolerance, apparatus potential, hospital structure and organisation etc. The more rational the indication is to us...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章

    doi:

    authors: Augustin HJ,Bücheler E,Schreiber HW,Lindenschmidt TO,Soehendra N

    更新日期:1979-01-01 00:00:00

  • [Lymph nodes and malignant tumors].

    abstract::The planning of locoregional tumor therapy (radical surgical resection, curative radiotherapy) is based on the knowledge of locoregional tumor spread, in particular lymph node metastasis. In general, lymphatic spread follows anatomic rules, skipping of nodes is observed maximally in 3%. According to tumor site, uni- o...

    journal_title:Zentralblatt fur Chirurgie

    pub_type: 杂志文章,评审

    doi:10.1055/s-2000-10046

    authors: Hermanek P

    更新日期:2000-01-01 00:00:00