Mindestmengen in der chirurgischen Behandlung des Lungenkarzinoms

Robold, Tobias; Ried, Michael; Neu, Reiner; Hofmann, Hans‐Stefan

doi:10.1007/s00104-020-01185-9

Cited by 6 publications

(1 citation statement)

References 17 publications

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“…Before further discussion, the strengths and limitations of the present study must be considered. First, our response rate (73%) exceeds that of other surveys of physicians working in German hospitals, e.g., in the study most comparable to the present field time (first quarter of 2019), the response rate was 54% among thoracic surgeons [ 31 ]. At the same time, it does match our own experience with surveying physicians at Hannover Medical School (71%) [ 32 , 33 ].…”

Section: Discussionmentioning

confidence: 52%

Determinants of orthopedic physicians’ self-reported compliance with surgical site infection prevention: results of the WACH-trial’s pilot survey on COM-B factors in a German university hospital

Tomsic

Ebadi

Gossé

et al. 2021

Antimicrob Resist Infect Control

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Background Prevention of surgical site infections (SSIs), which due to their long-term consequences are especially critical in orthopedic surgery, entails compliance with over 20 individual measures. However, little is known about the psychosocial determinants of such compliance among orthopedic physicians, which impedes efforts to tailor implementation interventions to improve compliance. Thus, for this professional group, this pilot survey examined psychosocial determinants of self-reported compliance, which have been theoretically derived from the COM-B (Capability, Opportunity, Motivation and Behavior) model. Methods In 2019, a cross-sectional survey was conducted in a tertiary care university orthopedic clinic in Hannover, Germany, as a pilot for the WACH-trial (“Wundinfektionen und Antibiotikaverbrauch in der Chirurgie” [Wound Infections and Antibiotics Consumption in Surgery]). Fifty-two physicians participated (38 surgeons, 14 anesthesiologists; response rate: 73.2%). The questionnaire assessed self-reported compliance with 26 SSI preventive measures, and its psychosocial determinants (COM-B). Statistical analyses included descriptive, correlational, and linear multiple regression modeling. Results Self-reported compliance rates for individual measures varied from 53.8 to 100%, with overall compliance (defined for every participant as the mean of his or her self-reported rates for each individual measure) averaging at 88.9% (surgeons: 90%, anesthesiologists: 85.9%; p = 0.097). Of the components identified in factor analyses of the COM-B items, planning, i.e., self-formulated conditional plans to comply, was the least pronounced (mean = 4.3 on the 7-point Likert scale), while motivation was reported to be the strongest (mean = 6.3). Bi-variately, the overall compliance index co-varied with all four COM-B-components, i.e., capabilities (r = 0.512, p < 0.001), opportunities (r = 0.421, p = 0.002), planning (r = 0.378, p = 0.007), and motivation (r = 0.272, p = 0.051). After mutual adjustment and adjustment for type of physician and the number of measures respondents felt responsible for, the final backward regression model included capabilities (β = 0.35, p = 0.015) and planning (β = 0.29, p = 0.041) as COM-B-correlates. Conclusion Though based on a small sample of orthopedic physicians in a single hospital (albeit in conjunction with a high survey response rate), this study found initial evidence for positive correlations between capabilities and planning skills with self-reported SSI preventive compliance in German orthopedic physicians. Analyses of the WACH-trial will further address the role of these factors in promoting SSI preventive compliance in orthopedic surgery. Trial registration: This survey was conducted as part of the research project WACH ("Wundinfektionen und Antibiotikaverbrauch in der Chirurgie" [Wound Infections and Antibiotic Consumption in Surgery]), which has been registered in the German Clinical Trial Registry (https://www.drks.de/; ID: DRKS00015502).

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Section: Discussionmentioning

confidence: 52%

Determinants of orthopedic physicians’ self-reported compliance with surgical site infection prevention: results of the WACH-trial’s pilot survey on COM-B factors in a German university hospital

Tomsic

Ebadi

Gossé

et al. 2021

Antimicrob Resist Infect Control

View full text Add to dashboard Cite

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Mindestmengen aus der Sicht des universitären Versorgers

Krautz

Grützmann

2022

Chirurg

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Mediastinales Staging

Hecker

Gesierich²

2021

Zentralbl Chir

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Ein gründliches mediastinales Staging ist von zentraler Bedeutung für die prognostische Einschätzung und Therapieplanung bei Patienten mit nicht-kleinzelligem Lungenkarzinom (NSCLC) ohne Fernmetastasierung. Leitlinien zum mediastinalen Staging fordern konsequent die Kombination aus radiologischen, nuklearmedizinischen und minimalinvasiven Methoden. Technik und Ergebnis der verschiedenen Methoden werden beschrieben und Algorithmen für unterschiedliche onkologische Situationen vorgestellt.

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Mindestmengen in der chirurgischen Behandlung des Lungenkarzinoms

Cited by 6 publications

References 17 publications

Determinants of orthopedic physicians’ self-reported compliance with surgical site infection prevention: results of the WACH-trial’s pilot survey on COM-B factors in a German university hospital

Determinants of orthopedic physicians’ self-reported compliance with surgical site infection prevention: results of the WACH-trial’s pilot survey on COM-B factors in a German university hospital

Mindestmengen aus der Sicht des universitären Versorgers

Mediastinales Staging

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