Quality of Life and Stomach Replacement

Schlitt

et al. 2011

Langenbecks Arch Surg

Section: Discussionmentioning

confidence: 79%

“…In Germany, surgeons were the first medical profession to explore the quality of life of their patients in clinical studies [8][9][10]. Ironically, surgeons have never seemed to be concerned about their own quality of life.…”

Section: Introductionmentioning

confidence: 99%

Workload and quality of life of surgeons. Results and implications of a large-scale survey by the German Society of Surgery

Bohrer

Schlitt

et al. 2011

Langenbecks Arch Surg

“…Auch f ü r Arzneimittelzulassung (drug labelling), Nutzenbewertung und gesundheits ö konomische Evaluationen wird die Bedeutung des LQ-Ansatzes anerkannt und in Stellungnahmen diskutiert [2,3,4,5,6] . Auch werden, von anf ä nglichen Ausnahmen abgesehen [7] , zunehmend klinische Studien mit LQ als prim ä ren Endpunkt in hochrangigen Fachzeitschriften publiziert [8,9,10] . In Deutschland wird in Texten zum Sozialrecht und zur Nutzenbewertung explizit auf den Terminus " Lebensqualit ä t " Bezug genommen: § 35 b SGB V " Beim Patienten-Nutzen sollen insbesondere die Verbesserung des Gesundheitszustandes, eine Verk ü rzung der Krankheitsdauer, eine Verl ä ngerung der Lebensdauer, eine Verringerung der Nebenwirkungen sowie eine Verbesserung der Lebensqualit ä t … ber ü cksichtigt werden " .…”

Section: Die Bedeutung Des Konzepts Lebensqualit ä Tunclassified

Die Erfassung von Lebensqualität in der Versorgungsforschung – konzeptuelle, methodische und strukturelle Voraussetzungen

Neugebauer²,

Augustin³

et al. 2009

Gesundheitswesen

Self Cite

On July 1, 2009, the German Network for Health Services Research [Deutsches Netzwerk Versorgungsforschung e. V. (DNVF e. V.)] approved the Memorandum III "Methods for Health Services Research", supported by the member societies mentioned as authors and published in this Journal [Gesundheitswesen 2009; 71: 505-510]. This is an in-depth publication on "quality-of-life assessment in health services research". Within the context of the health sciences, quality of life (QL) encompasses the subjective well-being and functioning in the physical, psychological and social domains. QL informs about the aspects of health care that "actually get to the patient". QL is what patients primarily experience, what they talk about and what to a large degree affects the acceptance of health-care services and processes in the society. Therefore, QL can be considered as a highly important endpoint within health services research. The importance of the construct quality of life is also emphasised in German treaties on social law and utility analyses. This paper is the first account on the relations between health services research and the concept and assessment of QL. Our working group has specified key criteria for QL assessment within studies on health services research. (1) Assessment instruments need to comply with standard quality criteria (reliability, validity, sensitivity, interpretability) and the decision for a particular instrument has to be reasonably justified. (2) Study design and study population have to match with the scientific research question and the sample size has to be biometrically sound. (3) QL assessment including time points over the course of the study has to follow a standardized protocol. (4) Criteria for analysis and interpretation have to be prospectively specified. (5) Studies focusing on diagnostic/therapeutic issues need to specify standards for diagnostic criteria and related therapeutic interventions.

“…Lorenz and his surgical colleague H. Troidl began with systematic follow-up of their peptic ulcer patients. Based on this experience, they performed the first randomised study in surgery in Germany, comparing two methods of reconstruction after total gastrectomy (Longmire-Güt-gemann vs Hunt-Lawrence-Rodino) [11] and using quality of life as the main endpoint.…”

Section: The People and The Chronology Of The Research Topicsmentioning

confidence: 99%

A short history of Theoretical Surgery

Barth²,

Çelik

et al. 2004

Inflamm. res.

Self Cite

The concept of Theoretical Surgery has to be understood in the context of the scientific spirit after post-war Germany. In a first phase (1945 -1960) a relatively successful reconstruction of surgical research was achieved, in the tradition of Billroth's dogma to base surgery on the solid knowledge of anatomy and physiology. Then came what W. Lorenz used to call the "laziness of the fat years": dramatic developments in many fields of basic sciences, particularly the social and formal sciences, were overlooked and were not made fruitful for surgical research. There was a lack of communication with other disciplines and consequently there were no attempts to integrate these disciplines into surgery and surgical research.