Aktueller Status der Hüft- und Knieendoprothetik in Deutschland – Ergebnisse einer bundesweiten Umfrage

Abstract

The treatment procedures for elective hip and knee replacement are very heterogeneous in German hospitals. The quality of the clinical outcome cannot be related to a single procedure; in fact the choice and complementary interaction of interventions are essential for improving patient care. These results provide first important evidence to which extent organisational structures and treatment procedures affect patient care and length of stay. Therefore, the analyses show relevant indications for an optimised standard in patient care.

Status of Healthcare

“…j Surgical procedures Jaschinski et al (2014) conducted a nationwide survey in Germany on elective total hip and knee arthroplasty based on data from hospitals that recorded a minimum of 100 primary operations in their 2010 quality reports. Chief physicians from 694 orthopedics/trauma surgery departments and the respective anesthetists were contacted in writing with the aim of gaining insight into treatment processes and medical approaches as well as obtaining suggestions for optimizing care.…”

“…31.8 % of the hospitals contacted responded. 303 questionnaires from 221 hospitals were statistically evaluated, based on which the authors concluded that the study was representative (Jaschinski et al 2014). …”

“…50% of the surgery was performed by the chief physicians, 40% by senior physicians and approximately 10% by other physicians in senior positions (heads of division, lead physicians, assistant physicians) on the day of admission or no later than one day after admission (Jaschinski et al 2014). Other study results show that the duration of surgery was on average 75 minutes (hip) or 85 minutes (knee) (AQUA-Institut 2012a, c, 2013a, c, 2014a, c, 2010b, c, 2011b.…”

“…3.16, grouped into three degrees of impact (high, medium, low) for each potential influencing factor. -Jaschinski et al 2014 This shows that especially treatment pathways and pain management are considered to be factors that significantly influence the reduction of the length of stay. Patient selection (i.e.…”

“…Patient selection (i.e. the careful selection of patients for surgery) and the anesthetic method chosen, on the other hand, are considered to have the lowest level of influence according those surveyed (Jaschinski et al 2014).…”