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  1. Book ; Thesis: Sequentielle Therapie mit Granulozyten-Makrophagen-Kolonie-stimulierendem Faktor und Erythropoetin bei Patienten mit myelodysplastischem Syndrom

    Grabenhorst, Ulrich

    1995  

    Title variant Granulozyten-Makrophagen-Kolonie stimulierendem
    Author's details vorgelegt von Ulrich Grabenhorst
    Language German
    Size 67 S. : graph. Darst.
    Document type Book ; Thesis
    Thesis / German Habilitation thesis Düsseldorf, Univ., Diss., 1995
    HBZ-ID HT006813130
    Database Catalogue ZB MED Medicine, Health

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  2. Article ; Online: Specialized Outpatient Palliative Care—Clinical Course and Predictors for Living at Home Until Death

    Just, Johannes / Schmitz, Marie-Therese / Grabenhorst, Ulrich / Joist, Thomas / Horn, Kirsten / Weckbecker, Klaus

    Deutsches Arzteblatt international

    2022  Volume 119, Issue 18, Page(s) 327–332

    Abstract: Background: Specialized outpatient palliative care (SOPC) is an important component of the palliative medicine care concept in Germany. Its purpose is to improve the out-of-hospital care of patients who cannot be adequately cared for by their primary ... ...

    Abstract Background: Specialized outpatient palliative care (SOPC) is an important component of the palliative medicine care concept in Germany. Its purpose is to improve the out-of-hospital care of patients who cannot be adequately cared for by their primary care physicians and in the setting of general outpatient palliative care (GOPC).
    Methods: In this retrospective analysis of anonymized routine treatment data, we analyzed the characteristics of SOPC patients overall and with specific diseases, and depicted them both numerically and graphically. We also carried out a regression analysis of the factors affecting whether or not patients will be able to die in a home environment.
    Results: The analysis included data from 14 460 patients who were treated by 14 different SOPC teams in the North Rhine area of Germany in 2017 and 2018. The majority of patients who died were able to live at home until death (85.9%); only a small percentage died as inpatients (7.7%). The symptom burden shortly before death was less than at the beginning of treatment. The factors displaying a statistically significant association with dying at home were: more advanced age (aOR 0.96; 95% CI: [0.95; 0.96]), female sex (aOR 0.85; 95% CI: [0.74; 0.98]), and house calls at night (aOR 0.60; 95% CI: [0.51; 0.71]).
    Conclusion: SOPC met its declared objectives of limiting distressing symptoms and enabling patients to live at home until death.
    MeSH term(s) Ambulatory Care ; Female ; Germany/epidemiology ; Humans ; Outpatients ; Palliative Care ; Retrospective Studies ; Terminal Care
    Language English
    Publishing date 2022-08-12
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 2406159-1
    ISSN 1866-0452 ; 1866-0452
    ISSN (online) 1866-0452
    ISSN 1866-0452
    DOI 10.3238/arztebl.m2022.0172
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: COVID-19 in einer stationären Pflegeeinrichtung : Corona-Pandemie 2020.

    Grabenhorst, Ulrich / Stiels-Prechtel, Ricarda / Niemann, Markus / Weckbecker, Klaus

    MMW Fortschritte der Medizin

    2020  Volume 162, Issue 9, Page(s) 60–62

    Title translation COVID-19 in the nursing home: a case report.
    MeSH term(s) Betacoronavirus ; COVID-19 ; Coronavirus Infections ; Humans ; Nursing Homes ; Pandemics ; Pneumonia, Viral ; SARS-CoV-2
    Keywords covid19
    Language German
    Publishing date 2020-05-14
    Publishing country Germany
    Document type Case Reports ; Journal Article
    ZDB-ID 1478211-x
    ISSN 1613-3560 ; 1438-3276
    ISSN (online) 1613-3560
    ISSN 1438-3276
    DOI 10.1007/s15006-020-0481-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.MG 72: Show issues

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  5. Conference proceedings: SAPV Spezialisierte Ambulante Palliativ-Versorgung in Deutschland. Daten von 6816 Patienten aus dem Jahre 2017

    Joist, Thomas / Grabenhorst, Ulrich / Studiengruppe der VSTN Teams

    2019  , Page(s) 19dkvf380

    Event/congress 18. Deutscher Kongress für Versorgungsforschung (DKVF); Berlin; Deutsches Netzwerk Versorgungsforschung; 2019
    Keywords Medizin, Gesundheit
    Publishing date 2019-10-02
    Publisher German Medical Science GMS Publishing House; Düsseldorf
    Document type Conference proceedings
    DOI 10.3205/19dkvf380
    Database German Medical Science

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  6. Article ; Online: COVID-19 in einer stationären Pflegeeinrichtung ; Corona-Pandemie 2020

    Grabenhorst, Ulrich / Stiels-Prechtel, Ricarda / Niemann, Markus / Weckbecker, Klaus

    MMW - Fortschritte der Medizin

    2020  Volume 162, Issue 9, Page(s) 60–62

    Keywords General Medicine ; covid19
    Language German
    Publisher Springer Science and Business Media LLC
    Publishing country us
    Document type Article ; Online
    ZDB-ID 1415147-9
    ISSN 1438-3276
    ISSN 1438-3276
    DOI 10.1007/s15006-020-0481-0
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article: COVID-19 in einer stationären Pflegeeinrichtung : Corona-Pandemie 2020./ [COVID-19 in the nursing home: a case report]

    Grabenhorst, Ulrich / Stiels-Prechtel, Ricarda / Niemann, Markus / Weckbecker, Klaus

    MMW Fortschr Med

    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #32405835
    Database COVID19

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  8. Conference proceedings: Aggregierung von elektronisch dokumentierten Versorgungsdaten verschiedener SAPV-Teams für jährliche Qualitätsberichte

    Adolf, Daniela / Jünemann, Rolf / Reichmann, Jan / Joist, Thomas / Grabenhorst, Ulrich

    2020  , Page(s) 20dkvf142

    Event/congress 19. Deutscher Kongress für Versorgungsforschung (DKVF); sine loco [digital]; Deutsches Netzwerk Versorgungsforschung; 2020
    Keywords Medizin, Gesundheit
    Publishing date 2020-09-25
    Publisher German Medical Science GMS Publishing House; Düsseldorf
    Document type Conference proceedings
    DOI 10.3205/20dkvf142
    Database German Medical Science

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  9. Article ; Online: Spezialisierte ambulante Palliativversorgung (SAPV) – Querschnittsanalyse von Symptomlast, Diagnosen und Sterbeort über 7 Jahre an einem Standort in NRW.

    Weckbecker, Klaus / Puth, Marie-Therese / Just, JohannesMaximilian / Horn, Kirsten / Grabenhorst, Ulrich / Porz, Johannes

    Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany))

    2020  Volume 83, Issue 12, Page(s) 993–997

    Abstract: Objective: Specialized outpatient palliative care (SAPV) is an important component in the care of people in their final days of life in Germany. The analysis of a representative cohort allows important conclusions to be drawn for improving the situation ...

    Title translation Specialized Outpatient Palliative Care: Results of a Cross-Sectional Study.
    Abstract Objective: Specialized outpatient palliative care (SAPV) is an important component in the care of people in their final days of life in Germany. The analysis of a representative cohort allows important conclusions to be drawn for improving the situation of people in palliative care in Germany.
    Methods: We analyzed the routine data of 2691 palliative patients collected during the care of an SAPV team. Statistical analyses were performed using SPSS version 24.
    Results: In SAPV, approximately three-fourths of patients died in their homes. Of the total of 2691 patients, 1972 suffered from a malignancy and 719 patients had a non-malignant, chronic disease. The age at first contact with SAPV was significantly higher in patients without malignancy. Patients with or without malignancy did not differ from each other in terms of quality of life (Karnofsky's score) or symptom frequency. Only disorientation was documented significantly more frequently in non-tumor patients and was also more pronounced.
    Conclusion: SAPV enables the fulfilment of the wish of most patients to die in their homes.
    MeSH term(s) Cross-Sectional Studies ; Germany/epidemiology ; Home Care Services ; Humans ; Outpatients ; Palliative Care ; Quality of Life
    Language German
    Publishing date 2020-10-07
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 1101426-x
    ISSN 1439-4421 ; 0941-3790 ; 0949-7013
    ISSN (online) 1439-4421
    ISSN 0941-3790 ; 0949-7013
    DOI 10.1055/a-1241-3944
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Factors influencing length of survival in ambulatory palliative care - a cross sectional study based on secondary data.

    Just, Johannes / Schmitz, Marie-Therese / Grabenhorst, Ulrich / Joist, Thomas / Horn, Kirsten / Engel, Bettina / Weckbecker, Klaus

    BMC palliative care

    2021  Volume 20, Issue 1, Page(s) 69

    Abstract: Background: Quality of life and patient self-determination are key elements in successful palliative care. To achieve these goals, a robust prediction of the remaining survival time is useful as it can provide patients and their relatives with ... ...

    Abstract Background: Quality of life and patient self-determination are key elements in successful palliative care. To achieve these goals, a robust prediction of the remaining survival time is useful as it can provide patients and their relatives with information for individual goal setting including appropriate priorities. The Aim of our study was to assess factors that influence survival after enrollment into ambulatory palliative care.
    Methods: In this cross-sectional, multicenter study (n = 14 study centers) clinical records of all palliative care patients who were treated in 2017 were extracted and underwent statistical analysis. The main outcome criterion was the association of survival time with clinical characteristics such as age, type of disease, symptoms and performance status.
    Results: A total of 6282 cases were evaluated. Median time of survival was 26 days (95 % CI: 25-27 days). The strongest association for an increased hazard ratio was found for the following characteristics: moderate/severe weakness (aHR: 1.91; 95 % CI: 1.27-2.86) Karnofsky score 10-30 (aHR: 1.80; 95 % CI: 1.67-1.95), and age > 85 (aHR: 1.50; 95 % CI: 1.37-1.64). Surprisingly, type of disease (cancer vs. non-cancer) was not associated with a change in survival time (aHR: 1.03; 95 % CI: 0.96-1.10).
    Conclusions: In this cross-sectional study, the most relevant predictor for a short survival time in specialized ambulatory palliative care was the performance status while type of disease was irrelevant to survival.
    MeSH term(s) Cross-Sectional Studies ; Humans ; Karnofsky Performance Status ; Neoplasms/therapy ; Palliative Care ; Quality of Life
    Language English
    Publishing date 2021-05-17
    Publishing country England
    Document type Journal Article ; Multicenter Study
    ZDB-ID 2091556-1
    ISSN 1472-684X ; 1472-684X
    ISSN (online) 1472-684X
    ISSN 1472-684X
    DOI 10.1186/s12904-021-00762-x
    Database MEDical Literature Analysis and Retrieval System OnLINE

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