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Book ; Online: Cemiplimab

Wörmann, Bernhard / Fluck, Michael / Deitmer, Thomas / Dietz, Andreas / Hoffmann, Jürgen

Stellungnahme zur Nutzenbewertung des G-BA von Arzneimitteln gemäß § 35a SGB V, veröffentlicht am 1. November 2019, Vorgangsnummer 2019-08-01-D-466, IQWiG Bericht Nr. 832

2019

Institution	Deutsche Gesellschaft für Hämatologie und Medizinische Onkologie Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie Deutsche Gesellschaft für Mund-, Kiefer- und Gesichtschirurgie Deutschland / Gemeinsamer Bundesausschuss
Author's details	DGHO - Deutsche Gesellschaft für Hämatologie und Medizinische Onkologie; Deutsche Gesellschaft für Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie; Deutsche Gesellschaft für Mund-, Kiefer- und Gesichtschirurgie; Gemeinsamer Bundesausschuss ; die Stellungnahme wurde von Prof. Dr. Bernhard Wörmann in Kooperation mit Dr. Michael Fluck (Fachklinik Hornheide, Münster), Prof. Dr. Thomas Deitmer (Klinikum Dortmund, Klinik für Hals-, Nasen-, Ohrenheilkunde, Dortmung), Prof. Dr. Andreas Dietz (Universitätsklinikum Leipzig, Klinik und Poliklinik für Hals-, Nasen-, Ohrenheilkunde, Leipzig) und Prof. Dr. Dr. Jürgen Hoffmann (Universitätsklinikum Heidelberg, Klinik und Poliklinik für Mund-, Kiefer- und Gesichtschirurgie, Heidelberg) erarbeitet
Subject code	610
Language	German
Size	1 Online-Ressource (7 Seiten)
Publisher	DGHO - Deutsche Gesellschaft für Hämatologie und Medizinische Onkologie
Publishing place	Berlin
Publishing country	Germany
Document type	Book ; Online
Note	Open Access
HBZ-ID	HT020385596
DOI	10.4126/FRL01-006419140
Database	Repository for Life Sciences

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Article ; Online: [No title information]

Geißler, Katharina / Deitmer, Thomas

Laryngo- rhino- otologie

2022 Volume 101, Issue 5, Page(s) 380–382

Title translation	HNO-Untersuchung bei Kindern – Tipps und Tricks.
MeSH term(s)	Child ; Humans ; Physical Examination
Language	German
Publishing date	2022-03-07
Publishing country	Germany
Document type	Journal Article
ZDB-ID	96005-6
ISSN	1438-8685 ; 0340-1588 ; 0935-8943
ISSN (online)	1438-8685
ISSN	0340-1588 ; 0935-8943
DOI	10.1055/a-1714-5624
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Article: HNO-Untersuchung bei Kindern – Tipps und Tricks

Geißler, Katharina / Deitmer, Thomas

Laryngo-Rhino-Otologie

2022 Volume 101, Issue 05, Page(s) 380–382

Language	German
Publishing date	2022-03-07
Publisher	Georg Thieme Verlag KG
Publishing place	Stuttgart ; New York
Document type	Article
ZDB-ID	96005-6
ISSN	1438-8685 ; 0935-8943 ; 0340-1588
ISSN (online)	1438-8685
ISSN	0935-8943 ; 0340-1588
DOI	10.1055/a-1714-5624
Database	Thieme publisher's database

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Article ; Online: Zum Stand der intersektoralen Behandlung in der HNO-Heilkunde in Deutschland – Ergebnisse einer Umfrage.

Welkoborsky, H-J / Deitmer, Thomas / Löhler, Jan / Guntinas-Lichius, Orlando

Laryngo- rhino- otologie

2023 Volume 102, Issue 4, Page(s) 282–290

Abstract: Background: The German Healthcare System is currently subject of significant structural changes. Due to politic influences it is obvious that more and more even complex diagnostic and therapeutic procedures will be performed in an office setting or as ... ...

Title translation	On the state of intersectoral treatment in otolaryngology in Germany - Results of a survey.
Abstract	Background: The German Healthcare System is currently subject of significant structural changes. Due to politic influences it is obvious that more and more even complex diagnostic and therapeutic procedures will be performed in an office setting or as day treatments. This is due to the high rate of hospital treatments in Germany compared to other OECD countries. A revision of the healthcare system will include both, ambulatory and hospital treatments, which will only be possible with some new structures for this "intersectoral" treatment. Currently there are no data available on the status, possibilities and structure of the "intersectoral" treatment in ENT in Germany. Methods: To get an overview on the possibilities for an "intersectoral" treatment in ENT in Germany a survey was conducted. Each chariman of an ENT clinic/Department and all ENT specialists in private practice were contacted and got a questionnaire. The evaluation was performed differently for chairmen of an ENT department, ENT specialists in private practice without and with a ward for inpatients in hospitals. Results: 4,548 questionnaires were mailed. Out of them 493 were filled and came back (10.8%). The return rate in the group of ENT Department chairmen was with 52.9% even higher. "Intersectoral" for physicians in hospitals means that they are usually working with a personal authorization by the local Association of Statutory Health Insurance Physicians, ENT specialists in private practice usually with a ward for inpatient authorization in a hospital. Appropriate structures for an intersectoral organization of patients´s treatment are currently missing. Both, ENT Department chairmen and ENT specialists in private practice declared the current remuneration system for ambulatory and day surgery as completely inaedequate and is urgently to be revised. Beside this, ENT Department chairmen declared problems with the emergency care of patients with complications operated on outside the hospital, problems with the continuing education of residents and with information transfer. They request that hospital specialists should be allowed to work in the contractual medical care of outpatients without a restriction. ENT specialists in private practice mentioned positively the good cooperation possibilities with hospital physicians, knowledge sharing, and wide ranges of indications in the ENT Departments. Negative points could be possible worse information sharing when there is no distinct contact person in the ENT Departments, a possible competitive situation between ENT Departments and specialists in private practice, and sometimes long waiting times for the patients. Discussion: The German health care system is currently facing a radical reform with the overcoming of traditional rigid and inflexible sectors in outpatient care and inpatient hospital care. To achieve this, the intersectoral patient treatment should play the key role. "Intersectoral" means that the whole process of patient care from diagnosis to therapy is closely interlinked and can also be managed by the same physicians, no matter whether they are working as spcialists in an ENT-Department in a hospital or in private practice. However, currently there are no appropriate structures available to achieve this goal. Beside creating structural conditions for intersectoral treatment the current remuneration system for outpatient procedures and dayclinic treatments must be renewed in a way to cover all the costs. Further conditions are the development of good cooperation models between ENT Departments and specialists in private practice, and the possibility for hospital ENT physicians to work in the contractual medical care of outpatients without a restriction. Intersectoral patient care must take the quality management, the continuing education of residents and the patient safety under consideration.
MeSH term(s)	Humans ; Otolaryngology ; Ambulatory Care ; Ambulatory Care Facilities ; Delivery of Health Care ; Surveys and Questionnaires
Language	German
Publishing date	2023-04-11
Publishing country	Germany
Document type	English Abstract ; Journal Article
ZDB-ID	96005-6
ISSN	1438-8685 ; 0340-1588 ; 0935-8943
ISSN (online)	1438-8685
ISSN	0340-1588 ; 0935-8943
DOI	10.1055/a-2023-6229
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Article ; Online: Pädiatrische HNO-Heilkunde.

Deitmer, Thomas

Laryngo- rhino- otologie

2014 Volume 93 Suppl 1, Page(s) I–III

Title translation	The pediatric ENT specialty.
MeSH term(s)	Child ; Germany ; Humans ; Otolaryngology ; Pediatrics ; Societies, Medical ; Specialization
Language	German
Publishing date	2014-03
Publishing country	Germany
Document type	Introductory Journal Article
ZDB-ID	96005-6
ISSN	1438-8685 ; 0340-1588 ; 0935-8943
ISSN (online)	1438-8685
ISSN	0340-1588 ; 0935-8943
DOI	10.1055/s-0034-1374598
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Article ; Online: Unmet medical need in der Hals-Nasen-Ohren-Heilkunde: Die HNO-Ärztinnen und HNO-Ärzte sind gefordert.

Guntinas-Lichius, Orlando / Deitmer, Thomas / Löhler, Jan / Bujok, Oliver

Laryngo- rhino- otologie

2022 Volume 101, Issue 12, Page(s) 950–960

Abstract: Background: Otorhinolaryngologists and head and neck surgeons are predestined to scientifically analyze and prioritize the medical needs in ENT medicine under the umbrella of the German Society of Otolaryngology, Head and Neck Surgery (DGHNO-KHC). This ... ...

Title translation	Unmet medical need in otorhinolaryngology: A challenge for otorhinolaryngologists and head and neck surgeons.
Abstract	Background: Otorhinolaryngologists and head and neck surgeons are predestined to scientifically analyze and prioritize the medical needs in ENT medicine under the umbrella of the German Society of Otolaryngology, Head and Neck Surgery (DGHNO-KHC). This medical need assessment is important for targeting research and development of medical innovations to improve ENT patients' care with these needs and to trigger respective research and innovation funding programs at an early stage. Methods: This is to recommend that the DGHNO-KHC and its working groups and task forces in their specialty disciplines address the issue. The goal is a comprehensive medical need assessment for the fields of otolaryngology as well as head and neck surgery. The parameterization of medical needs is based on the unmet medical need (UMN) concept. Criteria for prioritization should follow the method of multi-criteria decision analysis (MCDA). Recommendation: The working groups of the DGHNO-KHC familiarize themselves with the concept of UMN. Subsequently, suggestions on ENT diseases with UMN in diagnostics and therapy will be collected considering the medical evidence. The suggestions are evaluated in a standardized way according to MCDA and a ranking is established. The results will be published and used to make research funding institutions aware of UMN in otorhinolaryngology, head and neck surgery. Discussion: The work will contribute to the further development of the UMN concept and will also be able to provide a basis to investigate the evidence of the concept to define the UMN. Through this work, the DGHNO-KHC will be perceived as an important scientific player for the development of need-driven medical innovations in Germany.
MeSH term(s)	Humans ; Otolaryngology ; Otorhinolaryngologic Diseases/diagnosis ; Otorhinolaryngologic Diseases/surgery ; Surgeons ; Germany
Language	German
Publishing date	2022-10-18
Publishing country	Germany
Document type	English Abstract ; Journal Article
ZDB-ID	96005-6
ISSN	1438-8685 ; 0340-1588 ; 0935-8943
ISSN (online)	1438-8685
ISSN	0340-1588 ; 0935-8943
DOI	10.1055/a-1947-3108
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Article ; Online: [No title information]

Grosheva, Maria / Guntinas-Lichius, Orlando / Deitmer, Thomas / Klußmann, Jens-Peter

Laryngo- rhino- otologie

2022 Volume 101, Issue 4, Page(s) 281–283

Title translation	Bedeutung der Wunddrainage und der stationären Behandlung bei Operationen von Speicheldrüsentumoren.
MeSH term(s)	Drainage ; Hospitalization ; Humans ; Inpatients ; Salivary Gland Neoplasms/pathology ; Salivary Glands
Language	German
Publishing date	2022-03-10
Publishing country	Germany
Document type	Journal Article
ZDB-ID	96005-6
ISSN	1438-8685 ; 0340-1588 ; 0935-8943
ISSN (online)	1438-8685
ISSN	0340-1588 ; 0935-8943
DOI	10.1055/a-1780-0406
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Article ; Online: Die DGHNO-KHC gratuliert Herrn Professor Harald Feldmann zum 95. Geburtstag.

Deitmer, Thomas / Hüttenbrink, Karl-Bernd / Delank, Klaus Wolfgang

HNO

2021 Volume 69, Issue Suppl 2, Page(s) 96

Title translation	The DGHNO-KHC congratulates Professor Harald Feldmann on his 95th birthday.
Language	German
Publishing date	2021-04-23
Publishing country	Germany
Document type	Journal Article
ZDB-ID	200040-4
ISSN	1433-0458 ; 0017-6192
ISSN (online)	1433-0458
ISSN	0017-6192
DOI	10.1007/s00106-021-01056-7
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Article ; Online: Management von Patienten mit Vestibularisschwannomen Typ IV.

Harati, Ali / Oni, Paul / Schultheiß, Rolf / Deitmer, Thomas

Laryngo- rhino- otologie

2020 Volume 99, Issue 9, Page(s) 613–619

Abstract: Background: Vestibular schwannomas (VSs) are benign, slow-growing tumors that are classified by the Koos and Hannover grading scales. Despite extensive study, the management of large VS remains controversial.: Patients and methods: Between 2003 and ... ...

Title translation	Management of patients with vestibular schwannoma type IV.
Abstract	Background: Vestibular schwannomas (VSs) are benign, slow-growing tumors that are classified by the Koos and Hannover grading scales. Despite extensive study, the management of large VS remains controversial. Patients and methods: Between 2003 and 2018, 61 patients with VS grade IV were treated in our institution. Patient data and radiological images were retrospectively analyzed. Additionally, we performed a subgroup analysis of patients with and without fourth ventricle distortions. Results: Most patients presented with multiple symptoms, like hearing loss in 55 patients (90 %), trigeminal nerve affection in 16 (26 %), facial nerve affection in 7 (12 %), ataxia in 27 (45 %), and symptoms associated with increased intracranial pressure caused by hydrocephalus in 4 patients (7 %). Patients with type IV b VS presented significantly more often with ataxia, tonsillar herniation, and hydrocephalus. Complete tumor resection was achieved in 48 patients (79 %) and near-total resection was achieved in 12 patients (20 %). During long-term follow-up, 90 % of the patients had favorable outcomes regarding facial nerve function (House and Brackman grade I-III). In six patients (10 %), a ventriculoperitoneal shunt was inserted. More than 90 % of the patients had > 70 % functional impairment based on the Karnofsky Index. Discussion: Large VS is often associated hydrocephalus, ataxia, multiple cranial nerve impairments, and clinical signs of increased intracranial pressure. Primary microsurgical resection, as the primary treatment option, is associated with good outcomes in patients with large VS.
MeSH term(s)	Facial Nerve ; Facial Nerve Injuries ; Follow-Up Studies ; Humans ; Neuroma, Acoustic/surgery ; Retrospective Studies ; Treatment Outcome
Language	German
Publishing date	2020-07-06
Publishing country	Germany
Document type	Journal Article
ZDB-ID	96005-6
ISSN	1438-8685 ; 0340-1588 ; 0935-8943
ISSN (online)	1438-8685
ISSN	0340-1588 ; 0935-8943
DOI	10.1055/a-1130-6321
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Article ; Online: Der Nasen- oder Rachenabstrich in der COVID-19-Pandemie – Aspekte für den HNO-Arzt/die HNO-Ärztin – SARS-CoV-2, Coronavirus, Nasenabstrich, Rachenabstrich, Komplikationen.

Deitmer, Thomas / Dietz, A / Chaberny, I F / Pietsch, C

Laryngo- rhino- otologie

2021 Volume 100, Issue 7, Page(s) 517–525

Abstract: Since the beginning of the SARS-CoV-2 pandemic, swabs or other samples have increasingly been taken from the upper aero-digestive tract, since high viral loads exist here, especially in the early stages of the disease. As diagnostic options, swabs from ... ...

Title translation	The nasal and pharyngeal swab techniques during the COVID-19-pandemic - the ENT-perspective - SARS-CoV-2, Coronavirus, nasal swab, pharyngeal swab, complications.
Abstract	Since the beginning of the SARS-CoV-2 pandemic, swabs or other samples have increasingly been taken from the upper aero-digestive tract, since high viral loads exist here, especially in the early stages of the disease. As diagnostic options, swabs from the anterior nose, from the nasopharynx, from the oropharynx or the extraction of throat rinse water or saliva are possible. The laboratory methods available are antigen tests that can be read in a few minutes or more lengthy RT-PCR methods in a lab. Swabs are carried out by physicians, medical staff, laypeople and in the self-test, in each case according to prior instructions. Many of these factors therefore have an influence on the informative value and the sensitivity of the entire diagnostic process. The PCR laboratory method is more sensitive than the antigen method; the swabs from the nasopharynx are considered the most valid smear site; correct execution of a test can be achieved even with non-professional individuals with good instructions. Complications with such swabs are reported very rarely, given the assumed number of procedures performed. Short-term nosebleeds after traumatic smears can be assumed without publications about it being found. Broken parts of swabs had to be removed by an ENT doctor. There are only very few reports on injuries to the skullbase with CSF-leaks, including 2 times with anomalies such as meningoceles. The choice of a suitable diagnostic medium depends on many parameters such as availability, the timing of the result, a smear test by knowledgeable staff or a self-test, and a number of other practical considerations.
MeSH term(s)	COVID-19/diagnosis ; COVID-19 Testing ; Humans ; Nasopharynx/virology ; Oropharynx/virology ; Pandemics ; SARS-CoV-2/isolation & purification
Language	German
Publishing date	2021-05-19
Publishing country	Germany
Document type	Journal Article
ZDB-ID	96005-6
ISSN	1438-8685 ; 0340-1588 ; 0935-8943
ISSN (online)	1438-8685
ISSN	0340-1588 ; 0935-8943
DOI	10.1055/a-1498-3549
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