Zusammenfassung
Pro Jahr werden in Deutschland etwa 2,8 Millionen Eingriffe viszeralchirurgischer Art durchgeführt. Der überwiegende Anteil entfällt hierbei auf kleine/wenig komplexe Eingriffe wie Hernien-Versorgungen, Appendektomien und Cholezystektomien. Die postoperative Krankenhaussterblichkeit aller viszeralchirurgischer Eingriffe beträgt etwa 1,9 %, wobei sich je nach durchgeführtem Eingriff deutliche Unterschiede ergeben. So liegt die Letalität komplexer Eingriffe bei über 5 %. Entscheidend für die Postoperative Letalität ist neben dem Auftreten von Komplikationen, sowohl operative als auch nicht operativer Art, die Möglichkeit diese korrekt zu behandeln. So sinkt die Letalität nach Komplikationen signifikant mit der Fallzahl je Krankenhaus.
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Literatur
Alsfasser G, Leicht H, Gunster C, Rau BM, Schillinger G, Klar E (2016) Volume-outcome relationship in pancreatic surgery. Br J Surg 103(1):136–143
Baum P, Diers J, Lichthardt S, Kastner C, Schlegel N, Germer C-T, Wiegering A (2019) Mortality and complications following visceral surgery. Dtsch Arztebl Int 116(44):739–746
Baum P, Diers J, Haag J, Klotz L, Eichhorn F, Eichhorn M, Wiegering A, Winter H (2020) Nationwide effect of high procedure volume in lung cancer surgery on in-house mortality in Germany. Lung Cancer 149:78–83
Birkmeyer JD, Dimick JB (2009) Understanding and reducing variation in surgical mortality. Annu Rev Med 60:405–415
Birkmeyer JD, Siewers AE, Finlayson EV, Stukel TA, Lucas FL, Batista I, Welch HG, Wennberg DE (2002) Hospital volume and surgical mortality in the United States. N Engl J Med 346(15):1128–1137
Diers J, Wagner J, Baum P, Lichthardt S, Kastner C, Matthes N, Löb S, Matthes H, Germer C-T, Wiegering A (2019) Nationwide in-hospital mortality following colonic cancer resection according to hospital volume in Germany. BJS Open 3(5):672–677. https://doi.org/10.1002/bjs5.50173. eCollection 2019 Oct. PMID: 31592096
Diers J, Baum P, Matthes H, Germer CT, Wiegering A (2020a) Mortality and complication management after surgery for colorectal cancer depending on the DKG minimum amounts for hospital volume. Eur J Surg Oncol 47(4):850–857. https://doi.org/10.1016/j.ejso.2020.09.024. Epub 2020 Sep 25. PMID: 33020007
Diers J, Wagner J, Baum P, Lichthardt S, Kastner C, Matthes N, Matthes H, Germer CT, Lob S, Wiegering A (2020b) Nationwide in-hospital mortality rate following rectal resection for rectal cancer according to annual hospital volume in Germany. BJS Open 4(2):310–319
Diers J, Baum P, Wagner JC, Matthes H, Pietryga S, Baumann N, Uttinger K, Germer CT, Wiegering A (2021) Hospital volume following major surgery for gastric cancer determines in-hospital mortality rate and failure to rescue: a nation-wide study based on German billing data (2009–2017). Gastric Cancer 24(4):959–969. https://doi.org/10.1007/s10120-021-01167-8. Epub 2021 Feb 12. PMID: 33576929
Dindo D, Demartines N, Clavien PA (2004) Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 240(2):205–213
Duraes LC, Stocchi L, Dietz D, Kalady MF, Kessler H, Schroeder D, Remzi FH (2016) The disproportionate effect of perioperative complications on mortality within 1 year after colorectal cancer resection in octogenarians. Ann Surg Oncol 23(13):4293–4301
Ghaferi AA, Birkmeyer JD, Dimick JB (2009) Complications, failure to rescue, and mortality with major inpatient surgery in medicare patients. Ann Surg 250(6):1029–1034
Ghaferi AA, Birkmeyer JD, Dimick JB (2011) Hospital volume and failure to rescue with high-risk surgery. Med Care 49(12):1076–1081
Kohler F, Acar L, van den Berg A, Flemming S, Kastner C, Muller S, Diers J, Germer CT, Lock JF, L’Hoest H, Marschall U, Wiegering A (2021) Impact of the COVID-19 pandemic on appendicitis treatment in Germany-a population-based analysis. Langenbeck’s Arch Surg 406(2):377–383
Nimptsch U, Mansky T (2017) Hospital volume and mortality for 25 types of inpatient treatment in German hospitals: observational study using complete national data from 2009 to 2014
Nimptsch U, Wengler A, Mansky T (2016) [Continuity of hospital identifiers in hospital discharge data – analysis of the nationwide German DRG Statistics from 2005 to 2013]. Z Evid Fortbild Qual Gesundhwes 117:38–44
Nimptsch U, Haist T, Krautz C, Grutzmann R, Mansky T, Lorenz D (2018) Hospital volume, in-hospital mortality, and failure to rescue in esophageal surgery. Dtsch Arztebl Int 115(47):793–800
Nimptsch U, Spoden M, Mansky T (2019) Complex gastric surgery in Germany-is centralization beneficial? Observational study using national hospital. Langenbecks Arch Surg 404(1):93–101. https://doi.org/10.1007/s00423-018-1742-6. Epub 2018 Dec 14. PMID: 30552508
Parzeller M, Wenk M, Zedler B, Rothschild M (2007) Aufklärung und Einwilligung bei ärztlichen Eingriffen. Dtsch Arztebl Int 104:576
Stausberg J, Hagn S (2015) New morbidity and comorbidity scores based on the structure of the ICD-10. PLoS One 10(12):e0143365
Wellner UF, Klinger C, Lehmann K, Buhr H, Neugebauer E, Keck T (2017) The pancreatic surgery registry (StuDoQ|Pancreas) of the German Society for General and Visceral Surgery (DGAV) – presentation and systematic quality evaluation. Trials 18(1):163
Wright JD, Herzog TJ, Siddiq Z, Arend R, Neugut AI, Burke WM, Lewin SN, Ananth CV, Hershman DL (2012) Failure to rescue as a source of variation in hospital mortality for ovarian cancer. J Clin Oncol 30(32):3976–3982
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Diers, J., Germer, CT., Wiegering, A. (2022). Komplikationen in der Viszeralchirurgie – Statistische Daten. In: Weimann, A., Gockel, I., Reißfelder, C. (eds) Präoperative Konditionierung des viszeralchirurgischen Risikopatienten. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-64257-3_3
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