Details
| Translated title of the contribution | Therapeutic advices and implications for daily practice in osteoporosis care in Germany |
|---|---|
| Original language | German |
| Pages (from-to) | 20-26 |
| Number of pages | 7 |
| Journal | Gesundheitsokonomie und Qualitatsmanagement |
| Volume | 15 |
| Issue number | 1 |
| Early online date | 16 Feb 2010 |
| Publication status | Published - Feb 2010 |
Abstract
Aim: The German Federal Joint Committee (G-BA) issued a therapeutic advice for teriparatide in 2007. However, exceptions may occur in patients, if other major reasons can be found by treating physicians. Aim of this study is to identify patient cases, which were treated under this exception rule and potentially form clusters of underlying additional factors. Method: Retrospectively the records of patients with severe osteoporosis of a specialised outpatient orthopaedist from 2004 to 2006 were viewed. Out of this group those cases were identified, which were treated with teriparatide outside the strict classification of the current GBA guidelines. In a second step, these cases were grouped into clusters. Results: In total, 90 patients were identified which match the inclusion criteria. Four clusters of patients with joint characteristics were formed, which werent fully or partially covered by the G-BA guidelines, including i. e. patients with rheumatic diseases. Conclusion: Recommendations and guidelines are necessary to manage the medical care effectively and efficiently. Nevertheless, the identified individual patient careers show that not only standard cases exist in medical daily routine to which recommendations and guidelines apply easily. Reflecting the gap between external and internal validity there always exist cases not fitting into fixed recommendations.
Cite this
- Standard
- Harvard
- Apa
- Vancouver
- BibTeX
- RIS
In: Gesundheitsokonomie und Qualitatsmanagement, Vol. 15, No. 1, 02.2010, p. 20-26.
Research output: Contribution to journal › Article › Research › peer review
}
TY - JOUR
T1 - Therapiehinweise im Lichte täglicher Praxis am Beispielder Osteoporose
AU - Zellner, M. A.
AU - Prenzler, A.
AU - Kasch, C.
AU - Mittendorf, T.
AU - Mittelmeier, W.
AU - Von Der Schulenburg, J. M.
PY - 2010/2
Y1 - 2010/2
N2 - Aim: The German Federal Joint Committee (G-BA) issued a therapeutic advice for teriparatide in 2007. However, exceptions may occur in patients, if other major reasons can be found by treating physicians. Aim of this study is to identify patient cases, which were treated under this exception rule and potentially form clusters of underlying additional factors. Method: Retrospectively the records of patients with severe osteoporosis of a specialised outpatient orthopaedist from 2004 to 2006 were viewed. Out of this group those cases were identified, which were treated with teriparatide outside the strict classification of the current GBA guidelines. In a second step, these cases were grouped into clusters. Results: In total, 90 patients were identified which match the inclusion criteria. Four clusters of patients with joint characteristics were formed, which werent fully or partially covered by the G-BA guidelines, including i. e. patients with rheumatic diseases. Conclusion: Recommendations and guidelines are necessary to manage the medical care effectively and efficiently. Nevertheless, the identified individual patient careers show that not only standard cases exist in medical daily routine to which recommendations and guidelines apply easily. Reflecting the gap between external and internal validity there always exist cases not fitting into fixed recommendations.
AB - Aim: The German Federal Joint Committee (G-BA) issued a therapeutic advice for teriparatide in 2007. However, exceptions may occur in patients, if other major reasons can be found by treating physicians. Aim of this study is to identify patient cases, which were treated under this exception rule and potentially form clusters of underlying additional factors. Method: Retrospectively the records of patients with severe osteoporosis of a specialised outpatient orthopaedist from 2004 to 2006 were viewed. Out of this group those cases were identified, which were treated with teriparatide outside the strict classification of the current GBA guidelines. In a second step, these cases were grouped into clusters. Results: In total, 90 patients were identified which match the inclusion criteria. Four clusters of patients with joint characteristics were formed, which werent fully or partially covered by the G-BA guidelines, including i. e. patients with rheumatic diseases. Conclusion: Recommendations and guidelines are necessary to manage the medical care effectively and efficiently. Nevertheless, the identified individual patient careers show that not only standard cases exist in medical daily routine to which recommendations and guidelines apply easily. Reflecting the gap between external and internal validity there always exist cases not fitting into fixed recommendations.
KW - guidelines
KW - musculoskeletal diseases
KW - osteoporosis
KW - teriparatide
UR - http://www.scopus.com/inward/record.url?scp=77957592520&partnerID=8YFLogxK
U2 - 10.1055/s-0028-1109408
DO - 10.1055/s-0028-1109408
M3 - Artikel
AN - SCOPUS:77957592520
VL - 15
SP - 20
EP - 26
JO - Gesundheitsokonomie und Qualitatsmanagement
JF - Gesundheitsokonomie und Qualitatsmanagement
SN - 1432-2625
IS - 1
ER -