Enno Swart
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View article: Regional disparities of antidementia drug treatment in Germany: what can we learn for the new generation of Alzheimer’s therapies
Regional disparities of antidementia drug treatment in Germany: what can we learn for the new generation of Alzheimer’s therapies Open
Background Current antidementia drugs can temporarily slow cognitive decline in Alzheimer’s disease but are underused. Regional and socioeconomic disparities, including limited specialist access in rural or deprived areas, may exacerbate i…
View article: Case study in VersKiK: a methodological approach for studying paediatric cancer survivors’ pathways
Case study in VersKiK: a methodological approach for studying paediatric cancer survivors’ pathways Open
Background Advancements in medical treatment have significantly increased the likelihood of survival after childhood and adolescent cancer. However, this expanding group remains vulnerable to various late effects resulting from cancer itse…
View article: Cutaneous squamous cell carcinoma 1986–2019 in Germany: Incidence, anatomical site, staging, and histologic subtypes
Cutaneous squamous cell carcinoma 1986–2019 in Germany: Incidence, anatomical site, staging, and histologic subtypes Open
cSCC incidence has risen substantially in Germany, with significant variation by sex, region, and tumour type. Improved registry protocols incorporating multiple primaries, clinical staging, and early in situ lesions are essential for accu…
View article: Flexible, integrated, and person-centered psychiatric care through global treatment budgets: results of the multiperspective study PsychCare
Flexible, integrated, and person-centered psychiatric care through global treatment budgets: results of the multiperspective study PsychCare Open
Background To overcome fragmented care provision in Germany, flexible, integrated psychiatric care (FIT) model projects according to § 64b of the German Social Code Book (SGB) V were implemented. Objectives The results of the prospective c…
View article: Transitional care after hospitalization for sepsis in Germany– results from the population-based AVENIR cohort study
Transitional care after hospitalization for sepsis in Germany– results from the population-based AVENIR cohort study Open
Purpose Sepsis survivorship is associated with significant long-term morbidity, mortality and health care utilization. Transitional care between inpatient and follow-up care is crucial, but insufficiently understood. We investigated health…
View article: Cutaneous squamous cell carcinoma 1986 - 2019 in Germany: Incidence, Localization, Staging, and Histologic Types
Cutaneous squamous cell carcinoma 1986 - 2019 in Germany: Incidence, Localization, Staging, and Histologic Types Open
Background Cutaneous squamous cell carcinoma (cSCC) is the second most common non-melanoma skin cancer and is associated with considerable morbidity. Population-based data analysis in Germany has largely focused on incidence and trends. Ob…
View article: Organizing long-term follow-up care for pediatric cancer survivors: a socio-ecological approach
Organizing long-term follow-up care for pediatric cancer survivors: a socio-ecological approach Open
This study examines the organization of long-term follow-up care for pediatric cancer survivors through the lens of Bronfenbrenners’ Ecological Systems Theory (EST). Using focus group discussions with survivors and healthcare professionals…
View article: Selecting indicators for the measurement of low-value care using German claims data: A three-round modified Delphi panel
Selecting indicators for the measurement of low-value care using German claims data: A three-round modified Delphi panel Open
By reducing healthcare services that offer little benefit or potential harm to patients (low-value care), resources can be redirected towards more adequate treatments, improving healthcare efficiency and patient outcomes. This study aimed …
View article: Regional variations in healthcare in people living with dementia in Germany: protocol for a mixed-methods study
Regional variations in healthcare in people living with dementia in Germany: protocol for a mixed-methods study Open
Introduction Care for people living with dementia is both important and complex, and there is evidence of large regional variations in the quality of care. This study protocol describes design, methods and objectives of an investigation of…
View article: Follow-up care needs and motivational factors for childhood cancer survivors and their parents in Germany
Follow-up care needs and motivational factors for childhood cancer survivors and their parents in Germany Open
This study aims to explore the long-term follow-up needs and motivations of childhood and adolescent cancer survivors and their parents to attend follow-up care in Germany, given the inconsistent adherence to national follow-up guidelines.…
View article: “You First Have to Check Out the Doctors”: Transition Expectations and Experiences of Survivors After Pediatric Cancer
“You First Have to Check Out the Doctors”: Transition Expectations and Experiences of Survivors After Pediatric Cancer Open
Purpose The shift from child‐centered to adult‐focused healthcare presents social and psychological challenges for adolescents and young adults with chronic conditions, which can affect their participation in follow‐up care. This study aim…
View article: Quantifying Low-Value Care in Germany: An Observational Study Using Statutory Health Insurance Data From 2018 to 2021
Quantifying Low-Value Care in Germany: An Observational Study Using Statutory Health Insurance Data From 2018 to 2021 Open
Despite the limitations of German statutory health insurance data, considerable low-value care was found within several of the 24 low-value indicators. The findings highlight the necessity for targeted interventions to mitigate low-value c…
View article: Development and Internal Validation of Models Predicting the Health Insurance Status of Participants in the German National Cohort
Development and Internal Validation of Models Predicting the Health Insurance Status of Participants in the German National Cohort Open
Background In Germany, all citizens must purchase health insurance, in either statutory (SHI) or private health insurance (PHI). Because of the division into SHI and PHI, person insurance’s status is an important variable for studies in th…
View article: VersKiK qualitative study design: actual follow-up needs of paediatric cancer survivors, their informal caregivers and follow-up stakeholder perceptions in Germany
VersKiK qualitative study design: actual follow-up needs of paediatric cancer survivors, their informal caregivers and follow-up stakeholder perceptions in Germany Open
Introduction This article presents the study design of the qualitative part of the VersKiK study (Long-term care, care needs and wellbeing of individuals after cancer in childhood or adolescence: study protocol of a large scale multi-metho…
View article: Understanding health care pathways of patients with sepsis: protocol of a mixed-methods analysis of health care utilization, experiences, and needs of patients with and after sepsis
Understanding health care pathways of patients with sepsis: protocol of a mixed-methods analysis of health care utilization, experiences, and needs of patients with and after sepsis Open
Background Sepsis is associated with about 20% of deaths worldwide. It often presents with non-specific initial symptoms, making its emergency treatment an interdisciplinary and cross-sectoral challenge. Three in four sepsis survivors suff…
View article: Record Linkage of secondary data in the NAKO: Overview of data sources with focus on health insurance claims data
Record Linkage of secondary data in the NAKO: Overview of data sources with focus on health insurance claims data Open
Background The collected primary data are enriched with secondary and registry data from different data owners to support morbidity follow-up and to obtain important exposure and progression data that could not be obtained otherwise. Goal …
View article: Self-reported versus administrative data records: implications for assessing healthcare resource utilization of mental disorders
Self-reported versus administrative data records: implications for assessing healthcare resource utilization of mental disorders Open
Background : Data on resourceuse are frequently required for health economic evaluation. Studies on health care utilization in individuals with mental disorders have analyzed both self-reports and administrative data, each of which with st…
View article: Digital Health Information Provided by Public Health Stakeholders on Colorectal Cancer Screening: A Systematic Evaluation
Digital Health Information Provided by Public Health Stakeholders on Colorectal Cancer Screening: A Systematic Evaluation Open
In the federal state of Germany, Saxony-Anhalt, colorectal cancer is the second most frequent cause of death among cancer patients. In order to identify cancer precursors early, colorectal cancer screenings are essential. In this context, …
View article: Long-term care, care needs and wellbeing of individuals after cancer in childhood or adolescence (VersKiK): study protocol of a large scale multi-methods non-interventional study
Long-term care, care needs and wellbeing of individuals after cancer in childhood or adolescence (VersKiK): study protocol of a large scale multi-methods non-interventional study Open
Background It has been shown previously that a relevant proportion of childhood cancer survivors suffers from late effects, which are often directly related to the cancer itself or its therapy, resulting in particular follow-up needs, addi…
View article: Apart from the Medical Complaints, Why do Patients Use Emergency Medical Services? Results of a Patient Survey
Apart from the Medical Complaints, Why do Patients Use Emergency Medical Services? Results of a Patient Survey Open
Introduction Many countries face an increased use of emergency medical services (EMS) with a decreasing percentage of life-threatening complaints. Though there is a broad discussion among experts about the cause, patients' self-perceived, …
View article: Regional Utilization of Preventive Services in the 55-Plus Age Group: Protocol for a Mixed Methods Study
Regional Utilization of Preventive Services in the 55-Plus Age Group: Protocol for a Mixed Methods Study Open
Background In Germany, the proportion of people with chronic diseases and multimorbidity is increasing. To counteract the emergence and worsening of age-related conditions, there is a need for preventive care structures and measures. The p…