Hensen Peter, Müller Marcel L, Petres Johannes, Luger Thomas A, Gollnick Harald
Klinik und Poliklinik für Hautkrankheiten, Universitätsklinikum Münster.
J Dtsch Dermatol Ges. 2006 Jun;4(6):477-85. doi: 10.1111/j.1610-0387.2006.05998.x.
Dermatologic surgery has become an increasingly important issue in dermatology in recent years. At present, no current epidemiologic or care-related data on cutaneous surgery procedures in dermatology are available.
To determine the extent of cutaneous surgery procedures in dermatological hospitals, a national survey was performed. Both the procedure codes for 2004 based on the OPS-classification and the DRG figures grouped to the major diagnostic category 09 of G-DRG version 2004 were considered in detail. Methods of descriptive statistics were applied.
The submitted data reveal that the contributing hospitals provided 164487 cutaneous surgery procedures in the investigation period. The vast majority is represented by extensive procedures and plastic-reconstructive operations, as opposed to less complex surgeries such as simple excisions. Analysis of DRG assignment indicates that surgical procedures account for 44.2% of inpatient cases.
The present survey demonstrates that in Germany cutaneous surgery procedures are widely performed by dermatological hospitals and dermatologists. The increasing incidence of melanoma and nonmelanoma skin cancer including precursor lesions will increase the need for dermatologists to perform cutaneous surgery in the future.
近年来，皮肤科手术在皮肤病学领域已成为一个日益重要的问题。目前，尚无关于皮肤科皮肤外科手术的流行病学或护理相关数据。
为确定皮肤科医院皮肤外科手术的范围，开展了一项全国性调查。详细考虑了基于OPS分类的2004年手术编码以及归入2004年G-DRG版本主要诊断类别09的DRG数据。应用描述性统计方法。
提交的数据显示，在调查期间，参与调查的医院共进行了164487例皮肤外科手术。绝大多数为大型手术和整形重建手术，而非简单切除等不太复杂的手术。DRG分组分析表明，外科手术占住院病例的44.2%。
本次调查表明，在德国，皮肤外科手术在皮肤科医院和皮肤科医生中广泛开展。黑色素瘤和非黑色素瘤皮肤癌（包括前驱病变）发病率的上升将增加未来皮肤科医生进行皮肤外科手术的需求。
