Pacha T Omar, Mommsen P, Brauckmann V, Aktas G, Krempec M, Wilhelmi B, Clausen J-D, März V, Krezdorn N, Vogt P M, Sehmisch S, Hinrichs J B, Ernst J
Klinik für Unfallchirurgie, Medizinische Hochschule Hannover, Carl-Neuberg-Straße 1, 30625, Hannover, Deutschland.
Klinik für Plastische, Ästhetische, Hand- und Wiederherstellungschirurgie, Medizinische Hochschule Hannover, Hannover, Deutschland.
Unfallchirurgie (Heidelb). 2023 Mar;126(3):175-183. doi: 10.1007/s00113-023-01290-4. Epub 2023 Feb 6.
Interdisciplinary case conferences are well-established in the field of oncology in order to provide the best possible treatment for patients with complex disease patterns which overlap several disciplines.
After studying the available literature the aims, indications, frequency, patient enrolment and documentation modalities, disciplines necessary to create the reconstruction plan and evaluation parameters of the board, were agreed in an interdisciplinary discussion among colleagues. The utilization of the extremity board and demographic features of the cases presented in the extremity board within the first 6 months were subsequently descriptively analyzed.
The agreed primary aim of an extremity board is the timely and transparent preparation of a high-quality holistic reconstruction plan for optimized treatment of a challenging patient collective with complex injuries of the extremities. Decisive interfaces of an extremity board are the participation of interdisciplinary disciplines, established enrolment and documentation modalities and a longitudinal analysis of parameters of the acute medical treatment, the long-term function and quality of life of those affected. The patient collective so far mostly includes men under 40 years old with traumatic soft tissue defects and combined injuries. On average, reconstruction plans for 1-2 patients were approved in an interdisciplinary team per session.
The extremity board serves as a platform for coordinated planning of treatment for patients with complex injuries. The limited personnel and time resources represent the greatest challenge for the successful implementation. The extremity board enables a high degree of interdisciplinary networking. The digital registration and documentation modality within the internal hospital documentation system is of utmost relevance. The preparation of the reconstruction plan is of decisive importance for the qualitative success of treatment and the restoration of function. The longitudinal analysis of appropriate parameters is imperative to measure the quality of treatment.
跨学科病例讨论会在肿瘤学领域已得到广泛应用，旨在为患有涉及多个学科的复杂疾病模式的患者提供尽可能最佳的治疗。
在研究现有文献后，同事间进行了跨学科讨论，就目标、适应症、频率、患者纳入标准和记录方式、制定重建计划所需的学科以及委员会的评估参数达成了一致。随后对前6个月内四肢病例讨论板的使用情况以及四肢病例讨论板中所呈现病例的人口统计学特征进行了描述性分析。
四肢病例讨论板的既定主要目标是及时、透明地制定高质量的整体重建计划，以优化治疗患有复杂四肢损伤的具有挑战性的患者群体。四肢病例讨论板的关键接口包括跨学科的参与、既定的纳入标准和记录方式，以及对急性医疗治疗参数、受影响者的长期功能和生活质量的纵向分析。到目前为止，患者群体大多包括40岁以下患有创伤性软组织缺损和复合伤的男性。每次会议中，跨学科团队平均批准1 - 2名患者的重建计划。
四肢病例讨论板是为复杂损伤患者协调治疗计划的平台。有限的人员和时间资源是成功实施的最大挑战。四肢病例讨论板实现了高度的跨学科协作。医院内部文档系统中的数字注册和记录方式至关重要。重建计划的制定对治疗的质量成功和功能恢复起着决定性作用。对适当参数进行纵向分析对于衡量治疗质量至关重要。
