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Qualitätsindikator
1: Indikation |
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Qualitätsziel: |
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Oft eine angemessene Indikation anhand
klinischer (Schmerzen und Bewegungseinschränkung) |
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und röntgenologischer Kriterien |
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Grundgesamtheit: |
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Alle Patienten |
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Referenzbereich: |
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>= 32,9% (5%-Perzentile) |
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Gesamt
2005 |
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Anzahl |
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% |
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Röntgenologische Kriterien |
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Patienten mit modifiziertem |
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Arthrose-Score der Hüfte |
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nach Kellgren&Lawrence¹ |
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Gruppe 1 |
0 Punkte |
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1.239 / 144.065 |
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0,86% |
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Gruppe 2 |
1 - 2 Punkte |
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4.896 / 144.065 |
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3,40% |
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Gruppe 3 |
3 - 4 Punkte |
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33.599 / 144.065 |
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23,32% |
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Gruppe 4 |
5 - 9 Punkte |
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94.492 / 144.065 |
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65,59% |
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Gruppe 5 |
10 Punkte |
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9.839 / 144.065 |
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6,83% |
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Gruppe 6 |
5 - 10 Punkte |
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104.331 / 144.065 |
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72,42% |
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Schmerzen |
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Patienten mit schmerzfreiem Gehen |
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< 20 min |
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82.463 / 144.065 |
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57,24% |
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Patienten mit Medikamenteneinnahme |
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aufgrund der Schmerzen |
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132.100 / 144.065 |
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91,69% |
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Patienten mit Ruheschmerz |
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123.349 / 144.065 |
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85,62% |
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Patienten mit Schmerzen länger als |
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6 Monate bestehend |
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137.251 / 144.065 |
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95,27% |
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¹ Punktwerte nach dem
modifizierten Kellgren&Lawrence-Score Hüfte |
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Osteophyten |
0 |
= keine oder fraglich |
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Gelenkspalt |
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0 |
= nicht oder fraglich verschmälert |
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1 |
= eindeutig |
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1 |
= eindeutig verschmälert |
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2 |
= große |
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2 |
= fortgeschritten verschmälert |
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3 |
= aufgehoben |
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Sklerose |
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0 |
= keine Sklerose |
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Deformierung |
0 |
= keine Deformierung |
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1 |
= leichte Sklerose |
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1 |
= leichte Deformierung |
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2 |
= leichte Sklerose mit Zystenbildung |
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2 |
= deutliche Deformierung |
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3 |
= Sklerose mit Zysten |
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Gesamt
2005 |
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Anzahl |
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% |
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Bewegungseinschränkung |
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Extension/Flexion: |
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schlechter als 0/0/90¹ |
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58.954 / 144.065 |
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40,92% |
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Ab-/Adduktion: schlechter als 20/0/10² |
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64.159 / 144.065 |
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44,53% |
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Außen-/Innenrotation: schlechter |
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als 20 Grad Gesamtumfang³ |
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55.243 / 144.065 |
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38,35% |
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Patienten mit mindestens einem |
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Schmerzkriterium und |
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mindestens einem |
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Bewegungseinschränkungskriterium |
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89.139 / 144.065 |
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61,87% |
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Patienten mit mindestens einem |
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Schmerzkriterium oder mindestens |
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einem Bewegungseinschränkungs- |
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kriterium und mindestens einem |
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röntgenologischen Kriterium |
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mit mehr als 5 Punkten |
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104.277 / 144.065 |
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72,38% |
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Vertrauensbereich |
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72,15% - 72,61% |
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Referenzbereich |
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>= 32,9% |
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Vorjahresdaten |
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Gesamt
2004 |
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Anzahl |
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% |
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Patienten mit mindestens einem |
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Schmerzkriterium oder mindestens |
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einem Bewegungseinschränkungs- |
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kriterium und mindestens einem |
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röntgenologischen Kriterium |
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mit mehr als 5 Punkten |
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96.897 / 137.858 |
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70,29% |
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Vertrauensbereich |
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70,05% - 70,53% |
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¹ Einschränkung der
Extension: Beugekontraktur > 0 Grad oder Einschränkung der Flexion:
maximal 90 Grad |
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² Einschränkung der
Abduktion (maximal 20 Grad möglich) oder der Adduktion (maximal 10 Grad
möglich) |
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³ Patienten mit
plausiblen Angaben zur präoperativen Beweglichkeit |
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Outcome 2004
Qualitätsindikatoren 2006