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Kus S, Oberhauser C, Simmel S, Coenen M. Einflussfaktoren auf die Inanspruchnahme von Sozialversicherungsleistungen bei Patient*innen mit schweren muskuloskeletalen Verletzungen nach Trauma. Das Gesundheitswesen 2021. [DOI: 10.1055/s-0041-1732007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- S Kus
- Lehrstuhl für Public Health und Versorgungsforschung, Institut für Medizinische Informationsverarbeitung, Biometrie und Epidemiologie – IBE, Ludwig-Maximilians-Universität (LMU) München
- Pettenkofer School of Public Health, Ludwig-Maximilians-Universität (LMU) München
- ICF Research Branch
| | - C Oberhauser
- Lehrstuhl für Public Health und Versorgungsforschung, Institut für Medizinische Informationsverarbeitung, Biometrie und Epidemiologie – IBE, Ludwig-Maximilians-Universität (LMU) München
- Pettenkofer School of Public Health, Ludwig-Maximilians-Universität (LMU) München
- ICF Research Branch
| | - S Simmel
- Abteilung BG Rehabilitation, Berufsgenossenschaftliche Unfallklinik Murnau
| | - M Coenen
- Lehrstuhl für Public Health und Versorgungsforschung, Institut für Medizinische Informationsverarbeitung, Biometrie und Epidemiologie – IBE, Ludwig-Maximilians-Universität (LMU) München
- Pettenkofer School of Public Health, Ludwig-Maximilians-Universität (LMU) München
- ICF Research Branch
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Coenen M, Kus S, Oberhauser C, Simmel S. Die Versorgung von Patient*innen mit schweren muskuloskeletalen Verletzungen: Vorhersage der Dauer bis zur Aufnahme in die stationäre Rehabilitation – Update zum Projekt icfPROreha. Das Gesundheitswesen 2021. [DOI: 10.1055/s-0041-1731988] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- M Coenen
- Lehrstuhl für Public Health und Versorgungsforschung, Institut für Medizinische Informationsverarbeitung, Biometrie und Epidemiologie - IBE
- Pettenkofer School of Public Health
- ICF Research Branch
| | - S Kus
- Lehrstuhl für Public Health und Versorgungsforschung, Institut für Medizinische Informationsverarbeitung, Biometrie und Epidemiologie - IBE
- Pettenkofer School of Public Health
- ICF Research Branch
| | - C Oberhauser
- Lehrstuhl für Public Health und Versorgungsforschung, Institut für Medizinische Informationsverarbeitung, Biometrie und Epidemiologie - IBE
- Pettenkofer School of Public Health
- ICF Research Branch
| | - S Simmel
- Abteilung BG Rehabilitation, Berufsgenossenschaftliche Unfallklinik Murnau
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Eisele A, Dereskewitz C, Kus S, Oberhauser C, Rudolf KD, Coenen M. Factors affecting time off work in patients with traumatic hand injuries-A bio-psycho-social perspective. Injury 2018; 49:1822-1829. [PMID: 30054047 DOI: 10.1016/j.injury.2018.07.012] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/27/2018] [Revised: 07/10/2018] [Accepted: 07/17/2018] [Indexed: 02/02/2023]
Abstract
Hand injuries are common and can result in a long time off work. To analyse and identify factors affecting time of work, a holistic view on patients is needed. World Health Organization's International Classification of Functioning, Disability and Health (ICF) with its bio-psycho-social perspective provides such a holistic view. The purpose of this study is to analyse time off work in patients with traumatic hand injuries and to identify factors affecting time off work from a bio-psycho-social perspective. We used factors derived from the ICF Core Set for Hand Conditions to predict time off work by applying Cox regression analyses and Kaplan-Meier method using data of a multicentre prospective study in nine German Level 1 hand trauma centres. In total, 231 study participants with a broad range of hand injuries were included. From these, 178 patients (77%) returned to work within 200 days. Impairments in mobility of joint functions and sensory functions related to temperature and other stimuli as well as higher hand strain at work led to extended time off work. Gender, fine hand use and employment status additionally influenced time off work in sub-models. Our results demonstrate that a bio-psycho-social perspective is recommended when investigating time off work.
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Affiliation(s)
- A Eisele
- Institute for Medical Information Processing, Biometry and Epidemiology (IBE), Chair for Public Health und Health Services Research, Research Unit for Biopsychosocial Health, Pettenkofer School of Public Health, Ludwig-Maximilians-Universität (LMU) München, Germany
| | - C Dereskewitz
- Department of Hand Surgery, Plastic and Microsurgery, BG Trauma Hospital, Hamburg, Germany
| | - S Kus
- Institute for Medical Information Processing, Biometry and Epidemiology (IBE), Chair for Public Health und Health Services Research, Research Unit for Biopsychosocial Health, Pettenkofer School of Public Health, Ludwig-Maximilians-Universität (LMU) München, Germany; ICF Research Branch - a cooperation partner within the WHO Collaborating Centre for the Family of International Classifications in Germany (at DIMDI), Germany
| | - C Oberhauser
- Institute for Medical Information Processing, Biometry and Epidemiology (IBE), Chair for Public Health und Health Services Research, Research Unit for Biopsychosocial Health, Pettenkofer School of Public Health, Ludwig-Maximilians-Universität (LMU) München, Germany; ICF Research Branch - a cooperation partner within the WHO Collaborating Centre for the Family of International Classifications in Germany (at DIMDI), Germany
| | - K-D Rudolf
- Department of Hand Surgery, Plastic and Microsurgery, BG Trauma Hospital, Hamburg, Germany
| | - M Coenen
- Institute for Medical Information Processing, Biometry and Epidemiology (IBE), Chair for Public Health und Health Services Research, Research Unit for Biopsychosocial Health, Pettenkofer School of Public Health, Ludwig-Maximilians-Universität (LMU) München, Germany; ICF Research Branch - a cooperation partner within the WHO Collaborating Centre for the Family of International Classifications in Germany (at DIMDI), Germany.
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Stier-Jarmer M, Frisch D, Oberhauser C, Immich G, Kirschneck M, Schuh A. Effects of single moor baths on physiological stress response and psychological state: a pilot study. Int J Biometeorol 2017; 61:1957-1964. [PMID: 28634659 DOI: 10.1007/s00484-017-1385-2] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/04/2016] [Revised: 04/03/2017] [Accepted: 05/27/2017] [Indexed: 05/24/2023]
Abstract
Moor mud applications in the form of packs and baths are widely used therapeutically as part of balneotherapy. They are commonly given as therapy for musculoskeletal disorders, with their thermo-physical effects being furthest studied. Moor baths are one of the key therapeutic elements in our recently developed and evaluated 3-week prevention program for subjects with high stress level and increased risk of developing a burnout syndrome. An embedded pilot study add-on to this core project was carried out to assess the relaxing effect of a single moor bath. During the prevention program, 78 participants received a total of seven moor applications, each consisting of a moor bath (42 °C, 20 min, given between 02:30 and 05:20 p.m.) followed by resting period (20 min). Before and after the first moor application in week 1, and the penultimate moor application in week 3, salivary cortisol was collected, blood pressure and heart rate were measured, and mood state (Multidimensional Mood State Questionnaire) was assessed. A Friedman test of differences among repeated measures was conducted. Post hoc analyses were performed using the Wilcoxon signed-rank test. A significant decrease in salivary cortisol concentration was seen between pre- and post-moor bath in week 1 (Z = -3.355, p = 0.0008). A non-significant decrease was seen between pre- and post-moor bath in week 3. Mood state improved significantly after both moor baths. This pilot study has provided initial evidence on the stress-relieving effects of single moor baths, which can be a sensible and recommendable therapeutic element of multimodal stress-reducing prevention programs. The full potential of moor baths still needs to be validated. A randomized controlled trial should be conducted comparing this balneo-therapeutic approach against other types of stress reduction interventions.
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Affiliation(s)
- M Stier-Jarmer
- Chair for Public Health and Health Services Research, Department of Medical Informatics, Biometry and Epidemiology - IBE, Ludwig-Maximilians-Universität (LMU), Marchioninistr. 17, 81377, Munich, Germany.
| | - D Frisch
- Chair for Public Health and Health Services Research, Department of Medical Informatics, Biometry and Epidemiology - IBE, Ludwig-Maximilians-Universität (LMU), Marchioninistr. 17, 81377, Munich, Germany
| | - C Oberhauser
- Chair for Public Health and Health Services Research, Department of Medical Informatics, Biometry and Epidemiology - IBE, Ludwig-Maximilians-Universität (LMU), Marchioninistr. 17, 81377, Munich, Germany
| | - G Immich
- Chair for Public Health and Health Services Research, Department of Medical Informatics, Biometry and Epidemiology - IBE, Ludwig-Maximilians-Universität (LMU), Marchioninistr. 17, 81377, Munich, Germany
| | - M Kirschneck
- Chair for Public Health and Health Services Research, Department of Medical Informatics, Biometry and Epidemiology - IBE, Ludwig-Maximilians-Universität (LMU), Marchioninistr. 17, 81377, Munich, Germany
| | - A Schuh
- Chair for Public Health and Health Services Research, Department of Medical Informatics, Biometry and Epidemiology - IBE, Ludwig-Maximilians-Universität (LMU), Marchioninistr. 17, 81377, Munich, Germany
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Schettler KF, Oberhauser C. Das Diabetes Riding Camp. DIABETOL STOFFWECHS 2014. [DOI: 10.1055/s-0034-1375157] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Bostan C, Oberhauser C, Stucki G, Bickenbach J, Cieza A. Which environmental factors are associated with performance when controlling for capacity? J Rehabil Med 2014; 46:806-13. [DOI: 10.2340/16501977-1839] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Escorpizo R, Oberhauser C, Boonen A, Stucki G, Cieza A. AB1380 The impact of osteoarthritis on the functioning of individuals: A statistical validation of the brief ICF core set for osteoarthritis based on a large international sample of patients with osteoarthritis. Ann Rheum Dis 2013. [DOI: 10.1136/annrheumdis-2012-eular.1374] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
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Ballert C, Oberhauser C, Biering-Sørensen F, Stucki G, Cieza A. Explanatory power does not equal clinical importance: study of the use of the Brief ICF Core Sets for Spinal Cord Injury with a purely statistical approach. Spinal Cord 2012; 50:734-9. [DOI: 10.1038/sc.2012.40] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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