Klinischer Ablaufpfad (Workflow) zu Diagnostik, Therapie und Nachsorge des Rektumkarzinoms

 

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Einleitung

Klinische Ablaufpfade (clinical pathways, workflows) gewinnen zunehmend an Bedeutung, stellen sie doch einen wichtigen Faktor in der Qualitätssicherung bzw. -verbesserung in der klinischen Versorgung dar [50]. Spezielle Bedeutung besitzen klinische Ablaufpfade bei Erkrankungen, bei denen in den letzten Jahren wesentliche Neuerungen und Fortschritte in Diagnostik und Therapie zu verzeichnen sind. Dies gilt in besonderem Maß für das Rektumkarzinom, bei dem durch die optimierte Chirurgie mit totaler mesorektaler Exzision (TME), neue bildgebende Verfahren und Änderungen in der multimodalen Therapie bedeutende Verbesserungen eingetreten sind. Daher hat sich eine interdisziplinäre Expertengruppe mit der Erstellung eines aktuellen klinischen Ablaufpfades für Diagnostik, Therapie und Nachsorge des Rektumkarzinoms beschäftigt. Nach entsprechenden Vorbereitungen fand am 25. und 26.11.2005 in Burghausen ein öffentlicher Workshop statt, bei dem Experten unter Mitbeteiligung von etwa 50 interessierten Kollegen die aktuellen Probleme diskutierten. Danach wurde von einem Redaktionskomitee ein klinischer Ablaufpfad erstellt, der allen Mitgliedern der Expertenrunde vorgelegt und schließlich gemeinsam verabschiedet wurde. Er wird nachfolgend in Form von Textkästen (mit tabellarischen Auflistungen) und 6 Algorithmen dargestellt.

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Korrespondenzadresse

Prof. Dr. R. T. Grundmann

Kreiskliniken Altötting-Burghausen·Krankenhausstraße 1· 84489 Burghausen

Phone: +49/8677/88 05 01/502

Fax: +49/8677/88 05 03

Email: prof.grundmann@krk-bgh.de