Der Unfallchirurg
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Conventional chondrosarcoma is the second most common primary malignant bone tumor and usually occurs at older adult ages. It is rare in childhood and adolescence. ⋯ Based on the following case, potential radiological and histopathological differential diagnoses, such as chondroblastoma or chondroblastic osteosarcoma, are discussed against the background of current standards in orthopedic oncology.
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The study objective was to find out how cost-covering the treatment of patients with a potentially severe injury actually is in a Swiss trauma center and to what extent hospital profits/losses correlate with patient-related accident, treatment and outcome variables. ⋯ From a Swiss trauma center point of view only one third of emergencies are not loss-making, most of all privately insured patients or cases billable via a combined polytrauma and head trauma DRG.
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The act of the Medical Service of the Health Funds (MDK) is intended to shift health services previously provided in inpatient care to the outpatient care sector in accordance with § 115b SGB V. The aim of this study was the investigation of potential groups of inpatient cases of a university hospital for trauma surgery and orthopedics, which might be at risk for transfer to surgical outpatient treatment. ⋯ Individual groups have an increased potential in certain DRGs for a shift from inpatient to outpatient surgical procedures and are at risk for relevant revenue reductions in the course of further expansion of outpatient care. Proactive patient management in terms of outpatient versus inpatient treatment and special management of staff and spatial resources are necessary to anticipate potential downstream revenue cuts.