E Lautz

Universität zu Lübeck, Lübeck Hansestadt, Schleswig-Holstein, Germany

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Publications (3)2.36 Total impact

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    ABSTRACT: Colorectal neoplasms (ICD-10 diagnoses C18-C21) are the second-leading malignancies in Schleswig-Holstein, Germany (women: 17% of all neoplasms, men: 16%) and are the second-leading cause of death when only the cancer-related deaths are taken into account (women: 14%, men: 12%). At time of diagnosis women are 5 years older than men (median: 73 vs. 68 years). Up to now, data on frequency and predictors of utilization of rehabilitation of patients with colorectal neoplasms are not available. Therefore, we evaluated this topic in a population-based cohort of patients with colorectal cancer from Schleswig-Holstein. Data were obtained in the course of the Popgen study. Popgen is a population-based molecular genetic study. For this project younger patients (<65 yrs) with colorectal neoplasms (ICD-10 diagnosis C18-C21) who where living in Schleswig-Holstein and who had received the diagnosis between Jan. 2000 and Sept. 2004, were asked by means of a postal self-administered questionnaire regarding their medical care and quality of life (EORTC QLQ-C30). Eligible study participants were identified in the epidemiological cancer registry of Schleswig-Holstein. In all, 245 patients participated and sent back the questionnaire (37+/-15 months after receiving the primary diagnosis). Of 241 persons with a valid answer, 119 (49%) participated in medical rehabilitation (62 females and 56 males, Chi (2): p=0.180). The rehabilitation lasted 3.76+/-0.94 weeks, and in 36.7% of the cases the rehabilitation started within two weeks after being discharged from the hospital. In a regression model in which T-category, N-category, gender, age, education, health insurance (private or statutory), living with a partner, stoma, radiation, chemotherapy, complications or side effects of the therapy were included as independent predictors for the utilization of rehabilitation, only the factor "living with a partner" was identified as a significant predictor: patients without a partner more often received inpatient rehabilitation than patients living with a partner (odds ratio=3.8; 95% confidence interval [1.3; 11.7]). Colorectal neoplasms are a huge burden for the patients due to therapy and comorbidity. Therefore, colorectal neoplasms are an important indication for attending rehabilitation. About one half of the Popgen study participants took part in inpatient rehabilitation. It still remains to be clarified whether the utilization rate observed indicates adequate medical care or not.
    Die Rehabilitation 12/2007; 46(6):349-55. · 0.71 Impact Factor
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    ABSTRACT: The Guideline Colorectal Cancer has been existed since 1999. In 2004, a revision was published in form of the S3-guideline (number of the AWMF registry: 021/007). In this study we aimed to evaluate whether diagnostics and therapy of colorectal cancer of younger patients (<65 years) in Schleswig-Holstein (SH) were in accordance with the guideline or not. Therefore patients from a molecular genetic research project ("popgen") were asked to complete a questionnaire regarding their medical care. Data from the self-administered questionnaire and from the routine data set of the epidemiological cancer registry SH were available for 245 patients (mean age: 56.9 years; 48.6% were females). Nearly 54% of the patients had a tumour located in the colon and 42.9% in the rectum. Most patients (65.7%) experienced locally progressing tumours (T3/T4). Positive lymph nodes were diagnosed in 41% of the patients, distant metastases in less than 1%. About 88% had a coloscopy, 62.4% an X-ray of the lung, and 78.7% a sonography of the abdomen in the course of the preoperative diagnostics. Of all patients, 97.1% have been operated. An adjuvant radiation was received by 31.7% and adjuvant chemotherapy was given to 36.3% of the patients. In order to assess medical care, reference values were defined for specific phrasings from the S3-guideline (e.g., "always indicated": > 95%). According to the data from the patients' questionnaires and according to the S3-guideline, quality indicators of the preoperative diagnostics in SH were beneath the assumed reference values. But the data on therapy procedures indicated a good or at least satisfactory medical care.
    Das Gesundheitswesen 05/2007; 69(4):216-23. · 0.94 Impact Factor
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    ABSTRACT: [Utilization of inpatient rehabilitation of younger patients with colorectal neoplasms--results of the project "Popgen-colorectal cancer"] INTRODUCTION AND BACKGROUND: Colorectal neoplasms (ICD-10 diagnoses C18-C21) are the second-leading malignancies in Schleswig-Holstein, Germany (women: 17% of all neoplasms, men: 16%) and are the second-leading cause of death when only the cancer-related deaths are taken into account (women: 14%, men: 12%). At time of diagnosis women are 5 years older than men (median: 73 vs. 68 years). Up to now, data on frequency and predictors of utilization of rehabilitation of patients with colorectal neoplasms are not available. Therefore, we evaluated this topic in a population-based cohort of patients with colorectal cancer from Schleswig-Holstein. Data were obtained in the course of the Popgen study. METHODS: Popgen is a population-based molecular genetic study. For this project younger patients (<65 yrs) with colorectal neoplasms (ICD-10 diagnosis C18-C21) who where living in Schleswig-Holstein and who had received the diagnosis between Jan. 2000 and Sept. 2004, were asked by means of a postal self-administered questionnaire regarding their medical care and quality of life (EORTC QLQ-C30). Eligible study participants were identified in the epidemiological cancer registry of Schleswig-Holstein. RESULTS: In all, 245 patients participated and sent back the questionnaire (37+/-15 months after receiving the primary diagnosis). Of 241 persons with a valid answer, 119 (49%) participated in medical rehabilitation (62 females and 56 males, Chi (2): p=0.180). The rehabilitation lasted 3.76+/-0.94 weeks, and in 36.7% of the cases the rehabilitation started within two weeks after being discharged from the hospital. In a regression model in which T-category, N-category, gender, age, education, health insurance (private or statutory), living with a partner, stoma, radiation, chemotherapy, complications or side effects of the therapy were included as independent predictors for the utilization of rehabilitation, only the factor "living with a partner" was identified as a significant predictor: patients without a partner more often received inpatient rehabilitation than patients living with a partner (odds ratio=3.8; 95% confidence interval [1.3; 11.7]). DISCUSSION: Colorectal neoplasms are a huge burden for the patients due to therapy and comorbidity. Therefore, colorectal neoplasms are an important indication for attending rehabilitation. About one half of the Popgen study participants took part in inpatient rehabilitation. It still remains to be clarified whether the utilization rate observed indicates adequate medical care or not.
    Die Rehabilitation 01/2007; 46(6):349-55. · 0.71 Impact Factor