Stefan Becker

Stefan Becker
University Hospital Essen | UK Essen · Clinic for Nephrology

MD

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59
Publications
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838
Citations

Publications

Publications (59)
Poster
Full-text available
Expert survey with strategic evaluation of approach and usability of a prototype ("digital platform as a solution for improving communication in the context of waiting list management"). Usability testing of the transplant module of the "comjoodoc" platform, which enables data exchange between dialysis and transplant centers. Overall, the approach...
Chapter
Anhand von drei Arzt-Patienten-Portalen wird beispielhaft aufgezeigt, wie Portale unterstützen können. Es wird deutlich, dass Portale keine generischen Konstrukte, sondern hoch spezialisierte workflowunterstützende Lösungen sein müssen. Dies fordert zu Beginn der Konzeption sowie während der Umsetzung einen in hohem Maße an den späteren Akteuren au...
Article
ZUSAMMENFASSUNG In den letzten Jahren ist die telemedizinische Betreuung von Heimdialysepatienten besonders in der Peritonealdialyse zunehmend eingesetzt worden. Insbesondere die Übersicht von strukturierten Daten zu geplanten und tatsächlichen Behandlungen ermöglicht ein proaktiveres Patientenmanagement. Durch dieses Vorgehen werden häufiger Anpas...
Preprint
BACKGROUND In the midst of COVID-19, where health systems are severely overloaded, and arriving at hospitals and clinics poses risks for chronic condition patients, the need for telemedicine rises. This study examines readiness and potential barriers for telemedicine adoption among a specific sector of physicians. Chronic kidney disease (CKD) is a...
Article
ZUSAMMENFASSUNG Die Digitalisierung des Gesundheitswesens und auch der Nephrologie in Deutschland schreitet schnell voran. Nahezu täglich werden neue Teilprozesse in der Versorgung digitalisiert. Dabei können telemedizinische Ansätze die Betreuung von Heimdialysen und chronisch Nierenkranken verbessern. Die praktische Umsetzung ist allerdings im Hi...
Article
Background The potential adverse reactions to contrast media-enhanced imaging regularly offer challenges in decision-making for nephrologists and radiologists. Objective The clinical pictures of contrast media-induced acute kidney injury (CI-AKI) and nephrogenic systemic fibrosis (NSF) were evaluated, which are both caused by contrast media and cl...
Article
Full-text available
Was ist neu? Stand der Dinge Die Nephrologie steht vor erheblichen strukturellen Herausforderungen. Die Digitalisierung kann ein entscheidender Katalysator sein, um mit neuen Systemlösungen den Bedürfnissen von Patienten und ihren versorgenden Ärzten besser gerecht zu werden. Digitalisierung als „Game Changer“ in der Medizin Der Durchbruch der digi...
Article
Zusammenfassung Im Gesundheitswesen kommen immer mehr Apps auf den Markt und im klinischen Alltag zum Einsatz. Unabhängig davon, ob es sich um ein Medizinprodukt handelt oder nicht, besteht bei einer Fehlfunktion im Schadensfall unter Umständen ein erhebliches Haftungsrisiko für den Arzt. Trifft man vor der Anwendung gezielte Vorkehrungen, lässt si...
Article
Zusammenfassung Innovative Ansätze in der Telemedizin haben das Potenzial, die Versorgung von Patienten in der Nephrologie effizienter und effektiver zu gestalten. Zum Einsatz kommende Systeme sollten unabhängig von technischen Spezifizierungen Daten untereinander austauschen können und im Einklang mit Datenschutzvorgaben und der ärztlichen Schweig...
Article
Background The potential adverse reactions to contrast media-enhanced imaging regularly offer challenges in decision-making for nephrologists and radiologists. Objective The clinical pictures of contrast media-induced acute kidney injury (CI-AKI) and nephrogenic systemic fibrosis (NSF) were evaluated, which are both caused by contrast media and cl...
Article
Full-text available
Self-measurement and documentation of blood-glucose are critical elements of diabetes management, particularly in regimes including insulin. In this study, we analyze the usability of iBG-STAR, the first blood glucose meter connectable to a smartphone. This technology records glucometer measurements, removing the burden of documentation from diabet...
Article
Full-text available
Background: Thank you letters to physicians and medical facilities are an untapped resource, providing an invaluable glimpse into what patients notice and appreciate in their care. Objective: The aim of this study was to analyze such thank you letters as posted on the Web by medical institutions to find what patients and families consider to be...
Chapter
Die Digitalisierung ist ein stetig fortschreitender Prozess, der sich durch sämtliche Wirtschaftsbereiche zieht. Wohnung und Häuser werden durch Smart-Home immer intelligenter. Autos lernen selbstständig zu fahren. Smartphones, Wearables und Co. begleiten uns täglich, immer bestrebt so viele Daten wie möglich zu sammeln. Gerade das Gesundheitswesen...
Article
Chronic kidney disease (CKD) is on the rise and a challenge to the medical profession and to health care policymakers, not least on account of the costs associated with dialysis. By combining a large number of technical parameters with patient data, digital strategies can provide ways of designing high-quality therapy more efficiently in future, in...
Article
Full-text available
Background Urinary tract infection is the most common complication after kidney transplantation. It can cause severe sepsis and transplant loss. Emergence of drug resistance among gram-negative urinary pathogens is the current challenge for urinary tract infection treatment after kidney transplantation. Methods This study analyzes the antimicrobia...
Article
Full-text available
Objective: The study's objective was to assess factors contributing to the use of smart devices by general practitioners (GPs) and patients in the health domain, while specifically addressing the situation in Germany, and to determine whether, and if so, how both groups differ in their perceptions of these technologies. Methods: GPs and patients...
Chapter
In this publication the results of an empirical study are analyzes regarding the research question if a mobile application on a tablet computer, to support the drug intake and vital sign parameter documentation, affects adherence of elderly patients. For the achievement in the management of patients with hypertension adherence of their medication i...
Preprint
BACKGROUND Thank you letters to physicians and medical facilities are an untapped resource, providing an invaluable glimpse into what patients notice and appreciate in their care. OBJECTIVE The aim of this study was to analyze such thank you letters as posted on the Web by medical institutions to find what patients and families consider to be good...
Article
Full-text available
Medication adherence is crucial for success in the management of patients with chronic conditions. This study analyzes whether a mobile application on a tablet aimed at supporting drug intake and vital sign parameter documentation affects adherence in elderly patients. Patients with coronary heart disease and no prior knowledge of tablet computers...
Article
Full-text available
Smart Devices, IoT and Co. are changing healthcare. The possibilities for pervasive sensing and analysis are fast increasing and new therapy concepts as well as business models are arising, related to the term “Digital Health”. The paper will give a brief overview on the history and ask, whether Digital Health is more than Telemedicine 4.0. Further...
Article
Mobile applications – Breaking new grounds in patient-centered renal care? The continuous advancements in mobile information and communication technologies open new prospects for health care. mHealth-based (mHealth: mobile health) solutions that rely on mobile devices like smart phones, tablet PCs and other smart devices, such as smart watches, are...
Conference Paper
In the context of this study the usability of the first blood glucose meter that is connectable to a smartphone has been investigated by the use through diabetic patients of different ages and with different technical experiences. According to DIN ISO 2028-1 the participants had to solve usability-tasks with the think-aloud-method. Additionally the...
Conference Paper
Im Rahmen dieser Studie wurde die Usability des ersten an ein Smartphone anschließbaren Blutzuckermessgeräts durch Diabetes-patienten unterschiedlichen Alters und unterschiedlicher Technikerfahrung partizipativ untersucht. Gemäß DIN ISO 20282-1 wurden den Probanden gezielte Usabilityaufgaben gestellt, die unter Einsatz der Think-aloud-Methode bearb...
Article
Full-text available
Skin changes are common in patients on dialysis. This study focused on putative associations of specific skin findings with comorbidities and mortality. We performed a retrospective analysis of data from 508 patients on maintenance hemodialysis therapy in 7 centers in the German State of North Rhine Westphalia. Data had been collected by interview,...
Article
Full-text available
The number of elderly and multi-morbid patients on the list for kidney transplantation has increased rapidly over the past decade. The presented case is about a 64-year old patient, suffering from chronic kidney disease due to benign nephrosclerosis. After eight years on list for kidney transplantation, a 43-year old deceased donor was accepted and...
Article
Full-text available
Zusammenfassung Gesundheits-Apps, Smart Wearables & Co. sind ein stetig wachsender Trend, um den eigenen Gesundheitszustand zu erfassen. Gleichwohl muss kritisch hinterfragt werden, inwiefern solche „Gadgets” aus Sicht der Medizin wertschöpfend für präventive, therapeutische wie auch rehabilitative Prozesse sein können. Gemeinsam geht das interdisz...
Conference Paper
A great variety of applications for mobile devices are designed to support users during medical intake. One of these applications is ‘Medication Plan’ which aims at supporting regular and correct intake of medication and documentation of vital parameters. The purpose of this study is to examine the influence of demographic and health-related factor...
Article
Inappropriate medication use is common in the care of patients with CKD. The feasibility of a simple mobile health tool designed to advise patients on safe medication usage in CKD was examined. Participants with predialysis CKD (defined as eGFR<60 ml/min per 1.73 m(2)) in the Safe Kidney Care Cohort Study were recruited for home usability testing o...
Article
Full-text available
Purpose A wealth of mobile applications are designed to support users in their drug intake. When developing software for patients, it is important to understand the differences between individuals who have, who will or who might never adopt mobile interventions. This study analyzes demographic and health-related factors associated with real-life “l...
Article
Full-text available
There are few mechanisms that bring the academic and business worlds together in a way that would maximize the success of health technology (health tech) start-ups by increasing researchers' knowledge about how to operate in the business world. Existing solutions (eg, technology transfer offices and dual degree MD/MBA programs) are often unavailabl...
Article
A challenge for solid organ transplantation in Germany is the shortage of organs. In an effort to increase donation rates, some federal states mandated hospitals to install transplantation officers to coordinate, evaluate, and enhance the donation and transplantation processes. In 2009 the German Foundation for Organ Transplantation (DSO) implement...
Article
Introduction: The current organ donor shortage in Germany results in the death of 1000 patients on the transplant waiting list every year. In response, a recent amendment to the German Transplant Act aiming to increase donor rates was passed. Among a number of other measures, Germans are asked to decide whether they choose to donate organs or not...
Article
Full-text available
With more than 1 billion users having access to mobile broadband Internet and a rapidly growing mobile app market, all stakeholders involved have high hopes that this technology may improve health care. Expectations range from overcoming structural barriers to access in low-income countries to more effective, interactive treatment of chronic condit...
Article
Full-text available
Die durchschnittliche Lebenserwartung in Europa steigt und damit auch der Anteil älterer Menschen, die unter chronischen Erkrankungen leiden. Diese Entwicklung geht mit einer steigenden Komorbidität einher. Ein Kostenanstieg für die Gesundheitsversorgung zeichnet sich ab, der in Zukunft von einem kleineren Teil der Gesellschaft getragen werden muss...
Article
EinführungArterielle Hypertonie und Diabetes mellitus gehören zu den entscheidenden kardiovaskulären Risikofaktoren und potenzieren sich bei gleichzeitigem Vorliegen. Dabei ist die Prävalenz der Hypertonie bei Diabetes-Patienten bis zu 3-fach höher als in Vergleichspopulationen, wobei die Verläufe abhängig vom Diabetes-Typ sind. Entwickelt sich ein...
Article
Full-text available
Several reports show that patients with chronic disease who are empowered with information technology (IT) tools for monitoring, training and self-management have improved outcomes, however there are few such applications employed in kidney disease. This review explores the current and potential uses of health IT platforms to advance kidney disease...
Article
Full-text available
One of the key problems in the drug therapy of patients with chronic conditions is drug adherence. In 2010 the initiative iNephro was launched (www.inephro.de). A software to support regular and correct drug intake was developed for a smartphone platform (iOS). The study investigated whether and how smartphone users deployed such an application. To...
Article
Full-text available
Background Today more than two million people with Turkish migration background live in Germany making them the largest ethnic minority in the country. Data concerning language skills and the perception of medical information in hospitalised patients with Turkish migration background (T) are scarce. Our study is the first to gather quantitative inf...
Article
Für die effektive Therapie einer arteriellen Hypertonie sind Therapieadhärenz, Blutdruckkontrolle und lebensstil-ändernde Maßnahmen unumgänglich — das ist eine Herausforderung für Patienten und Therapeuten. Mobile Smartphone-Applikationen könnten ein viel versprechender Ansatz sein, die Patienten darin zu unterstützen.
Article
Background/aims: Nephrogenic systemic fibrosis (NSF) is a highly debilitating disease that can occur in patients with reduced kidney function after application of gadolinium-based contrast agents (GBCA). In recent years, the incidence of the disease has significantly decreased. The aim of this study was to assess the prevalence of NSF in a cohort...
Article
Internetgängige Mobiltelefone, sog. Smartphones, erlauben es den Nutzern, über das Internet Programme („Apps“) herunterzuladen und diese überall und jederzeit bei der Bewältigung unterschiedlicher Aufgaben einzusetzen. Dabei ergeben sich neue Möglichkeiten, Hypertoniepatienten und ihren Erfordernissen besser gerecht zu werden. Insbesondere im Hinbl...
Article
Via the internet smartphones allow the download of applications ("Apps") that can address various requirements of daily life. These technical advances create new opportunities to better meet needs of patients suffering from hypertension. This may apply particularly for medication adherence, blood pressure control and lifestyle-changing activities....
Article
Urinary tract infections are the most common infection early after transplantation and can affect long-term graft function. Any urinary tract infection in renal transplant recipients should be seen as "complex" with regard to consequences for diagnosis and therapy. The increase in resistance to anti-infective agents seen among uropathogens is one o...
Article
Full-text available
Nephrogenic systemic fibrosis (NSF) is a highly debilitating disorder primarily affecting the skin, but also other organ compartments. So far, it has only occurred in patients suffering from acute or chronic renal failure, with almost all of them having been exposed to gadolinium-based contrast agents (GBCA). The NSF registry was initiated on behal...
Article
Harnwegsinfektionen (HWI) sind die am häufigsten auftretenden Infektionen (besonders in der Frühphase nach Transplantation) und können langfristig die Transplantatfunktion beeinträchtigen. Jeder HWI bei Nierentransplantierten ist mit den entsprechenden Konsequenzen für Diagnose und Therapie als „kompliziert“ anzusehen. Der zunehmende Anteil multire...
Article
The introduction of calcineurin inhibitors (CNIs) and their combination with steroids has led to a decreased incidence of acute rejection episodes in patients after kidney transplantation. However, the nephrotoxicity of CNIs contributes to chronic allograft injury, and the side effects of steroids contribute to a deterioration of the cardiovascular...
Article
Nephrogenic systemic fibrosis is a highly debilitating and emotionally depressing disorder. So far, it has exclusively occurred in patients suffering from acute or chronic renal failure. Most patients had been exposed to gadolinium- based contrast agents. Early symptoms include pain, swelling and pruritus, predominantly of the extremities. Fibrosis...
Article
Die nephrogene systemische Fibrose ist eine außerordentlich invalidisierende und emotional belastende Erkrankung. Sie wurde bisher ausschließlich bei Patienten mit einer akuten oder chronischen Niereninsuffizienz beobachtet. Daneben war fast allen Patienten zuvor gadoliniumhaltiges Kontrastmittel appliziert worden. Zu den frühen Symptomen gehören S...

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