Authors:	Betz, Ulrich Langanki, Laura Heid, Florian Schollenberger, Lukas Kronfeld, Kai Büttner, Matthias Büchler, Britta Eckhard, Lukas Klonschinski, Thomas Drees, Philipp
Title:	Feasibility of a complex optimized process for the treatment of patients receiving hip and knee endoprostheses in most different settings in Germany : results from the PROMISE Trial
Online publication date:	2-Feb-2023
Year of first publication:	2022
Language:	english
Abstract:	Background: While there is evidence on the effectiveness of optimized treatment processes for patients receiving hip and knee endoprostheses, feasibility in various settings has not been adequately investigated. The multicenter PROMISE Trial (Process optimization by interdisciplinary and cross-sectoral care using the example of patients with hip and knee prostheses) was set up to fill this gap. Methods: A complex optimized process was implemented in three German hospitals offering different levels of care and five cooperating rehabilitation centers. For the feasibility question, data on 19 parameters characterizing the defined process were collected. The extent of cross-sectoral collaboration was a special focus. Results: The data show, for almost all parameters in all facilities, an implementation rate of more than 80% with missing data below 5%, n = 1887 study participants. A total of 96.8% attended a rehabilitation program, and for 29.2% rehabilitation took place in a PROMISE-collaborating facility. Conclusions: Adherence to the defined and well-documented process was very high in all three organizationally very different hospitals, so that feasibility is given and transferability of the concept can be assumed. An exception was the targeted integration of rehabilitation into the treatment process. The goal of cross-sectoral networking could only be partially achieved.
DDC:	610 Medizin 610 Medical sciences
Institution:	Johannes Gutenberg-Universität Mainz
Department:	FB 04 Medizin
Place:	Mainz
ROR:	https://ror.org/023b0x485
DOI:	http://doi.org/10.25358/openscience-8648
Version:	Published version
Publication type:	Zeitschriftenaufsatz
Document type specification:	Scientific article
License:	CC BY
Information on rights of use:	https://creativecommons.org/licenses/by/4.0/
Journal:	Processes 10 5
Pages or article number:	824
Publisher:	MDPI
Publisher place:	Basel
Issue date:	2022
ISSN:	2227-9717
Publisher DOI:	10.3390/pr10050824
Appears in collections:	DFG-491381577-G