[Rehabilitation of Patients with Peripheral Arterial Disease in the Context of Guideline Recommendations]. / Rehabilitation von Menschen mit einer peripheren arteriellen Verschlusskrankheit im Kontext aktueller Leitlinien. Eine Analyse auf Basis von Routinedaten.

BACKGROUND: The study examines the rehabilitation of patients with peripheral arterial disease (PAD) in the context of current guidelines. METHODOLOGY: All medical rehabilitations completed in 2014 with the initial diagnosis of PAD (ICD-10-GM: I70.2) were analyzed. Sociodemographic and socio-medical characteristics as well as the therapies received were evaluated and compared to current guideline recommendations. RESULTS: 1289 patients with PAD (mean age 56.1 years, 78.3% men) where included in the study. Social-medical parameters outline a fairly multimorbid cohort with poor prognosis for long-term occupational outcome and survival. Evidence-based therapies based on guideline recommendations (including supervised walking 58%, vascular training 63% and PAD-specific education lessons 64%) were performed to a lesser extent than expected. CONCLUSION: The results suggest an overall high standard of rehabilitation of patients with PAD. However, the poor socio-medical prognosis and the partial lack of compliance with guideline recommendations indicate the need for action. The development of specific recommendations for rehabilitation of PAD-patients could therefore be useful.

[Positive association between successful rehabilitation and patient hospital ratings: Experience reports of patients in rehabilitation on a hospital rating and review site]. / Klinik-Weiterempfehlung bei Reha-Erfolg: Erfahrungsberichte von Rehabilitanden auf einer Klinik-Bewertungsplattform.

INTRODUCTION: Feedback from patients about aspects of rehabilitation services is increasingly provided online, for example, on specialized hospital comparison websites. Therefore, we examined which kind of online statements from rehabilitation patients published on the leading hospital comparison website "Klinikbewertungen.de" (KB) is associated with a positive recommendation of a rehabilitation clinic and which negative aspects are associated with a non-recommendation. METHODS: For eight indication groups stratified online statements of rehabilitants at KB were evaluated qualitatively using content analysis. The relationship between positive (negative) statements and the (non-) recommendation was examined. RESULTS: Content analysis of 911 experience reports revealed 20 categories. Most often, it was the "rehabilitation success" perceived by rehabilitation patients that was significantly associated with a recommendation or a non-recommendation of a hospital, and in five quality assurance (QA) comparison groups the category "catering" was associated with a positive or negative recommendation. In all QS comparison groups, there was an association with at least one of the following process-oriented rehabilitation categories: "rehabilitation measures", "rehabilitation plan and rehabilitation goals" and / or "diagnosis to discharge". DISCUSSION AND CONCLUSION: Patient experiences with the perceived "rehabilitation success" and with the central processes of rehabilitation are particularly important for the recommendation or non-recommendation of a hospital for patients in all eight indication groups. On the basis of these results, rehabilitation hospitals can specifically identify the aspects of care that are important when patients recommend a hospital for rehabilitation. Online narratives of patients provide additional insights into the reasons for patients' satisfaction or dissatisfaction with their rehabilitation. These narratives are available to potential rehabilitation patients as a low-threshold source of information and decision-making aid.