<?xml version="1.0" encoding="utf-8"?>
<export-example>
  <doc>
    <id>6551</id>
    <completedYear/>
    <publishedYear>2023</publishedYear>
    <thesisYearAccepted/>
    <language>eng</language>
    <pageFirst/>
    <pageLast/>
    <pageNumber>71</pageNumber>
    <edition>accepted</edition>
    <issue/>
    <volume/>
    <type>article</type>
    <publisherName>Wolters Kluwer</publisherName>
    <publisherPlace/>
    <creatingCorporation/>
    <contributingCorporation/>
    <belongsToBibliography>0</belongsToBibliography>
    <completedDate>--</completedDate>
    <publishedDate>--</publishedDate>
    <thesisDateAccepted>--</thesisDateAccepted>
    <title language="eng">Impact of sarcopenia on outcomes in surgical patients: A systematic review and meta-analysis</title>
    <abstract language="eng">BACKGROUND&#13;
Surgeons have historically used age as a preoperative predictor of postoperative outcomes. Sarcopenia, the loss of skeletal muscle mass due to disease or biological age, has been proposed as a more accurate risk predictor. The prognostic value of sarcopenia assessment in surgical patients remains poorly understood. Therefore, we aimed to synthesize the available literature and investigate the impact of sarcopenia on peri- and postoperative outcomes across all surgical specialties.&#13;
METHODS&#13;
We systematically assessed the prognostic value of sarcopenia on postoperative outcomes by conducting a systematic review and meta-analysis according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, searching the PubMed/MEDLINE and EMBASE databases from inception to 1st October 2022. Our primary outcomes were complication occurrence, mortality, length of operation and hospital stay, discharge to home, and postdischarge survival rate at one, three, and five years. Subgroup analysis was performed by stratifying complications according to the Clavien-Dindo classification system. Sensitivity analysis was performed by focusing on studies with an oncological, cardiovascular, emergency, or transplant surgery population, and on those of higher quality or prospective study design.&#13;
RESULTS&#13;
A total of 294 studies comprising 97,643 patients, of which 33,070 had sarcopenia, were included in our analysis. Sarcopenia was associated with significantly poorer postoperative outcomes including greater mortality, complication occurrence, length of hospital stay, and lower rates of discharge to home (all P&lt;0.00001). A significantly lower survival rate in patients with sarcopenia was noted at one, three, and five years (all P&lt;0.00001) after surgery. Subgroup analysis confirmed higher rates of complications and mortality in oncological (both P&lt;0.00001), cardiovascular (both P&lt;0.00001), and emergency (P=0.03 and P=0.04, respectively) patients with sarcopenia. In the transplant surgery cohort, mortality was significantly higher in patients with sarcopenia (P&lt;0.00001). Among all patients undergoing surgery for inflammatory bowel disease, the frequency of complications was significantly increased among sarcopenic patients (P=0.007). Sensitivity analysis based on higher-quality studies and prospective studies showed that sarcopenia remained a significant predictor of mortality and complication occurrence (all P&lt;0.00001).&#13;
CONCLUSION&#13;
Sarcopenia is a significant predictor of poorer outcomes in surgical patients. Preoperative assessment of sarcopenia can help surgeons to identify patients at risk, critically balance eligibility, and refine perioperative management. Large-scale studies are required to further validate the importance of sarcopenia as a prognostic indicator of perioperative risk, especially in surgical sub-specialties.</abstract>
    <parentTitle language="eng">International journal of surgery</parentTitle>
    <identifier type="doi">10.1097/JS9.0000000000000688</identifier>
    <identifier type="pmid">37696253</identifier>
    <enrichment key="opus.import.date">2023-10-16T20:23:06+00:00</enrichment>
    <enrichment key="opus.source">sword</enrichment>
    <enrichment key="opus.import.user">importuser</enrichment>
    <enrichment key="BegutachtungStatus">peer-reviewed</enrichment>
    <licence>Creative Commons - CC BY-ND - Namensnennung - Keine Bearbeitungen 4.0 International</licence>
    <author>Samuel Knoedler</author>
    <author>Rainer Schliermann</author>
    <author>Leonard Knödler</author>
    <author>Mengfan Wu</author>
    <author>Frederik J. Hansen</author>
    <author>Dany Y. Matar</author>
    <author>Doha Obed</author>
    <author>Dominique Vervoort</author>
    <author>Valentin Haug</author>
    <author>Gabriel Hundeshagen</author>
    <author>Angie Paik</author>
    <author>Martin Kauke-Navarro</author>
    <author>Ulrich Kneser</author>
    <author>Bohdan Pomahac</author>
    <author>Dennis P. Orgill</author>
    <author>Adriana C. Panayi</author>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Sarcopenia</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Aging</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Muscle Loss</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Muscle</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Surgical Outcomes</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Surgery</value>
    </subject>
    <collection role="institutes" number="FakSoz">Fakultät Sozial- und Gesundheitswissenschaften</collection>
    <collection role="othforschungsschwerpunkt" number="16314">Lebenswissenschaften und Ethik</collection>
    <collection role="oaweg" number="">Hybrid Open Access - OA-Veröffentlichung in einer Subskriptionszeitschrift/-medium</collection>
  </doc>
  <doc>
    <id>5107</id>
    <completedYear/>
    <publishedYear>2022</publishedYear>
    <thesisYearAccepted/>
    <language>eng</language>
    <pageFirst/>
    <pageLast/>
    <pageNumber>8</pageNumber>
    <edition/>
    <issue/>
    <volume>114</volume>
    <type>article</type>
    <publisherName>Springer-Verlag GmbH</publisherName>
    <publisherPlace>Heidelberg</publisherPlace>
    <creatingCorporation/>
    <contributingCorporation/>
    <belongsToBibliography>0</belongsToBibliography>
    <completedDate>2022-08-05</completedDate>
    <publishedDate>--</publishedDate>
    <thesisDateAccepted>--</thesisDateAccepted>
    <title language="eng">Thinking like a Lawyer - Human Rights and Their Association with the Plastic Surgeon of Today</title>
    <abstract language="eng">Plastic surgeons are trained to perform a wide repertoire of surgeries-ranging from standard local procedures to highly specialized operations. Therefore, plastic surgeons treat a plethora of clinical presentations and address multiple patient needs. Their daily workflow is increasingly entwined with legal topics. The concrete legal&#13;
interpretation falls within the remit of legal experts.&#13;
However, by understanding the legal basics of selected surgical procedures, plastic surgeons may generate synergies in patient care and clinical practice. The legal situation is to be elucidated based on the German Basic Law (GBL) and the European Convention on Human Rights&#13;
(ECHR).</abstract>
    <parentTitle language="eng">Aesthetic Plastic Surgery</parentTitle>
    <identifier type="doi">10.1007/s00266-022-02990-9</identifier>
    <enrichment key="BegutachtungStatus">peer-reviewed</enrichment>
    <enrichment key="opus.source">publish</enrichment>
    <licence>Creative Commons - CC BY - Namensnennung 4.0 International</licence>
    <author>Leonard Knödler</author>
    <author>Özdemir Berkin</author>
    <author>Philipp Moog</author>
    <author>Lukas Prantl</author>
    <author>P. Niclas Broer</author>
    <author>Christoph Knödler</author>
    <author>Ulrich M. Rieger</author>
    <author>Markus Perl</author>
    <author>Sarah von Isenburg</author>
    <author>Ulrich M. Gassner</author>
    <author>Doha Obed</author>
    <author>Valentin Haug</author>
    <author>Adriana C. Panayi</author>
    <author>Samuel Knoedler</author>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>European Convention on Human Rights</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>European Law</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>German Basic Law</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Human Rights</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Reconstructive Surgery</value>
    </subject>
    <collection role="institutes" number="FakSoz">Fakultät Sozial- und Gesundheitswissenschaften</collection>
    <collection role="othforschungsschwerpunkt" number="16314">Lebenswissenschaften und Ethik</collection>
    <collection role="oaweg" number="">Hybrid Open Access - OA-Veröffentlichung in einer Subskriptionszeitschrift/-medium</collection>
  </doc>
  <doc>
    <id>6033</id>
    <completedYear/>
    <publishedYear>2023</publishedYear>
    <thesisYearAccepted/>
    <language>eng</language>
    <pageFirst/>
    <pageLast/>
    <pageNumber/>
    <edition/>
    <issue>4</issue>
    <volume>11</volume>
    <type>article</type>
    <publisherName>Wolters Kluwer</publisherName>
    <publisherPlace/>
    <creatingCorporation/>
    <contributingCorporation/>
    <belongsToBibliography>0</belongsToBibliography>
    <completedDate>2023-04-27</completedDate>
    <publishedDate>--</publishedDate>
    <thesisDateAccepted>--</thesisDateAccepted>
    <title language="eng">Three-dimensional Medical Printing and Associated Legal Issues in Plastic Surgery: A Scoping Review</title>
    <abstract language="eng">Three-dimensional printing (3DP) represents an emerging field of surgery. 3DP can facilitate the plastic surgeon’s workflow, including preoperative planning, intraoperative assistance, and postoperative follow-up. The broad clinical application spectrum stands in contrast to the paucity of research on the legal framework of 3DP. This imbalance poses a potential risk for medical malpractice lawsuits. To address this knowledge gap, we aimed to summarize the current body of legal literature on medical 3DP in the US legal system. By combining the promising clinical use of 3DP with its current legal regulations, plastic surgeons can enhance patient safety and outcomes.</abstract>
    <parentTitle language="eng">Plastic &amp; Reconstructive Surgery-Global Open</parentTitle>
    <identifier type="doi">10.1097/GOX.0000000000004965</identifier>
    <identifier type="issn">2169-7574</identifier>
    <enrichment key="BegutachtungStatus">peer-reviewed</enrichment>
    <enrichment key="opus.source">publish</enrichment>
    <enrichment key="opus.doi.autoCreate">false</enrichment>
    <enrichment key="opus.urn.autoCreate">true</enrichment>
    <licence>Creative Commons - CC BY-NC-ND - Namensnennung - Nicht kommerziell - Keine Bearbeitungen 4.0 International</licence>
    <author>Leonard Knödler</author>
    <author>Samuel Knoedler</author>
    <author>Martin Kauke-Navarro</author>
    <author>Christoph Knödler</author>
    <author>Simon Höfer</author>
    <author>Helena Bächer</author>
    <author>Ulrich M. Gassner</author>
    <author>Hans-Günther Machens</author>
    <author>Lukas Prantl</author>
    <author>Adriana C. Panayi</author>
    <collection role="institutes" number="FakSoz">Fakultät Sozial- und Gesundheitswissenschaften</collection>
    <collection role="oaweg" number="">Gold Open Access- Erstveröffentlichung in einem/als Open-Access-Medium</collection>
    <collection role="othforschungsschwerpunkt" number="16314">Lebenswissenschaften und Ethik</collection>
  </doc>
  <doc>
    <id>7247</id>
    <completedYear/>
    <publishedYear>2024</publishedYear>
    <thesisYearAccepted/>
    <language>eng</language>
    <pageFirst/>
    <pageLast/>
    <pageNumber>7</pageNumber>
    <edition/>
    <issue/>
    <volume>11</volume>
    <type>article</type>
    <publisherName>Frontiers</publisherName>
    <publisherPlace/>
    <creatingCorporation/>
    <contributingCorporation/>
    <belongsToBibliography>0</belongsToBibliography>
    <completedDate>--</completedDate>
    <publishedDate>--</publishedDate>
    <thesisDateAccepted>--</thesisDateAccepted>
    <title language="eng">Hard shell, soft core? Multi-disciplinary and multi-national insights into mental toughness among surgeons</title>
    <abstract language="eng">Background: &#13;
With the prevalence of burnout among surgeons posing a significant threat to healthcare outcomes, the mental toughness of medical professionals has come to the fore. Mental toughness is pivotal for surgical performance and patient safety, yet research into its dynamics within a global and multi-specialty context remains scarce. This study aims to elucidate the factors contributing to mental toughness among surgeons and to understand how it correlates with surgical outcomes and personal well-being.&#13;
&#13;
Methods: &#13;
Utilizing a cross-sectional design, this study surveyed 104 surgeons from English and German-speaking countries using the Mental Toughness Questionnaire (MTQ-18) along with additional queries about their surgical practice and general life satisfaction. Descriptive and inferential statistical analyses were applied to investigate the variations in mental toughness across different surgical domains and its correlation with professional and personal factors.&#13;
&#13;
Results: &#13;
The study found a statistically significant higher level of mental toughness in micro-surgeons compared to macro-surgeons and a positive correlation between mental toughness and surgeons' intent to continue their careers. A strong association was also observed between general life satisfaction and mental toughness. No significant correlations were found between the application of psychological skills and mental toughness.&#13;
&#13;
Conclusion: &#13;
Mental toughness varies significantly among surgeons from different specialties and is influenced by professional dedication and personal life satisfaction. These findings suggest the need for targeted interventions to foster mental toughness in the surgical community, potentially enhancing surgical performance and reducing burnout. Future research should continue to explore these correlations, with an emphasis on longitudinal data and the development of resilience-building programs.</abstract>
    <parentTitle language="eng">Frontiers in Surgery</parentTitle>
    <identifier type="doi">10.3389/fsurg.2024.1361406</identifier>
    <note>Correspondign author der OTH Regensburg: Rainer Schliermann (und Leonard Knoedler)</note>
    <enrichment key="CorrespondingAuthor">Rainer Schliermann</enrichment>
    <enrichment key="BegutachtungStatus">peer-reviewed</enrichment>
    <licence>Creative Commons - CC BY - Namensnennung 4.0 International</licence>
    <author>Leonard Knödler</author>
    <author>Jillian Dean</author>
    <author>Samuel Knoedler</author>
    <author>Martin Kauke-Navarro</author>
    <author>Katharina Hollmann</author>
    <author>Michael Alfertshofer</author>
    <author>Sabrina Helm</author>
    <author>Lukas Prantl</author>
    <author>Rainer Schliermann</author>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>mental toughness</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>mental health</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>resilience</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>robustness</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>psychology</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>surgery</value>
    </subject>
    <collection role="institutes" number="FakSoz">Fakultät Sozial- und Gesundheitswissenschaften</collection>
    <collection role="oaweg" number="">Gold Open Access- Erstveröffentlichung in einem/als Open-Access-Medium</collection>
    <collection role="othforschungsschwerpunkt" number="16314">Lebenswissenschaften und Ethik</collection>
    <collection role="oaweg" number="">Corresponding author der OTH Regensburg</collection>
    <collection role="funding" number="">Publikationsfonds der OTH Regensburg</collection>
  </doc>
  <doc>
    <id>5718</id>
    <completedYear/>
    <publishedYear>2022</publishedYear>
    <thesisYearAccepted/>
    <language>eng</language>
    <pageFirst/>
    <pageLast/>
    <pageNumber/>
    <edition/>
    <issue>17</issue>
    <volume>11</volume>
    <type>article</type>
    <publisherName>MDPI</publisherName>
    <publisherPlace>Basel</publisherPlace>
    <creatingCorporation/>
    <contributingCorporation/>
    <belongsToBibliography>0</belongsToBibliography>
    <completedDate>2022-08-25</completedDate>
    <publishedDate>--</publishedDate>
    <thesisDateAccepted>--</thesisDateAccepted>
    <title language="eng">Towards a Reliable and Rapid Automated Grading System in Facial Palsy Patients: Facial Palsy Surgery Meets Computer Science</title>
    <abstract language="eng">Background: &#13;
Reliable, time- and cost-effective, and clinician-friendly diagnostic tools are cornerstones in facial palsy (FP) patient management. Different automated FP grading systems have been developed but revealed persisting downsides such as insufficient accuracy and cost-intensive hardware. We aimed to overcome these barriers and programmed an automated grading system for FP patients utilizing the House and Brackmann scale (HBS). &#13;
Methods: &#13;
Image datasets of 86 patients seen at the Department of Plastic, Hand, and Reconstructive Surgery at the University Hospital Regensburg, Germany, between June 2017 and May 2021, were used to train the neural network and evaluate its accuracy. Nine facial poses per patient were analyzed by the algorithm. &#13;
Results: &#13;
The algorithm showed an accuracy of 100%. Oversampling did not result in altered outcomes, while the direct form displayed superior accuracy levels when compared to the modular classification form (n = 86; 100% vs. 99%). The Early Fusion technique was linked to improved accuracy outcomes in comparison to the Late Fusion and sequential method (n = 86; 100% vs. 96% vs. 97%). &#13;
Conclusions: &#13;
Our automated FP grading system combines high-level accuracy with cost- and time-effectiveness. Our algorithm may accelerate the grading process in FP patients and facilitate the FP surgeon’s workflow.</abstract>
    <parentTitle language="eng">Journal of Clinical Medicine</parentTitle>
    <identifier type="doi">10.3390/jcm11174998</identifier>
    <enrichment key="BegutachtungStatus">peer-reviewed</enrichment>
    <enrichment key="opus.source">publish</enrichment>
    <enrichment key="opus.doi.autoCreate">false</enrichment>
    <enrichment key="opus.urn.autoCreate">true</enrichment>
    <licence>Creative Commons - CC BY - Namensnennung 4.0 International</licence>
    <author>Leonard Knödler</author>
    <author>Helena Baecher</author>
    <author>Martin Kauke-Navarro</author>
    <author>Lukas Prantl</author>
    <author>Hans-Günther Machens</author>
    <author>Philipp Scheuermann</author>
    <author>Christoph Palm</author>
    <author>Raphael Baumann</author>
    <author>Andreas Kehrer</author>
    <author>Adriana C. Panayi</author>
    <author>Samuel Knoedler</author>
    <collection role="ddc" number="0">Informatik, Informationswissenschaft, allgemeine Werke</collection>
    <collection role="ddc" number="61">Medizin und Gesundheit</collection>
    <collection role="institutes" number="FakIM">Fakultät Informatik und Mathematik</collection>
    <collection role="persons" number="palmremic">Palm, Christoph (Prof. Dr.) - ReMIC</collection>
    <collection role="oaweg" number="">Gold Open Access- Erstveröffentlichung in einem/als Open-Access-Medium</collection>
    <collection role="othforschungsschwerpunkt" number="16314">Lebenswissenschaften und Ethik</collection>
    <collection role="institutes" number="">Labor Regensburg Medical Image Computing (ReMIC)</collection>
  </doc>
</export-example>
