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K Leistner

Publications and source records attributed to K Leistner.

At least 19 recordsLinked to original sources
PubMed2001

[Is the ICIDH (International Classification of Impairments, Disabilities and Handicaps) suitible for geriatric rehabilitation?].

The International Classification of Impairments, Disabilities, and Handicaps (ICIDH), a manual of disease consequences issued by WHO, at present exists in two versions. ICIDH-1, issued in 1980, has been under revision since 1993. This revision process will result in a more sophisticated and more comprehensive ICIDH-2 in 2001. The ICIDH, based on the biopsychosocial disease model, describes disease consequences in three dimensions: Structural and functional body impairments. Disabilities (ICIDH-1) or restrictions of activities (ICIDH-2) in activities of daily living. Handicaps (ICIDH-1) or participation limitations (ICIDH-2) in social integration. In the field of geriatrics ICIDH is also helpful as a coherent conceptual framework and reference manual to determine and code the disabilities and handicaps with regard to daily living competence. Geriatric assessment instruments are no alternative, but complementary to the ICIDH. In view of the high frequency of geriatric patients with multimorbidity, i.e. multiple impairments, disabilities, and handicaps, the utility of the ICIDH in geriatric care is highly dependent on the flexible application of this classification system.

Activities of Daily Living↗
PubMed2000

[Evaluating geriatric rehabilitation from the perspective of medical service of the national health insurance administration].

There is evidence for the community effectiveness of preventive geriatric intervention programs prior to the need for help or long-term care from a couple of prospective randomized controlled trials (RCTs). For geriatric rehabilitation programs tailored to older people with imminent or manifest need for long-term care analogous--evidence is still lacking. The nationwide leading boards of the FRG's Sickness Insurance Administration in conjunction with its Central Medical Service have formulated guidelines for the formation of a nationwide ambulatory geriatric rehabilitation service to realize the postulate of the long-term care insurance legislation "rehabilitation prior to long-term care". These guidelines must be proven empirically. To prove the effectiveness and efficiency of the foreseen ambulatory geriatric rehabilitation service, the RCT design would be highly desirable. Unfortunately, the prerequisites in the field of methodology are poor since valid, reproducible and feasible criteria for the selection of suitable patients and measurement criteria which meet the requirement of proven medium-term sensitivity to change do not yet exist. Nevertheless, there is a great and urgent need, for the first time, to investigate the cost-effectiveness ratio for this ambulatory geriatric rehabilitation service to be established in the FRG, leaving aside the methodologic desiderata of randomized control-groups.

Aged↗
PubMed1990

[Classification of rheumatic diseases. Knowledge and problems].

A classification of diseases serves following purposes: --Collection and processing of data on morbidity and mortality (administrative objective) --Tool for diagnostic evaluation (clinical decision making) --Indicator of the scientific state of the art of the disease (theoretic taxonomy). In the efforts to unify the classification of rheumatic disease, following two goals are realistic: 1) Improvement in the effective communication 2) Agreement with the targets set. The International Classification of Diseases for Rheumatology and Orthopedics (ICD-R and O), which has been jointly elaborated by the International League Against Rheumatism (ILAR) and the Societé Internationale de Chirurgie Orthopédique et de Traumatologie (SICOT), is a practicable international standard for the next years.

Arthritis, Rheumatoid↗
PubMed1986

Medium-term trends in the occurrence of rheumatic diseases in European countries. Results of an inquiry on statistical data.

An inquiry based on statistical data concerning rheumatic diseases in seven European countries was performed. The data reported were based on the ICD (8th revision, 1965). The time of reference was the period 1968-78. The countries concerned (Czechoslovakia, Finland, France, the GDR, Poland, Sweden and the United Kingdom) reported data on the following 'measures of frequency': rates of hospital discharge; rates of spells of sickness and incapacity for work; incidences of disability pension due to rheumatic disorders. The main results are threefold: The social importance of rheumatic diseases has been increasing in several European countries in the late 1960s and 1970s, though the situation differs from one country to another. There is sufficient evidence to assume a true increase in the occurrence of clinical symptoms among persons afflicted with 'degenerative arthropathy', i.e. osteoarthrosis and vertebrogenic pain. The increasing social importance of 'degenerative arthropathy' ought to stimulate a process of rethinking of the traditionally established priorities in rheumatological research and practice.

Absenteeism↗
PubMed1982

[Epidemiologic aspects of seronegative spondylarthritis].

In accordance with the prevailing trends of the development of science in rheumatology Wright, Moll and Haslock inaugurated the integrative conception of the seronegative spondarthritides in the middle of the seventies. The diseases which belong to the seronegative spondarthritides are the ankylosing spondylitis, the psoriasis-arthritis, the Reiter syndrome, the Behçet syndrome, the ulcerous colitis, Crohn's disease and Whipple's disease. Object of the representation is the determination of the notion of seronegative spondarthritis and its presence among the dwelling population. Furthermore, the authors deal more in detail with the distribution according to the demographic and ethnographic characteristics, the frequency of the presence of HLA B 27 as well as with the results of familial investigations (familial aggregation and association). The heuristic value of the classification scheme of the seronegative spondarthritides developed by clinics appears worth of discussion, since from the epidemiological point of view aggravating critical objections concerning the method must be raised. Clinico-epidemiological statements of investigation, prospective and multicentric longitudinal investigations concerning the more profound study of the "natural history" of the seronegative spondarthritides are hopeful and necessary within the future research strategy.

Adolescent↗