PubMed Health⌕ Search

Biomedical subjects

P Groh

Publications and source records attributed to P Groh.

7 recordsLinked to original sources
PubMed1992

[Naturopathy as a contribution to cost control. Attempt at a cost analysis].

OBJECTIVE: A data analysis has been performed to investigate to what extent naturopathy may contribute to reducing costs of medical care. METHODS: The study included anonymous data from the second quarter of 1988 obtained from the North-Württemberg Kassenärztlichen Vereinigung (insurance company). Physicians practicing in this area at that time were compared to a similarly large collective of those designated additionally as naturopaths and/or homeopaths. RESULTS: Differences between the two groups were significant with respect to drug costs and disability certificates however not with respect to physician fees.

Cost Control↗
PubMed1978

[Results of resection, analogous bone grafting and osteosynthesis of juvenile bone cysts (author's transl)].

Drawing the conclusions from the results we can say on the basis of the material presented that in the treatment of the solitary bone cyst the total resection of the cyst is more advisable than the excochleation. If the cysts are closely located to the epiphyseal cartilage it will, however, not always be possible to avoid relapses, even if a total resection has been carried out, since the simultaneous resection of the epiphyseal cartilage would result in defective growth. Here the final correction is, however, possible by a second operation, when the cyst has grown further away from the epiphyseal cartilage. The shortening of extremities observed by us are to be attributed to partial damages of the epiphyseal cartilage on account of the operation and may be avoided by a more careful operation procedure. On the whole, the total resection with analogous bone grafting and osteosynthesis can be recommended as a well-tested method of operation with the purpose of obtaining a complete and lasting recovery.

Adolescent↗
PubMed1976

[Treatment and prognosis of osteosarcoma in childhood (author's transl)].

126 osteosarcoma under the age of 15 years are followed up in an interclinical study. There is a steady increase of tumor incidence towards the 15th year with a slight male preponderance. The main sites of the tumor are the distal femur followed by the proximal tibia and humerus. Evidence of multiple metastases is most often present in the lungs, less often in the skeleton. Nearly always metastases became evident within 2 1/2 years after diagnosis (98%). Therefore the 2 1/2-year disease--free survival rate seems to be sufficient for prognostic evaluation. The over all 2 1/2-year survival rate was 17,5%. Though the different methods of treatment are not statistically valid, the best results can be expected after early amputation. By radiotherapy alone no cure has been achieved. Survivals were seen at any age and at any site of long bones (distal femur, proximal tibia, humerus, femur, distal radius). Prognosis of osteosarcoma in the childhood is similar to that of the adult group.

Adolescent↗
PubMed1975

Osteosarcoma in children. A study of 125 cases.

A study is presented of the aetiology and results of treatment in a group of 125 proven osteosarcomas present in children under fifteen years of age. These cases have been collected from the records of one English and six European treatment centres. There is a slight male preponderance, but the striking aetiological feature is the very high proportion of tumours of the long bones of the limbs (96 per cent). The two and a half and five year disease-free survival rates were respectively 15 and 12 per cent, with a further 9 per cent still living, but under observation for less than two and a half years. Evidence of metastasis after two and a half years is very unusual, but no child with a tumour of an axial or girdle bone lived this length of time. Although the differences in the results of the different methods of treatment employed are not statistically valid, the largest number of long survivors had been treated by early amputation, which method also provided the lowest rate of local tumour recurrences. Reasons are discussed which indicate that prompt ablation is the treatment of choice, perhaps with certain advantages in the light of recent advances in adjuvant treatment. The past situation in connection with childhood osteosarcoma certainly provides strong support for immediate carefully designed clinical trials of the new adjuvant methods cited.

Age Factors↗