Justus Vogel
Title
Dr.
Last Name
Vogel
First name
Justus
Email
justus.vogel@unisg.ch
ORCID
Phone
+41 71 224 32 44
8 results
Now showing 1 - 8 of 8
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Item type:Publication, Hospitalizations and inpatient resource consumption of patients suffering from chronic disease – Past trend and forecast for Switzerland(Springer Science and Business Media LLC, 2025-11-24); Scopus© Citations 3 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Assessing the Relationship between Hospital Process Digitalization and Hospital Quality - Evidence from Germany.(2024-09-13); ; Hospital digitalization aims to increase efficiency, reduce costs, and/ or improve quality of care. To assess a digitalization-quality relationship, we investigate the association between process digitalization and process and outcome quality. We use data from the German DigitalRadar (DR) project from 2021 and combine these data with two process (preoperative waiting time for osteosynthesis and hip replacement surgery after femur fracture, n = 516 and 574) and two outcome quality indicators (mortality ratio of patients hospitalized for outpatient-acquired pneumonia, n = 1,074; ratio of new decubitus cases, n = 1,519). For each indicator, we run a univariate and a multivariate regression. We measure process digitalization holistically by specifying three models with different explanatory variables: (1) the total DR-score (0 (not digitalized) to 100 (fully digitalized)), (2) the sum of DR-score sub-dimensions' scores logically associated with an indicator, and (3) sub-dimensions' separate scores. For the process quality indicators, all but one of the associations are insignificant. A greater DR-score is weakly associated with a lower mortality ratio of pneumonia patients (p < 0.10 in the multivariate regression). In contrast, higher process digitalization is significantly associated with a higher ratio of decubitus cases (p < 0.01 for models (1) and (2), p < 0.05 for two sub-dimensions in model (3)). Regarding decubitus, our finding might be due to better diagnosis, documentation, and reporting of decubitus cases due to digitalization rather than worse quality. Insignificant and inconclusive results might be due to the indicators' inability to reflect quality variation and digitalization effects between hospitals. For future research, we recommend investigating within hospital effects with longitudinal data.Type:journal articleJournal:Journal of medical systemsVolume:48Issue:1Scopus© Citations 2 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, The association of hospital profitability and digital maturity – An explorative study using data from the German DigitalRadar project(2024); Scopus© Citations 15 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Cost-effectiveness of a patient-reported outcome-based remote monitoring and alert intervention for early detection of critical recovery after joint replacement: A randomised controlled trial(Public Library of Science (PLoS), 2024-10-09); Scopus© Citations 11 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, The possible benefit of artificial intelligence in an organized population-related screening program : Initial results and perspective(2024-07-17); ; Mammography screening programs (MSP) have shown that breast cancer can be detected at an earlier stage enabling less invasive treatment and leading to a better survival rate. The considerable numbers of interval breast cancer (IBC) and the additional examinations required, the majority of which turn out not to be cancer, are critically assessed. In recent years companies and universities have used machine learning (ML) to develop powerful algorithms that demonstrate astonishing abilities to read mammograms. Can such algorithms be used to improve the quality of MSP? The original screening mammographies of 251 cases with IBC were retrospectively analyzed using the software ProFound AI® (iCAD) and the results were compared (case score, risk score) with a control group. The relevant current literature was also studied. The distributions of the case scores and the risk scores were markedly shifted to higher risks compared to the control group, comparable to the results of other studies. Retrospective studies as well as our own data show that artificial intelligence (AI) could change our approach to MSP in the future in the direction of personalized screening and could enable a significant reduction in the workload of radiologists, fewer additional examinations and a reduced number of IBCs; however, the results of prospective studies are needed before implementationType:journal articleJournal:Die RadiologieScopus© Citations 2 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Comparison of the effectiveness of open, laparoscopic, and robotic-assisted radical prostatectomies based on complication rates: a retrospective observational study with administrative data from Switzerland.(2024-10-07); Radical prostatectomies can be performed using open retropubic, laparoscopic, or robot-assisted laparoscopic surgery. The literature shows that short-term outcomes (in particular, inpatient complications) differ depending on the type of procedure. To date, these differences have only been examined and confirmed in isolated cases based on national routine data. The data was based on the Swiss Medical Statistics from 2016 to 2018 from a national survey of administrative data from all Swiss hospitals. Cases with the coded main diseases neoplasm of the prostate (ICD C61) and the main treatments of laparoscopic (CHOP 60.5X.20) or retropubic (CHOP 60.5X.30) radical prostatectomies were included, resulting in a total sample size of 8,593 cases. A procedure-related complication occurred in 998 cases (11.6%). By surgical procedure, complication rates were 10.1% for robotic-assisted laparoscopic radical prostatectomy 9.0% for conventional laparoscopic radical prostatectomy and 17.1% for open retropubic radical prostatectomy (p < 0.001). Conventional and robotic-assisted laparoscopic radical prostatectomies had a significantly lower risk of complications than retropubic procedures. Moreover, the risk of a procedure-related complication was almost twice as high in cases operated on retropubically; however, no significant difference was found between conventional and robotic-assisted laparoscopic cases. The use of a surgical robot showed no advantages in radical prostatectomies regarding procedure-related during the hospital stay. However, both conventional and robotic-assisted laparoscopically operated radical prostatectomies show better results than open retropubic procedures. Further studies on the long-term course of patients based on claims data are needed to confirm the inherent benefits of surgical robots in tandem with them being increasingly employed in hospitals.Type:journal articleJournal:BMC urologyVolume:24Issue:1Scopus© Citations 9 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Electronic Patient-Reported Outcome Monitoring to Improve Quality of Life After Joint Replacement(2023-09)Scopus© Citations 37 - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Gutachten Krankenhauslandschaft Nordrhein-Westfalen(Ministerium für Arbeit, Gesundheit und Soziales (MAGS) des Landes Nordrhein-Westfalen, 2019); ;