D Stengel

Summary

Affiliation: Unfallkrankenhaus Berlin
Country: Germany

Publications

  1. doi request reprint Dose reduction in whole-body computed tomography of multiple injuries (DoReMI): protocol for a prospective cohort study
    Dirk Stengel
    Centre for Clinical Research, Unfallkrankenhaus Berlin Trauma Centre, Warener Str, 7, Berlin 12683, Germany
    Scand J Trauma Resusc Emerg Med 22:15. 2014
  2. pmc Welcome to a decade of action that can make a change!
    Uli Schmucker
    Department of Trauma and Orthopedic Surgery, Center for Clinical Research, Unfallkrankenhaus Berlin, Warener Str, 7, Berlin, 12683, Germany
    J Trauma Manag Outcomes 7:1. 2013
  3. doi request reprint The changing landscape of product development and randomized trials
    Dirk Stengel
    Center for Clinical Research, Department of Trauma and Orthopaedic Surgery, Unfallkrankenhaus Berlin Trauma Center, Warener Strasse7, 12683 Berlin, Germany
    J Bone Joint Surg Am 94:85-91. 2012
  4. pmc Accuracy of single-pass whole-body computed tomography for detection of injuries in patients with major blunt trauma
    Dirk Stengel
    Centre for Clinical Research, Unfall krankenhaus Berlin, Berlin, Germany
    CMAJ 184:869-76. 2012
  5. pmc Real-world car-to-pedestrian-crash data from an urban centre
    Uli Schmucker
    Dept of Orthopedic and Trauma Surgery, Ernst Moritz Arndt University Greifswald, Sauerbruchstrasse, 17475 Greifswald, Germany
    J Trauma Manag Outcomes 4:2. 2010
  6. pmc A new approach and first steps to strengthen trauma management and road safety in North Vietnam
    Uli Schmucker
    Ernst Moritz Arndt University Greifswald, Department of Trauma and Orthopedic Surgery, Sauerbruchstrasse, 17575 Greifswald, Germany
    J Trauma Manag Outcomes 2:10. 2008
  7. pmc Resorbable screws versus pins for optimal transplant fixation (SPOT) in anterior cruciate ligament replacement with autologous hamstring grafts: rationale and design of a randomized, controlled, patient and investigator blinded trial [ISRCTN17384369]
    Dirk Stengel
    Department of Orthopaedic and Trauma Surgery, Unfallkrankenhaus Berlin Trauma Center, Warener Str 7, 12683 Berlin, Germany
    BMC Surg 5:1. 2005
  8. pmc Surgeons' beliefs and perceptions about removal of orthopaedic implants
    Beate Hanson
    AO Foundation, Clinical Investigation and Documentation, Dubendorf, Switzerland
    BMC Musculoskelet Disord 9:73. 2008
  9. ncbi request reprint [Modelling critical information measurement traumatic surgery decisions. "Sequential Information Appraisal Module (SIAM)"]
    D Stengel
    Abteilung für Unfall und Wiederherstellungschirurgie, Klinik und Poliklinik für Chirurgie, Ernst Moritz Arndt Universitat Greifswald
    Unfallchirurg 108:551-8. 2005
  10. ncbi request reprint Association between compliance with methodological standards of diagnostic research and reported test accuracy: meta-analysis of focused assessment of US for trauma
    Dirk Stengel
    Clinical Epidemiology Division, Department of Orthopedic and Trauma Surgery, Unfallkrankenhaus Berlin Trauma Center, Warener Str 7, 12683 Berlin, Germany
    Radiology 236:102-11. 2005

Detail Information

Publications49

  1. doi request reprint Dose reduction in whole-body computed tomography of multiple injuries (DoReMI): protocol for a prospective cohort study
    Dirk Stengel
    Centre for Clinical Research, Unfallkrankenhaus Berlin Trauma Centre, Warener Str, 7, Berlin 12683, Germany
    Scand J Trauma Resusc Emerg Med 22:15. 2014
    ..This study aims at investigating whether the radiation dose can safely be reduced in trauma patients without compromising the diagnostic accuracy and image quality...
  2. pmc Welcome to a decade of action that can make a change!
    Uli Schmucker
    Department of Trauma and Orthopedic Surgery, Center for Clinical Research, Unfallkrankenhaus Berlin, Warener Str, 7, Berlin, 12683, Germany
    J Trauma Manag Outcomes 7:1. 2013
    ..More than 100 countries around the world will kick off the first global Decade of Action for Road Safety 2011-2020, a decade that we believe can make a change!..
  3. doi request reprint The changing landscape of product development and randomized trials
    Dirk Stengel
    Center for Clinical Research, Department of Trauma and Orthopaedic Surgery, Unfallkrankenhaus Berlin Trauma Center, Warener Strasse7, 12683 Berlin, Germany
    J Bone Joint Surg Am 94:85-91. 2012
    ..Finally, RCTs should be conducted, conditional to the presumed level of innovation of a new implant, and supplemented by data from registries to fully determine the utility, value, and safety of the intervention...
  4. pmc Accuracy of single-pass whole-body computed tomography for detection of injuries in patients with major blunt trauma
    Dirk Stengel
    Centre for Clinical Research, Unfall krankenhaus Berlin, Berlin, Germany
    CMAJ 184:869-76. 2012
    ..We sought to determine the accuracy of this method, focusing on the reliability of negative results...
  5. pmc Real-world car-to-pedestrian-crash data from an urban centre
    Uli Schmucker
    Dept of Orthopedic and Trauma Surgery, Ernst Moritz Arndt University Greifswald, Sauerbruchstrasse, 17475 Greifswald, Germany
    J Trauma Manag Outcomes 4:2. 2010
    ..Pedestrians are at a high risk for crash and injury. This study aims at comparing data from real world crashes with data gathered from experimental settings...
  6. pmc A new approach and first steps to strengthen trauma management and road safety in North Vietnam
    Uli Schmucker
    Ernst Moritz Arndt University Greifswald, Department of Trauma and Orthopedic Surgery, Sauerbruchstrasse, 17575 Greifswald, Germany
    J Trauma Manag Outcomes 2:10. 2008
    ....
  7. pmc Resorbable screws versus pins for optimal transplant fixation (SPOT) in anterior cruciate ligament replacement with autologous hamstring grafts: rationale and design of a randomized, controlled, patient and investigator blinded trial [ISRCTN17384369]
    Dirk Stengel
    Department of Orthopaedic and Trauma Surgery, Unfallkrankenhaus Berlin Trauma Center, Warener Str 7, 12683 Berlin, Germany
    BMC Surg 5:1. 2005
    ..The objective of this study is to determine whether pinning of ACL grafts reduces residual anterior laxity six months after surgery as compared to screw fixation...
  8. pmc Surgeons' beliefs and perceptions about removal of orthopaedic implants
    Beate Hanson
    AO Foundation, Clinical Investigation and Documentation, Dubendorf, Switzerland
    BMC Musculoskelet Disord 9:73. 2008
    ..There are no evidence-based guidelines on this matter, and little is known on surgeons' practice and perceived effectiveness of implant removal in different clinical settings...
  9. ncbi request reprint [Modelling critical information measurement traumatic surgery decisions. "Sequential Information Appraisal Module (SIAM)"]
    D Stengel
    Abteilung für Unfall und Wiederherstellungschirurgie, Klinik und Poliklinik für Chirurgie, Ernst Moritz Arndt Universitat Greifswald
    Unfallchirurg 108:551-8. 2005
    ..49) and slight to fair in phase 3 (kappa=0.23). Retest reliability ranged from 51% to 91%. Doctors give priority to only a small part of the information available in deciding for or against a particular intervention...
  10. ncbi request reprint Association between compliance with methodological standards of diagnostic research and reported test accuracy: meta-analysis of focused assessment of US for trauma
    Dirk Stengel
    Clinical Epidemiology Division, Department of Orthopedic and Trauma Surgery, Unfallkrankenhaus Berlin Trauma Center, Warener Str 7, 12683 Berlin, Germany
    Radiology 236:102-11. 2005
    ..To study whether compliance with methodological standards affected the reported accuracy of screening ultrasonography (US) for trauma...
  11. pmc Association between a single-pass whole-body computed tomography policy and survival after blunt major trauma: a retrospective cohort study
    Martin Hutter
    Department of Trauma and Orthopedic Surgery, Berufsgenossenschaftliche Unfallklinik Murnau, Prof Küntscher Str 8, 82418 Murnau, Germany
    Scand J Trauma Resusc Emerg Med 19:73. 2011
    ..We hypothesized that a liberal pan-scan policy is mainly an indicator of enhanced process quality of emergency care that may lead to improved survival regardless of the actual use of the method...
  12. ncbi request reprint [Clinical studies in accident surgery. III: p-values and confidence intervals]
    D Stengel
    Zentrum für Klinische Forschung, Klinik fur Unfall und Wiederherstellungschirurgie, Unfallkrankenhaus, Warener Strasse 7, 12683 Berlin, Deutschland
    Unfallchirurg 109:793-6. 2006
  13. ncbi request reprint [Outcomes research: definitions, methods and challenges in trauma and orthopaedic surgery]
    D Stengel
    Zentrum für Klinische Forschung, Klinik für Unfallchirurgie und Orthopädie, Unfallkrankenhaus Berlin, Warener Strasse 7, 12683, Berlin, Deutschland
    Unfallchirurg 110:792-6. 2007
    ..Outcomes research investigates both the desirable and adverse effects of medical and surgical interventions under day-to-day conditions...
  14. doi request reprint Graphical data presentation
    Dirk Stengel
    Centre for Clinical Research, Department of Orthopaedic and Trauma Surgery, Unfallkrankenhaus Berlin, Warener Str 7, 12683 Berlin, Germany
    Injury 39:659-65. 2008
    ..The researcher's essential graphical toolbox should contain histograms, bar charts (always with measures of error), box-and-whiskers plots, scatter plots and forest plots...
  15. doi request reprint Functional outcomes and health-related quality of life after robot-assisted anterior cruciate ligament reconstruction with patellar tendon grafts
    Dirk Stengel
    Center for Clinical Research, Unfallkrankenhaus Berlin, Berlin, Germany
    Knee Surg Sports Traumatol Arthrosc 17:446-55. 2009
    ..Compared to literature data, robot-assisted ACL reconstruction with BTB grafts may lead to higher knee stability, but poorer functional outcomes. The immense additional efforts with the procedure did not pay off in a benefit to patients...
  16. doi request reprint Primary pan-computed tomography for blunt multiple trauma: can the whole be better than its parts?
    Dirk Stengel
    Dept of Trauma and Orthopaedic Surgery, Unfallkrankenhaus Berlin and University of Greifswald, Germany
    Injury 40:S36-46. 2009
    ..In addition, triage criteria need to be refined to increase specificity and reduce the number of unnecessary scans...
  17. ncbi request reprint Efficacy of total ankle replacement with meniscal-bearing devices: a systematic review and meta-analysis
    Dirk Stengel
    Department of Orthopaedic and Trauma Surgery, Ernst Moritz Arndt University, Friedrich Loeffler Str 23b, 17489, Greifswald, Germany
    Arch Orthop Trauma Surg 125:109-19. 2005
    ..There is, however, no systematic approach to the available scientific evidence allowing for a critical appraisal of their benefits and risks...
  18. ncbi request reprint Prognostic value of an early soluble L-selectin (sCD62L) assay for risk assessment in blunt multiple trauma: a metaanalysis
    Dirk Stengel
    Clinical Epidemiology Division, Department of Orthopedic and Trauma Surgery, Unfallkrankenhaus Berlin, 12683 Berlin, Germany
    Clin Chem 51:16-24. 2005
    ..Individual studies have had conflicting results, however. We examined multiple studies in an attempt to determine whether early sCD62L concentrations are predictive of major complications after severe trauma...
  19. ncbi request reprint [Clinical trials in orthopedic and trauma surgery: randomized or non-randomized?]
    D Stengel
    AG Klinische Epidemiologie, Klinik fur Unfall und Wiederherstellungschirurgie, Unfallkrankenhaus Berlin
    Unfallchirurg 106:294-9. 2003
    ..It must be emphasized that these designs will require a similarly rigorous planning (i.e., study protocols, ethics, sample size considerations) and analysis of the results...
  20. ncbi request reprint A likelihood ratio approach to meta-analysis of diagnostic studies
    D Stengel
    Department of Trauma Surgery, Unfallkrankenhaus Berlin Trauma Centre, Warener Str 7, 12683 Berlin, Germany
    J Med Screen 10:47-51. 2003
    ..To develop a clinically and methodologically sound approach to diagnostic meta-analysis...
  21. ncbi request reprint [Emergency ultrasound for blunt abdominal trauma--meta-analysis update 2003]
    D Stengel
    Klinische Epidemiologie, Klinik fur Unfall und Wiederherstellungschirurgie, Unfallkrankenhaus Berlin
    Zentralbl Chir 128:1027-37. 2003
    ..43). Thus, in case of a 35% prevalence, the post-test probability has to estimated at 19%. Emergency ultrasound provides high specificity but insufficient sensitivity to reliably rule out intraabdominal injury...
  22. ncbi request reprint Comparison of handheld computer-assisted and conventional paper chart documentation of medical records. A randomized, controlled trial
    Dirk Stengel
    Clinical Epidemiology Division, Department of Orthopedic and Trauma Surgery, Ernst Moritz Arndt University, Friedrich Loeffler Strasse 23b, 17489 Greifswald, Germany
    J Bone Joint Surg Am 86:553-60. 2004
    ..The purpose of the present study was to determine whether the introduction of a handheld computer could improve both the quantitative and qualitative aspects of medical records...
  23. ncbi request reprint Shed L-selectin (sCD62L) load in trauma patients
    D Stengel
    Department of Trauma Surgery, Emst Moritz Arndt University, Greifswald, Germany
    J Surg Res 99:321-7. 2001
    ..The objective of this study was to determine the robustness of soluble L-selectin, correcting for a broad spectrum of physiological variables...
  24. ncbi request reprint [Industry sponsoring and the results of research into accident surgery]
    D Stengel
    Klinik fur Unfall und Wiederherstellungschirurgie, Unfallkrankenhaus, Berlin
    Unfallchirurg 107:341-2. 2004
  25. ncbi request reprint [Clinical studies in casualty surgery. II: hypothesis formulation and hypothesis testing]
    D Stengel
    Klinische Epidemiologie, Klinik fur Unfall und Wiederherstellungschirurgie, Unfallkrankenhaus, Berlin
    Unfallchirurg 107:437-9. 2004
  26. ncbi request reprint Systematic review and meta-analysis of antibiotic therapy for bone and joint infections
    D Stengel
    Trauma Surgery Branch, Ernst Moritz Arndt University, Greifswald, Germany
    Lancet Infect Dis 1:175-88. 2001
    ..The observed heterogeneity among patient populations and medical and surgical treatment concepts preclude reliable inferences from the available data...
  27. ncbi request reprint Recurrence risks in randomized trials of laparoscopic versus open inguinal hernia repair: to pool or not to pool (this is not the question)
    Dirk Stengel
    Clinical Epidemiology Division, Department of Trauma and Orthopedic Surgery, Ernst Moritz Arndt University, Greifswald, Germany
    Langenbecks Arch Surg 389:492-8. 2004
    ..Considering important arguments raised by both conventional and laparoscopic surgeons, we set out to explore other sources of variability across individual studies...
  28. ncbi request reprint [Intra-articular therapy with autologous interleukin-1 receptor antagonist in osteoarthritis. Innovation or quackery?]
    D Stengel
    Fachbereich Klinische Epidemiologie, Klinik fur Unfall und Wiederherstellungschirurgie, Unfallkrankenhaus, Berlin
    Unfallchirurg 107:1103-6. 2004
  29. ncbi request reprint [A rapid review of the minimum quality problems using total knee arthroplasty as an example. Where do the magical threshold values come from?]
    D Stengel
    Fachbereich Klinische Epidemiologie, Klinik für Unfall und Wiederherstellungschirurgie des Unfallkrankenhauses Berlin
    Unfallchirurg 107:967-88. 2004
    ..We found homogeneous results about hospital mortality. Between 2551 and 821 TKA must be performed by high-volume rather than by low-volume providers to prevent 1 extra death. Absolute event rates are notably small...
  30. ncbi request reprint Systematic review and meta-analysis of emergency ultrasonography for blunt abdominal trauma
    D Stengel
    Department of Trauma Surgery, Ernst Moritz Arndt University, Greifswald, Germany
    Br J Surg 88:901-12. 2001
    ..How precise and reliable is ultrasonography as a primary tool for injury assessment in blunt abdominal trauma?..
  31. ncbi request reprint Biweekly pegylated liposomal doxorubicin in patients with relapsed ovarian cancer: results of a multicenter phase-II trial
    J Sehouli
    Department of Gynecology and Obstetrics, Charite University Medical Center, Berlin, Germany
    Ann Oncol 17:957-61. 2006
    ..There is evidence that dose reduction from 50 to 40 mg/m(2) reduces the incidence of PPE without compromising cytotoxic activity. We set out to investigate whether biweekly application further improves the therapeutic index of PLD...
  32. doi request reprint [Assessment of injury severity at the accident scene by the emergency physician: utility of technical crash parameters: results of a pilot study]
    G Matthes
    Abteilung für Unfall und Wiederherstellungschirurgie, Klinik und Poliklinik für Chirurgie, Universitätsmedizin Greifswald, Deutschland
    Unfallchirurg 116:825-30. 2013
    ..Technical parameters of road traffic crashes are routinely documented by emergency physicians on scene. It is, however, unclear whether this information contributes to the estimation of injury severity of vehicle drivers...
  33. doi request reprint [Accidents, illness and injuries involved in road haulage : consequences for medical care and prevention]
    U Schmucker
    AG Prävention von Verletzungen der Deutschen Gesellschaft für Unfallchirurgie e V, Berlin, Deutschland
    Unfallchirurg 115:1022-30. 2012
    ..Therefore this article presents the"DocStop Initiative" for medical care on the road, an initiative that runs an international network of care providers (http://www.docstop-online.eu)...
  34. ncbi request reprint [Age and survival likelihood of polytrauma patients. "Local tailoring" of the DGU prognosis model]
    G Matthes
    Abteilung fur Unfallchirurgie, Klinik und Poliklinik für Chirurgie, Ernst Moritz Arndt Universitat, Greifswald
    Unfallchirurg 108:288-92. 2005
    ..Furthermore, we investigated whether age itself or age-associated comorbidity causes an unfavorable prognostic effect...
  35. ncbi request reprint [The clinical use of the ISO-C(3D) imaging system in calcaneus fracture surgery]
    A Rübberdt
    Klinik fur Unfall und Wiederherstellungschirurgie, Unfallkrankenhaus, Berlin
    Unfallchirurg 109:112-8. 2006
    ..2%/14.6%). These results suggest that intraoperative 3D Iso-C(3D) imaging provides a high diagnostic reliability. By careful assessment of the images the surgeons receive information which could lead to a change of the operative strategy...
  36. ncbi request reprint Discriminatory power of 3.5 MHz convex and 7.5 MHz linear ultrasound probes for the imaging of traumatic splenic lesions: a feasibility study
    D Stengel
    Department of Trauma Surgery, Ernst Moritz Arndt University, Greifswald, Germany
    J Trauma 51:37-43. 2001
    ..The objective of this study was to determine the diagnostic value of different ultrasound transducers for the precise detection of visceral damage rather than its surrogates in case of splenic injury...
  37. doi request reprint [Road traffic crashes in developing countries]
    U Schmucker
    Abt Unfall und Wiederherstellungschirurgie, Unfallforschung Greifswald, Ernst Moritz Arndt Universitat Greifswald, Sauerbruchstrasse, 17475, Greifswald
    Unfallchirurg 113:373-7. 2010
    ..This article is considered a wake-up call for trauma, orthopaedic, and emergency surgeons in high-income countries to join the global community in fighting the neglected yet potentially curable epidemic named road traffic injuries...
  38. ncbi request reprint Oldie but goldie: Bristow-Latarjet procedure for anterior shoulder instability
    G Matthes
    Department of Orthopedic and Trauma Surgery, Ernst Moritz Arndt University Greifswald, Greifswald, Germany
    J Orthop Surg (Hong Kong) 15:4-8. 2007
    ..To analyse the functional and radiological outcomes of the Bristow-Latarjet procedure in patients with recurrent anterior glenohumeral instability...
  39. ncbi request reprint [Diagnostic efficacy of gadodiamide-enhanced dynamic examination technique in comparison to conventional magnet resonance tomography in exacerbated chronic osteomyelitis]
    G Rademacher
    Institut fur Radiologie, Unfallkrankenhaus Berlin
    Rofo 175:1417-23. 2003
    ..To evaluate the diagnostic effectiveness of dynamic gadodiamide-enhanced MRI in discriminating reparative tissue formation from florid inflammation in patients with chronic osteomyelitis...
  40. doi request reprint [Limits of clinical pathways. Implant-associated infections]
    J Seifert
    Unfallkrankenhaus Berlin, 12683 Berlin
    Orthopade 39:777-84. 2010
    ....
  41. ncbi request reprint A phase II study of topotecan plus gemcitabine in the treatment of patients with relapsed ovarian cancer after failure of first-line chemotherapy
    J Sehouli
    Departments of Gynaecology and Obstetrics, Charité Virchow University Hospital, Berlin, Germany
    Ann Oncol 13:1749-55. 2002
    ..We investigated the toxicity profile and therapeutic efficacy of a novel combination regimen, topotecan plus gemcitabine, in a clinical phase II study...
  42. ncbi request reprint Second-line treatment of limb-threatening diabetic foot infections with intravenous fosfomycin
    D Stengel
    Center for Clinical Research, Department of Orthopedic and Trauma Surgery, University of Greifswald, Germany
    J Chemother 17:527-35. 2005
    ..The present data warrant a larger comparative trial to stabilize effect estimates...
  43. doi request reprint A new pathway to classification of complex hand injuries: a clinical pilot testing using a new method of assessment
    A Eisenschenk
    Abteilung für Hand, Replantations und Mikrochirurgie, Unfallkrankenhaus Berlin, Warener Str 7, 12683, Berlin, Germany
    Arch Orthop Trauma Surg 132:1343-51. 2012
    ..With further study, we could evaluate the assessment sheet and try to create a classification of the grade of severity as well as prognostic values like return to the former occupation and rehabilitation time...
  44. doi request reprint Is it possible to minimize overdrainage complications with gravitational units in patients with idiopathic normal pressure hydrocephalus? Protocol of the randomized controlled SVASONA Trial (ISRCTN51046698)
    J Lemcke
    Department of Neurosurgery, Unfallkrankenhaus Berlin, Berlin, Germany
    Acta Neurochir Suppl 106:113-5. 2010
    ..The presented trial is currently recruiting patients, with the first results predicted to be available in late 2008...
  45. ncbi request reprint [Surgical management of abdominal injury]
    G Matthes
    Ernst Moritz Arndt Universitat Greifswald, Unfall und Wiederherstellungschirurgie, Sauerbruchstrasse, 17475 Greifswald
    Unfallchirurg 109:437-46. 2006
    ..Accompanying abdominal injuries are frequent in multiply injured patients and are a common cause of death. A search of the literature was performed focusing on key aspects of initial surgical procedures in abdominal injury...
  46. ncbi request reprint [Clinical studies in traumatology: I. Study designs]
    S Sauerland
    Biochemische und Experimentelle Abteilung, II Chirurgischer Lehrstuhl, Universitat, Koln, Germany
    Unfallchirurg 106:690-1. 2003
  47. ncbi request reprint [Osteomyelitis of the carpus and metacarpus]
    A Eisenschenk
    Unfallkrankenhaus Berlin, Abteilung für Hand, Replantations und Mikrochirurgie
    Z Orthop Ihre Grenzgeb 143:479-85. 2005
    ..Because of the low prevalence, there is poor evidence on the effective management of bone and joint infections of the carpus and metacarpus. We therefore studied the outcomes of patients undergoing surgical treatment at our department...
  48. ncbi request reprint [Do injuries of the upper extremity in geriatric patients end up in helplessness? A prospective study for the outcome of distal radius and proximal humerus fractures in individuals over 65]
    T Einsiedel
    Abteilung für Unfall, Hand, Plastische und Wiederherstellungschirurgie, Universitatsklinikum Ulm, Steinhovelstrasse 9, 89075, Ulm, Germany
    Z Gerontol Geriatr 39:451-61. 2006
    ..In both groups of patients there was a significant worsening in the ability of walking after injury, leading to two or more new falls in 24% of DRF and 28% of PHF patients...
  49. ncbi request reprint [Of desk-economists and doctors at the bedside within a health care system: they should learn from each other]
    F Porzsolt
    Klinische Okonomik, Universitatsklinikum Ulm, Frauensteige 6, 89075 Ulm
    Dtsch Med Wochenschr 132:1000-3. 2007