[Quality Indicators Show Higher Fulfilment in Centers Certified by the German Cancer Society].

IF 0.7 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Gesundheitswesen Pub Date : 2024-06-28 DOI:10.1055/a-2312-6116

Stefanie Schulz, Christian Lange, Katharina Emrich, Christina Justenhoven

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引用次数: 0

Abstract

Aim: In 2003, a certification program was introduced by the German Cancer Society in Germany to ensure high standards of oncological care. The present study investigated whether there were differences in the concordance to guideline-based recommendations between centers certified by the German Cancer Society and medical facilities without such certification. In this context, quality indicators derived from clinical guidelines were evaluated.

Methods: The database of the cancer registry of Rhineland-Palatinate, Germany was used to calculate fulfilment of target values for 14 quality indicators. Analysis of quality indicators followed specifications given in treatment S3-guidelines for breast, colorectal and lung cancer. Analyses were done by R and SAS.

Results: All 14 quality indicators showed that concordance with guideline-based recommendations was higher in certified centers compared to uncertified medical facilities; 13 of these differences were statistically significant.

Conclusion: Higher quality of oncological treatment in certified centers has widely been discussed in the WiZen study. The results of our study support this assumption with respect to concordance with quality indicators.

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[质量指标显示德国癌症协会认证的中心更符合要求]。

目的：2003 年，德国癌症协会推出了一项认证计划，以确保提供高标准的肿瘤治疗。本研究调查了获得德国癌症协会认证的医疗中心与未获得该认证的医疗机构在遵循指南建议方面是否存在差异。在此背景下，对临床指南中的质量指标进行了评估：方法：使用德国莱茵兰-法尔茨癌症登记数据库计算 14 项质量指标的目标值。质量指标的分析遵循了乳腺癌、结直肠癌和肺癌治疗 S3 指南中的规范。分析由 R 和 SAS 完成：结果：所有14项质量指标均显示，与未通过认证的医疗机构相比，通过认证的中心与指南建议的一致性更高；其中13项差异具有统计学意义：在 WiZen 研究中，人们广泛讨论了认证中心的肿瘤治疗质量更高。我们的研究结果在质量指标一致性方面支持了这一假设。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Gesundheitswesen PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

1.90

自引率

18.20%

发文量

308

期刊介绍： The health service informs you comprehensively and up-to-date about the most important topics of the health care system. In addition to guidelines, overviews and comments, you will find current research results and contributions to CME-certified continuing education and training. The journal offers a scientific discussion forum and a platform for communications from professional societies. The content quality is ensured by a publisher body, the expert advisory board and other experts in the peer review process.