Zertifizierte multidisziplinäre Brustzentren

Abstract

Leitthema Das Mammakarzinom ist nach wie vor die häufigste maligne Tumor erkrankung der Frau. Nach Schät zungen des RobertKochInstituts er kranken in der Bundesrepublik jähr lich etwa 47.500 Frauen neu an Brust krebs [30], andere Quellen gehen von etwa 55.000 Neuerkrankungen aus [7, 13, 23]. Das mittlere Lebenszeit risiko beträgt in Deutschland 9,2%; es erkrankt somit durchschnittlich je de 11. Frau im Lauf ihres Lebens an Brustkrebs [30].Durch eine Reihe von Analysen gilt mittlerweile als gesichert, dass ei ne spezialisierte Teambildung und Zentralisierung in "Mammaschwer punkten" ("cancer units") zu einer Verbesserung der Therapie -und da mit des Outcome -des Mammakarzi noms führt, vorausgesetzt Qualitäts sicherung und management werden definiert und auch quantitativ über prüft (Benchmarking).

Multidisciplinary breast centres in Germany: a review and update of quality assurance through benchmarking and certification

“…As recently shown by Wallwiener et al [37], these updated results confirm the findings of the unique descriptive study by Brucker et al [22] demonstrating that voluntary certification of multidisciplinary breast centres according to the DKG/DGS dual certification procedure is well accepted in Germany. Moreover, Germany is now close to reaching the goals set by the European Parliament (EP) to create, by 2008, the conditions required to achieve reductions of 25% in average breast cancer mortality and of 5% in the disparity in 5-year survival between the countries of the European Union [38, 39].…”

“…The specialist breast units now need to be further integrated into a comprehensive, supraregional network within which care is provided according to (European) guidelines, studies are performed, data are collected from the network participants and uniformly documented, network-wide benchmarking is performed on the basis of uniformly defined QIs. The success of the implemented quality assurance measures is then assessed using well-structured documentation based on outcome quality and the performance of the individual QIs relative to pre-specified target values (DKG/DGS Requirements) [37]. …”

“…Optimizing the quality of breast cancer care at certified German breast centres: a benchmarking analysis for 2003–2009 with a particular focus on the interdisciplinary specialty of radiation oncologyPhase 2: certification of breast centres (proof of concept)To implement a quality management system to measure and assess structural, process and outcome qualityBrucker et al [22]. Certification of breast centres in Germany: proof of concept for a prototypical example of quality assurance in multidisciplinary cancer carePhase 3: nationwide implementation of certified breast centresTo combine voluntary provision of quality assurance data and external quality management auditingWallwiener et al [37]. Zertifizierte multidisziplinäre Brustzentren.…”