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The concept of the certification system of the German Cancer Society and its impact on gynecological cancer care

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Abstract

Purpose

This article describes the status of gynecological cancer care in Germany and gives an overview of the certification of gynecological cancer care by the German Cancer Society (Deutsche Krebsgesellschaft DKG). The DKG certifies cancer centers to promote a high-quality level in the treatment of oncological patients.

Methods

Searches were conducted in PubMed and ScienceDirect to identify the relevant literature. Catalog of requirements for centers certification as well as benchmark reports were used to characterize cancer care in centers certified by DKG.

Results and conclusions

The certification system of the DKG has been developed to ensure comprehensive care for cancer patients in Germany. The criteria for certification are based on interdisciplinary and inter-professional care conforming to guidelines and specialist expertise. These requirements have been shown to improve structural and process quality, and thus satisfaction and health outcomes in patients.

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References

  1. Atlas of cancer incidence and mortality of the Association of Population-based Cancer Registries in Germany (GEKID) „The GEKID Atlas“. Results of the projection for Germany (data delivery: December of 2012)

  2. Statistisches Bundesamt, Federal Statistical Office, Wiesbaden (2006) Germany’s population by 2050. Results of the 11th coordinated population projection

  3. Menon U, Gentry-Maharaj A, Hallett R et al (2009) Sensitivity and specificity of multimodal and ultrasound screening for ovarian cancer, and stage distribution of detected cancers: results of the prevalence screen of the UK collaborative trial of ovarian cancer screening (UKCTOCS). Lancet Oncol 10:327–340

    Article  PubMed  Google Scholar 

  4. Menon U, Jatinderpal K, Jacobs I (2012) The UKCTOCS experience––reasons for hope? Int J Gynecol Cancer 22:18–20

    Article  Google Scholar 

  5. Bristow RE, Palis BE, Chi DS, Cliby WA (2010) The national cancer database report on advanced-stage epithelial ovarian cancer: impact of hospital surgical case volume on overall survival and surgical treatment paradigm. Gynecol Oncol 118:262–267

    Article  PubMed  Google Scholar 

  6. Kumpulainen S et al (2009) The effect of hospital operative volume, residual tumor and first-line chemotherapy on survival of ovarian cancer––a prospective nation-wide study in Finland. Gynecol Oncol 115(2):199–203

    Article  PubMed  Google Scholar 

  7. Heintz AP, Odicino F, Maisonneuve P, Quinn MA, Benedet JL, Creasman WT et al (2006) Carcinoma of the ovary. FIGO 26th annual report on the results of treatment in gynecological cancer. Int J Gynaecol Obstet 95:161–192

    Article  Google Scholar 

  8. Mercado C et al (2010) Quality of care in advanced ovarian cancer: the importance of provider specialty. Gynecol Oncol 117:18–22

    Article  PubMed  Google Scholar 

  9. Hacker NF (2011) Quality control in ovarian cancer surgery. Ann Oncol 22(Suppl 8):viii19–viii22

    Article  PubMed  Google Scholar 

  10. Bristow RE, Zahurak ML, Diaz-Montes TP, Giuntoli RL, Armstrong DK (2009) Impact of surgeon and hospital ovarian cancer surgical case volume on in-hospital mortality and related short-term outcomes. Gynecol Oncol 115:334–338

    Article  PubMed  Google Scholar 

  11. Wright JD, Lewin SN, Deutsch I, Burke WM, Sun X, Herzog TJ (2011) The influence of surgical volume on morbidity and mortality of radical hysterectomy for cervical cancer. Am J Obstet Gynecol 225.e1–225.e7

    Google Scholar 

  12. Begg CB, Cramer LD, Hoskins WJ, Brennan MF (1998) Impact of hospital volume on operative mortality for major cancer surgery. J Am Med Assoc 280:1747–1751

    Article  CAS  Google Scholar 

  13. Junor EJ, Hole DJ, McNulty L, Mason M, Young J (1999) Specialist gynaecologists and survival outcome in ovarian cancera Scottish national study of 1866 patients. Br J Obstet Gynaecol 106:1130–1136

    Article  CAS  PubMed  Google Scholar 

  14. Munstedt K, von Georgi R, Misselwitz B, Zygmunt M, Stillger R, Künzel W (2003) Centralizing surgery for gynecologic oncology—a strategy assuring better quality treatment? Gynecol Oncol 89(1):4–8

    Article  PubMed  Google Scholar 

  15. du Bois A, Rochon J, Pfisterer J, Hoskins WJ (2009) Variations in institutional infrastructure, physician specialization and experience, and outcome in ovarian cancer: a systematic review. Gynecol Oncol 112(2):422–436

    Article  PubMed  Google Scholar 

  16. Munstedt K, von Georgi R, Zygmunt M et al (2002) Shortcomings and deficits in surgical treatment of gynaecological cancers: a German problem only? Gynecol Oncol 86(3):337–343

    Article  PubMed  Google Scholar 

  17. Wesselmann S (2012) Entwicklung der Zertifizierungsverfahren für Organkrebszentren und Onkologische Zentren der Deutschen Krebsgesellschaft. Der Onkologe 18:511–516

    Article  Google Scholar 

  18. Beckmann MW et al (2007) Dreistufenmodell optimiert Behandlung unter Kostendeckung. Wie die künftigen Strukturen der onkologischen Versorgung in Deutschland aussehen sollten. Dtsch Arztebl 04(44):3004–3009

    Google Scholar 

  19. Aims of the German National Cancer Plan (2008) http://www.bmg.bund.de/fileadmin/dateien/Downloads/N/Nationaler_Krebsplan/Nationaler_Krebsplan-Zieluebersicht.pdf. Accessed 05 Nov 2013

  20. Questionnaire gynecological cancer center (2013) http://www.onkozert.de/gynzentren.htm. Accessed 05 Nov 2013

  21. German Guideline Program in Oncology (GGPO), S3 LL Ovarian Carcinoma, Version 1 (2013) http://leitlinienprogramm-onkologie.de/Leitlinien.7.0.html. Accessed 31 July 2013

  22. German Cancer Society. Benchmarking report of the certified gynecological cancer centers. (2013) http://www.krebsgesellschaft.de/download/gz_jahresbericht-2013-a1_130604.pdf. Accessed 31 July 2013

  23. Beckmann MW et al (2011) Qualitätsgesicherte Versorgung in zertifizierten Brustzentren und Optimierung der Behandlung von Patientinnen mit einem Mammakarzinom. Senologie Zeitschrift für Mammadiagnostik und therapie 8:A16

    Google Scholar 

  24. Heil J, Gondos A, Rauch G, Marmé F, Rom J, Golatta M, Junkermann H, Sinn P, Aulmann S, Debus J, Hof H, Schütz F, Brenner H, Sohn C, Schneeweiss A (2012) Outcome analysis of patients with primary breast cancer initially treated at a certified academic breast unit. The Breast 21(3):303–308

    Article  CAS  PubMed  Google Scholar 

  25. Kowalski C, Wesselmann S, Kreienberg R, Schulte H, Pfaff H (2012) Zertifizierte Brustkrebszentren aus Sicht der Patientinnen: Stärken und Verbesserungspotenziale. Geburtshilfe und Frauenheilkunde 72:137–143

    Article  Google Scholar 

  26. Huthmann D, Seufferlein T, Post S, Benz S, Stinner B, Wesselmann S (2012) Zertifizierte Darmkrebszentren aus Sicht der Zentrumsleitungen: Ergebnisse einer Schlüsselpersonenbefragung. Zeitschrift für Gastroenterologie 50(8):753

    Article  CAS  PubMed  Google Scholar 

  27. Kowalski C, Wesselmann S, Ansmann L, Kreienberg R, Pfaff H (2012) Zertifizierte Brustkrebszentren aus Sicht der Zentrumsleitungen: Ergebnisse einer Schlüsselpersonen-Befragung. Geburtshilfe und Frauenheilkunde 72:235–242

    Article  Google Scholar 

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Acknowledgments

The authors would like to thank the members of the certification commission of the gynecological cancer centers for their valuable contribution to the certification system: Bernd Alt-Epping, Mainrad Beer, Manfred Dietel, Andreas du Bois, Günter Emons, Marion Gebhardt, Ullrich Graeven, Bernd Hamm, Peer Hantschmann, Annette Hasenburg, Susanna Hegewisch-Becker, Volker Heinemann, Peter Hillemanns, Dieter Hölzel, Lars-Christian Horn, Rainer Kimmig, Oliver Kölbl, Jörg Kotzerke, Susanne Krege, Hans Kreipe, Volkmar Küppers, Peter Mallmann, Simone Marnitz-Schulze, Lars Meyer, Stefan Müller, Carsten Münstedt, Olaf Ortmann, Pompiliu Piso, Jens Quaas, Katrin Reuter, Ingo Runnebaum, Dieter Schmidt, H.G. Schnürch, Uwe Ulrich, Birgitt van Oorschot, Dirk Vordermark, Uwe Wagner, Diethelm Wallwiener, Ilse Weis, Joachim Weis, Isolde Weisse, Sophie Wetzel, Wolfgang Zieger and Marek Zygmunt.

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The authors declare that they have no conflict of interest.

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Correspondence to Simone Wesselmann.

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Wesselmann, S., Beckmann, M.W. & Winter, A. The concept of the certification system of the German Cancer Society and its impact on gynecological cancer care. Arch Gynecol Obstet 289, 7–12 (2014). https://doi.org/10.1007/s00404-013-3084-5

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