Gschwend J E, Albers P, Schrader M
Klinik und Poliklinik für Urologie, Klinikum rechts der Isar, Technische Universität München, Ismaninger Straße 22, 81675 München, Deutschland.
Urologe A. 2011 Aug;50(8):921-7. doi: 10.1007/s00120-011-2540-8.
Establishment of organ site-specific cancer centers by the German Cancer Society (GCS) is part of the basic politically driven reform of oncology care in Germany. Since 2007 an increasing number of prostate cancer centers have been guided toward certification by the OnkoZert GmbH of the GCS. Currently 68 centers are certified and together with ongoing certification proceedings will amount to 81 prostate cancer centers, which cover about one fourth of cases of primary prostate cancer. Urology is of particular importance in the management of these centers. For the most part, urologists belonging to a clinical unit are the initiators of the certification process, thus ensuring that uro-oncology is firmly entrenched in the specialty with involvement of outpatient service providers. Fears that authority will be lost are unfounded as long as responsibility for this task is taken seriously and active use is made of the possibilities for creativity. A similarly important function is fulfilled by the testicular cancer centers that offer second opinion services, which were initiated by urology conjointly with German Cancer Aid to pursue the goal of quality assurance for this tumor entity and therefore likewise secure the position of this tumor in the realm of urologists. By applying such strategic approaches, urologists will succeed in sustainably safeguarding their future importance in a very competitive environment and in counteracting the encroachments of other specialties by exhibiting clear orientation.
德国癌症协会（GCS）建立器官部位特异性癌症中心是德国肿瘤护理领域基于政治驱动的基础改革的一部分。自2007年以来，越来越多的前列腺癌中心在GCS的OnkoZert GmbH的指导下进行认证。目前有68个中心获得认证，加上正在进行的认证程序，将有81个前列腺癌中心，覆盖约四分之一的原发性前列腺癌病例。泌尿外科在这些中心的管理中尤为重要。在大多数情况下，属于临床科室的泌尿外科医生是认证过程的发起者，从而确保泌尿肿瘤学在门诊服务提供者的参与下牢固地扎根于该专业。只要认真对待这项任务并积极利用创新的可能性，担心失去权威就是毫无根据的。睾丸癌中心提供二次诊断服务，发挥着同样重要的作用，这些服务由泌尿外科与德国癌症援助组织联合发起，旨在实现对该肿瘤实体的质量保证目标，因此同样巩固了该肿瘤在泌尿外科领域的地位。通过应用这些战略方法，泌尿外科医生将成功地在竞争激烈的环境中可持续地维护其未来的重要性，并通过明确的定位来抵御其他专业的侵蚀。
