Kowalski Christoph, Ferencz Julia, Brucker Sara Y, Kreienberg Rolf, Wesselmann Simone
German Cancer Society, Kuno-Fischer-Strasse 8, 14057 Berlin, Germany.
OnkoZert, Certification Institute of the German Cancer Society, Gartenstrasse 24, 89231 Neu-Ulm, Germany.
Breast. 2015 Apr;24(2):118-23. doi: 10.1016/j.breast.2014.11.014. Epub 2014 Dec 13.
A total of 218 breast cancer centers, with 274 operating sites, have been certified since 2003 in accordance with the criteria set out by the German Cancer Society (Deutsche Krebsgesellschaft) and the German Society for Breast Diseases (Deutsche Gesellschaft für Senologie). Most of these centers are located in Germany, but centers in Austria, Switzerland, and Italy have also been certified. This paper presents the results for quality indicators (QIs) from 2009 to 2012, based on data from 195,342 primary breast cancer patients, in order to illustrate the development and progress of these centers. Descriptive results on interdisciplinary collaboration (6 QIs), guideline adherence (15 QIs), and specialist expertise (7 QIs) are reported over time. Fulfillment of the certification requirements was high and remained relatively stable over time, with the extent of variation between sites declining. Sites that do not reach the target values are asked to comment on the discrepancies, and their comments, as well as the QI results, are used by centers and auditors during an on-site auditing process and to constantly revise the QIs set out by the guideline and the certification commission.
自2003年以来，共有218家乳腺癌中心（274个运营地点）依据德国癌症协会（Deutsche Krebsgesellschaft）和德国乳腺疾病协会（Deutsche Gesellschaft für Senologie）制定的标准获得认证。这些中心大多位于德国，但奥地利、瑞士和意大利的中心也已获得认证。本文基于195,342例原发性乳腺癌患者的数据，呈现了2009年至2012年质量指标（QIs）的结果，以说明这些中心的发展与进步。报告了跨学科协作（6项质量指标）、指南遵循情况（15项质量指标）和专科专业知识（7项质量指标）随时间的描述性结果。认证要求的达成率很高，且随时间保持相对稳定，各地点之间的差异程度在下降。未达到目标值的地点需对差异作出说明，其说明以及质量指标结果在现场审核过程中供中心和审核人员使用，并用于不断修订指南和认证委员会制定的质量指标。
