Kimmeyer J, Kurzweg T, Hoffmann T K, Knecht R, Veit J A, Möckelmann N, Münscher A, Laban S
Department of Oto-Rhino-Laryngology and Head & Neck Surgery, Head & Neck Cancer Center Ulm, University Medical Center Ulm, Frauensteige 12, 89070, Ulm, Germany.
Department of Oto-Rhino-Laryngology and Head & Neck Surgery, Head & Neck Cancer Center of the University Cancer Center Hamburg, University Medical Center Hamburg, Hamburg, Germany.
HNO. 2016 Jul;64(7):494-500. doi: 10.1007/s00106-016-0188-9.
The treatment of head and neck squamous cell carcinoma (HNSCC) is highly complex and requires a multimodal approach. However, guidelines for the treatment of most forms of HNSCC do not exist in German-speaking countries with the exception of oral cavity cancer. The aim of this cross-sectional study was to describe the current treatment landscape and infrastructure in German-speaking countries.
From November 2013 to July 2014, 204 departments of otorhinolaryngology (ORL) in Germany, Austria, and the German-speaking part of Switzerland were contacted and invited to take part in a web-based survey on the treatment of HNSCC. In order to cover the study in its entirety, we published three consecutive papers of which this paper is the first.
In all, 62 treatment centers (30.4 %) participated in the survey. These centers included 21 university hospitals, 16 certified cancer centers, and 35 large centers, which diagnose at least 75 HNSCC patients annually. In 91.9 % of all cases, there were outpatient consultation hours (that were monodisciplinary in 61.4 %). A multidisciplinary tumor board was existent in 98.4 % of the cases. Of 62 ORL departments, 50 had a hospital cancer registry, 41 of 62 conducted oncological studies, and 35 of 62 assessed their patients' quality of life.
The infrastructure of the treatment for HNSCC can be considered mostly well-developed and supports interdisciplinary cooperation. Potential improvements can be made regarding the standardization of tumor boards, the participation in clinical trials, and the availability of cancer registries and the data gathered therein.
头颈部鳞状细胞癌（HNSCC）的治疗非常复杂，需要多模式方法。然而，除口腔癌外，德语国家不存在大多数形式的HNSCC治疗指南。这项横断面研究的目的是描述德语国家当前的治疗情况和基础设施。
2013年11月至2014年7月，联系了德国、奥地利和瑞士德语区的204个耳鼻喉科（ORL）科室，并邀请它们参加一项关于HNSCC治疗的网络调查。为了全面涵盖该研究，我们连续发表了三篇论文，本文是第一篇。
共有62个治疗中心（30.4%）参与了调查。这些中心包括21所大学医院、16个认证癌症中心和35个大型中心，这些中心每年至少诊断75例HNSCC患者。在所有病例的91.9%中，设有门诊咨询时间（61.4%为单学科门诊咨询时间）。98.4%的病例设有多学科肿瘤委员会。在62个ORL科室中，50个设有医院癌症登记处，62个中有41个开展肿瘤学研究，62个中有35个评估患者的生活质量。
HNSCC治疗的基础设施大多可以认为是发达的，并支持跨学科合作。在肿瘤委员会的标准化、参与临床试验以及癌症登记处的可用性和从中收集的数据方面，仍有改进的潜力。
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