Lauten Melchior, Kontny Udo, Nathrath Michaela, Schrappe Martin
Klinik für Kinder- und Jugendmedizin, Bereich Kinderhämatologie und Onkologie, Universitätsklinikum Schleswig-Holstein, Campus Lübeck, Ratzeburger Allee 160, 23538, Lübeck, Deutschland.
Klinik für Kinder- und Jugendmedizin, Sektion Pädiatrische Hämatologie, Onkologie und Stammzelltransplantation, Uniklinik RWTH Aachen, Aachen, Deutschland.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2020 Apr;63(4):475-481. doi: 10.1007/s00103-020-03112-z.
The German Society of Paediatric Oncology and Haematology (GPOH) and the German Cancer Society (DKG) have defined criteria for DKG certification of paediatric oncology departments. Since 2017, several paediatric oncology departments have already been certified according to these criteria. DKG certification aims for the harmonized and transparent presentation of the quality of care of paediatric oncology patients, as described by Mensah et al. The definition of certification criteria led to controversies within the GPOH about how far the criteria themselves would withstand scientific verifiability.We critically reviewed the paper by Mensah et al. asking whether valid conclusions for the German health system could be drawn from it. We found that currently defined criteria for DKG certification of paediatric oncology departments lack scientific evidence for German paediatric cancer centres in critical aspects.This article challenges case numbers as a parameter for the measurement of quality of care in German paediatric oncology. We try to contribute to an open discussion about alternative criteria for ensuring quality of care in German paediatric oncology departments.
德国儿科肿瘤学和血液学协会（GPOH）以及德国癌症协会（DKG）已经为儿科肿瘤学部门的DKG认证制定了标准。自2017年以来，已有多个儿科肿瘤学部门根据这些标准获得认证。如门萨等人所述，DKG认证旨在统一、透明地展示儿科肿瘤患者的护理质量。认证标准的定义在GPOH内部引发了关于这些标准本身在多大程度上经得起科学验证的争议。我们对门萨等人的论文进行了批判性审查，询问是否能从中得出适用于德国医疗体系的有效结论。我们发现，目前为儿科肿瘤学部门DKG认证定义的标准在关键方面缺乏针对德国儿科癌症中心的科学依据。本文对病例数量作为衡量德国儿科肿瘤护理质量的参数提出质疑。我们试图推动就确保德国儿科肿瘤学部门护理质量的替代标准展开公开讨论。
