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Certification of breast centres in Germany: proof of concept for a prototypical example of quality assurance in multidisciplinary cancer care.

Brucker SY, Bamberg M, Jonat W, Beckmann MW, Kämmerle A, Kreienberg R, Wallwiener D - BMC Cancer (2009)

Bottom Line: From late 2002 to mid 2008, the number of participating breast centres rose from 1 to 175.As of mid 2008, 77% of an estimated 50,000 new breast cancers in Germany were diagnosed and treated at certified breast centres, 78% of which were single-site centres.Nationwide voluntary certification of breast centres is feasible and well accepted in Germany.

View Article: PubMed Central - HTML - PubMed

Affiliation: German Society of Senology, and Department of Obstetrics and Gynaecology, University of Tübingen, Tübingen, Germany. sara.brucker@med.uni-tuebingen.de

ABSTRACT

Background: The main study objectives were: to develop a set of requirements of comprehensive breast centres; to establish a nationwide voluntary certification programme for breast centres based on such requirements, a certified quality management system (QMS), and scheduled independent, external audits and periodic recertification; and to demonstrate the general acceptance of such a certification programme with a view to introducing similar certification programmes for other major cancers.

Methods: Breast centres introduced a QMS and voluntarily participated in an external certification procedure based on guideline-derived Requirements of Breast Centres specifically developed for the application procedure, all subsequent audits and recertification. All data (numbers of pending and successful applications, sites/centre, etc.) were collected by a newly founded, independent organisation for certification of cancer services delivery. Data analysis was descriptive.

Results: Requirements of Breast Centres were developed by the German Cancer Society (DKG), the German Society of Senology (DGS) and other relevant specialist medical societies in the form of a questionnaire comprising 185 essential items based on evidence-based guidelines and the European Society of Breast Cancer Specialists' (EUSOMA) requirements of specialist breast units. From late 2002 to mid 2008, the number of participating breast centres rose from 1 to 175. As of mid 2008, 77% of an estimated 50,000 new breast cancers in Germany were diagnosed and treated at certified breast centres, 78% of which were single-site centres.

Conclusion: Nationwide voluntary certification of breast centres is feasible and well accepted in Germany. Dual certification of breast centres that involves certification of breast services to guideline-derived requirements in conjunction with independent certification of a mandatory QMS can serve as a model for other multidisciplinary site-specific cancer centres.

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DKG/DGS-certified breast centres: applications, certified centres and sites, and primary cases/year treated at certified centres.
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Related In: Results  -  Collection

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Figure 2: DKG/DGS-certified breast centres: applications, certified centres and sites, and primary cases/year treated at certified centres.

Mentions: Figure 2 summarises the certification-related data collected by the DKG-CSP since it became fully operational in November 2004.


Certification of breast centres in Germany: proof of concept for a prototypical example of quality assurance in multidisciplinary cancer care.

Brucker SY, Bamberg M, Jonat W, Beckmann MW, Kämmerle A, Kreienberg R, Wallwiener D - BMC Cancer (2009)

DKG/DGS-certified breast centres: applications, certified centres and sites, and primary cases/year treated at certified centres.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2719663&req=5

Figure 2: DKG/DGS-certified breast centres: applications, certified centres and sites, and primary cases/year treated at certified centres.
Mentions: Figure 2 summarises the certification-related data collected by the DKG-CSP since it became fully operational in November 2004.

Bottom Line: From late 2002 to mid 2008, the number of participating breast centres rose from 1 to 175.As of mid 2008, 77% of an estimated 50,000 new breast cancers in Germany were diagnosed and treated at certified breast centres, 78% of which were single-site centres.Nationwide voluntary certification of breast centres is feasible and well accepted in Germany.

View Article: PubMed Central - HTML - PubMed

Affiliation: German Society of Senology, and Department of Obstetrics and Gynaecology, University of Tübingen, Tübingen, Germany. sara.brucker@med.uni-tuebingen.de

ABSTRACT

Background: The main study objectives were: to develop a set of requirements of comprehensive breast centres; to establish a nationwide voluntary certification programme for breast centres based on such requirements, a certified quality management system (QMS), and scheduled independent, external audits and periodic recertification; and to demonstrate the general acceptance of such a certification programme with a view to introducing similar certification programmes for other major cancers.

Methods: Breast centres introduced a QMS and voluntarily participated in an external certification procedure based on guideline-derived Requirements of Breast Centres specifically developed for the application procedure, all subsequent audits and recertification. All data (numbers of pending and successful applications, sites/centre, etc.) were collected by a newly founded, independent organisation for certification of cancer services delivery. Data analysis was descriptive.

Results: Requirements of Breast Centres were developed by the German Cancer Society (DKG), the German Society of Senology (DGS) and other relevant specialist medical societies in the form of a questionnaire comprising 185 essential items based on evidence-based guidelines and the European Society of Breast Cancer Specialists' (EUSOMA) requirements of specialist breast units. From late 2002 to mid 2008, the number of participating breast centres rose from 1 to 175. As of mid 2008, 77% of an estimated 50,000 new breast cancers in Germany were diagnosed and treated at certified breast centres, 78% of which were single-site centres.

Conclusion: Nationwide voluntary certification of breast centres is feasible and well accepted in Germany. Dual certification of breast centres that involves certification of breast services to guideline-derived requirements in conjunction with independent certification of a mandatory QMS can serve as a model for other multidisciplinary site-specific cancer centres.

Show MeSH
Related in: MedlinePlus