Versorgungsstruktur und Qualität bei der Behandlung des Mammakarzinoms
| العنوان: | Versorgungsstruktur und Qualität bei der Behandlung des Mammakarzinoms |
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| المؤلفون: | Rita Hils, R. Stiliger, K. Gnauert, C. Jackisch, Uwe Wagner, R. Schwab, B. Misselwitz, A. du Bois |
| المصدر: | Geburtshilfe und Frauenheilkunde. 63:743-751 |
| بيانات النشر: | Georg Thieme Verlag KG, 2003. |
| سنة النشر: | 2003 |
| مصطلحات موضوعية: | Patterns of care, medicine.medical_specialty, business.industry, Breast surgery, medicine.medical_treatment, Receptor expression, General surgery, Obstetrics and Gynecology, Workload, medicine.disease, Surgery, Breast cancer, Maternity and Midwifery, medicine, Breast-conserving surgery, Stage (cooking), business, Quality assurance |
| الوصف: | Breast cancer is the most common female neoplasm in Germany with almost 50000 newly diagnosed cases per year. However, there are only very limited data available, reporting quality and pattern of care for these patients with respect to infrastructure, specialisation or experience (i.e. workload). This study evaluated the data from Hesse 1996 - 2002 using sources from the Statistische Landesamt Hessen, the hospital settlement of accounts, and the Qualitatssicherung Gynakologie Hessen with respect to selected quality variables. Surgery in about 3800 newly diagnosed breast cancers in Hesse was performed in more than 80 institutions with annual surgical procedures ranging from 1 to 270. The majority of variables analysed, e.g. documentation of TNM stage, evaluation of steroid receptor expression, ratio of breast conserving surgery, or the relation between breast surgery with or without histologically proven invasive breast cancer revealed significantly superior results for institutions with more experience (i.e. higher workload). Centralisation of breast cancer surgery at institutions with more than 50 cases per year might be a reasonable initial approach towards improving quality of care for breast cancer patients. However, further improvements of both the infrastructure in caregiver institutions and quality assurance and outcome evaluation systems are urgently needed. |
| تدمد: | 1438-8804 0016-5751 |
| DOI: | 10.1055/s-2003-42147 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::b7d43446381e9b1e0725fd472b3ef5c9 https://doi.org/10.1055/s-2003-42147 |
| رقم الانضمام: | edsair.doi...........b7d43446381e9b1e0725fd472b3ef5c9 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14388804 00165751 |
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| DOI: | 10.1055/s-2003-42147 |