Mindestmengen in der chirurgischen Behandlung des Lungenkarzinoms: Ein Meinungsbild von in Deutschland aktiven Thoraxchirurgen zur Einführung einer Mindestmengenregelung für die chirurgische Therapie des Lungenkarzinoms

URN to cite this document:

urn:nbn:de:bvb:355-epub-447775 Copy

DOI to cite this document:

10.5283/epub.44777 Copy

Robold, Tobias ; Ried, Michael ; Neu, Reiner ; Hofmann, Hans-Stefan

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License: Creative Commons Attribution 4.0 PDF - Published Version (1MB)

Date of publication of this fulltext: 09 Feb 2021 13:27

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Details

Item type:	Article
Open Access Type:	DEAL (Springer)
Journal or Publication Title:	Der Chirurg
Publisher:	SPRINGER HEIDELBERG
Place of Publication:	HEIDELBERG
Volume:	91
Page Range:	pp. 1053-1061
Date:	7 May 2020
Institutions:	Medicine > Abteilung für Thoraxchirurgie
Identification Number:	Value Type 10.1007/s00104-020-01185-9 DOI
Keywords:	SURVIVAL; OUTCOMES; IMPACT; SPECIALTY; HOSPITALS; THERAPY; Quality assurance; Thoracic surgery; Lung cancer; Quality of care; In-hospital mortality
Dewey Decimal Classification:	600 Technology > 610 Medical sciences Medicine
Status:	Published
Refereed:	Unknown
Created at the University of Regensburg:	Yes
Item ID:	44777

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Abstract

Background The Federal Joint Committee (G-BA) is currently discussing the introduction of new minimum volume regulations (MVR) in Germany. The present study examined the current opinions of active thoracic surgeons regarding minimum volumes (MV) for the surgical treatment of lung cancer. Methods The participating centers for the online survey were identified on the basis of the thoracic surgery ...

Abstract

Background The Federal Joint Committee (G-BA) is currently discussing the introduction of new minimum volume regulations (MVR) in Germany. The present study examined the current opinions of active thoracic surgeons regarding minimum volumes (MV) for the surgical treatment of lung cancer. Methods The participating centers for the online survey were identified on the basis of the thoracic surgery departments in the 2017 hospital directory (Federal Statistical Office), lung cancer centers (German Cancer Society), certified centers of excellence for thoracic surgery (German Society for Thoracic Surgery), hospitals with a focus on lung surgery and German university hospitals. They were asked about the potential effects of MVR on the quality of results and quality of care, economic aspects and the structure of care. Furthermore, a recommendation for MV was requested and possible provisions for exemption were evaluated. Results A total of 145 hospitals (response rate 85%) with 454 thoracic surgeons (response rate 54%) were surveyed. The results showed a high degree of approval for MV to improve the quality of results and 78.4% of the surgeons surveyed expected it to result in centralization of surgical care, although this would not lead to a deterioration in care according to 70.1% of the participants. Approximately 46.1% of the participants expected care to become more economical and 83.3% supported the introduction of an MVR, with the average recommended MV being 67 anatomical lung resections per center per year. Conclusion An MVR for the surgical treatment of lung cancer met with a high degree of approval among active thoracic surgeons. The MV that was called for (n & x202f;=& x202f;67) was slightly below the prerequisite for primary surgical cases at a certified lung cancer center.

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Metadata last modified: 16 Jan 2025 15:00

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