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Certification of breast centres in Germany: proof of concept for a prototypical example of quality assurance in multidisciplinary cancer care.
BMC Cancer. 2009 Jul 14; 9:228.BC

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.

Authors+Show Affiliations

German Society of Senology, and Department of Obstetrics and Gynaecology, University of Tübingen, Tübingen, Germany. sara.brucker@med.uni-tuebingen.deNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19602242

Citation

Brucker, Sara Y., et al. "Certification of Breast Centres in Germany: Proof of Concept for a Prototypical Example of Quality Assurance in Multidisciplinary Cancer Care." BMC Cancer, vol. 9, 2009, p. 228.
Brucker SY, Bamberg M, Jonat W, et al. Certification of breast centres in Germany: proof of concept for a prototypical example of quality assurance in multidisciplinary cancer care. BMC Cancer. 2009;9:228.
Brucker, S. Y., Bamberg, M., Jonat, W., Beckmann, M. W., Kämmerle, A., Kreienberg, R., & Wallwiener, D. (2009). Certification of breast centres in Germany: proof of concept for a prototypical example of quality assurance in multidisciplinary cancer care. BMC Cancer, 9, 228. https://doi.org/10.1186/1471-2407-9-228
Brucker SY, et al. Certification of Breast Centres in Germany: Proof of Concept for a Prototypical Example of Quality Assurance in Multidisciplinary Cancer Care. BMC Cancer. 2009 Jul 14;9:228. PubMed PMID: 19602242.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Certification of breast centres in Germany: proof of concept for a prototypical example of quality assurance in multidisciplinary cancer care. AU - Brucker,Sara Y, AU - Bamberg,Michael, AU - Jonat,Walter, AU - Beckmann,Matthias W, AU - Kämmerle,Andreas, AU - Kreienberg,Rolf, AU - Wallwiener,Diethelm, Y1 - 2009/07/14/ PY - 2008/12/11/received PY - 2009/07/14/accepted PY - 2009/7/16/entrez PY - 2009/7/16/pubmed PY - 2009/12/16/medline SP - 228 EP - 228 JF - BMC cancer JO - BMC Cancer VL - 9 N2 - 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. SN - 1471-2407 UR - https://www.unboundmedicine.com/medline/citation/19602242/Certification_of_breast_centres_in_Germany:_proof_of_concept_for_a_prototypical_example_of_quality_assurance_in_multidisciplinary_cancer_care_ L2 - https://bmccancer.biomedcentral.com/articles/10.1186/1471-2407-9-228 DB - PRIME DP - Unbound Medicine ER -