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Table 2 Example quality indicators for each center/module type

From: Shifting cancer care towards Multidisciplinarity: the cancer center certification program of the German cancer society

Center/module Quality indicator definition Target value Sites meeting the target in 2015 Median Source
Breast Pretreatment histological confirmation (numerator: patients with pretreatment histological diagnosis confirmation by means of a punch or vacuum biopsy; population: patients with initial procedure and histology showing invasive breast cancer or DCIS as primary disease) ≥ 90% 97.5% (268/275) 97.6% Annual Report of Certified Breast Cancer Centers 2016 —Quality Indicators (in English) doi:10.13140/RG.2.1.1805.7204
Colorectal Quality of the TME rectum specimen (information from pathology; numerator: patients with good to moderate quality TME [grade 1: mesorectal fascia or grade 2: intramesorectal excisions]; population: patients with radically operated rectal cancer) ≥ 70% 98.5% (257/261) 95.2% Annual Report of Certified Colorectal Cancer Centers 2016 — Quality Indicators (in English) doi:10.13140/RG.2.1.3771.8001
Prostate Percutaneous radiotherapy with hormone ablation therapy for locally confined prostate carcinoma with high risk (numerator: primary cases with additional neoadjuvant and/or adjuvant hormone ablation therapy; population: primary cases with prostate carcinoma T1–2 N0 M0 with high risk (PSA > 20 ng/mL or Gleason score ≥ 8 or clinical stage T2c) and percutaneous radiotherapy No target in 2015 71.43% (93 sites) Annual Report of Certified Prostate Cancer Centers 2016 — Quality Indicators (in English) doi:10.13140/RG.2.1.3673.4969
Lung Combined chemoradiotherapy in stage IIIA4/IIIB (numerator: combined chemoradiotherapy in NSCLC primary cases in stage IIIA4/IIIB with ECOG 0/1; population: NSCLC primary cases in stage IIIA4/IIIB No target in 2015 39.6% Annual Report of Certified Lung Cancer Centers 2016 — Quality Indicators (in German) doi:10.13140/RG.2.1.3998.6327
Skin Malignant melanoma: sentinel-node biopsy (SNB, numerator: primary cases in which SNB was carried out; population: primary cases of primary cutaneous melanoma with a tumor thickness of ≥1 mm and no evidence of locoregional or distant metastasis) ≥ 80% 72.7% (32/44) 85.2% Annual Report of Certified Skin Cancer Centers 2016 — Quality Indicators (in German) doi:10.13140/RG.2.1.2227.2408
Ovary Postoperative chemotherapy for advanced ovarian carcinoma (numerator: primary surgical cases of FIGO IIB–IV ovarian carcinoma with postoperative chemotherapy; population: primary surgical cases of FIGO IIB–IV ovarian carcinoma and chemotherapy) No target in 2015 96.4% Annual Report of Certified Gynecological Cancer Centers 2016 — Quality Indicators (in German) doi:10.13140/RG.2.1.1052.0568
Cervix Histological confirmation No target in 2015 100.0% Annual Report of Certified Gynecological Cancer Centers 2016 — Quality Indicators (in German) doi:10.13140/RG.2.1.1052.0568
Head–neck Imaging in patients with oral cavity carcinoma to determine N category (numerator: patients with CT or MRI examinations of the region from the cranial base to the superior thoracic aperture to determine the N category; population: primary cases of patients with oral cavity carcinoma) No target in 2015 91.7% Annual Report of Certified Head and Neck Tumor Centers 2016 — Quality Indicators (in German) doi:10.13140/RG.2.1.2788.7609
CNS tumors Interdisciplinary case discussions (numerator: primary cases [elective patients: pre-interventional, emergency patients: post-interventional] presented at the tumor conference; population: primary cases), indicator not derived from clinical guidelines ≥ 95% 68.4% (13/19) 96.4% Annual Report of Certified Neuro-Oncological Tumor Centers 2016 — Quality Indicators (in German) doi:10.13140/RG.2.1.2788.7609
Pancreas Lymph-node examination (numerator: primary surgical cases of pancreas with ≥10 regional lymph nodes in the surgical specimen after completion of surgical treatment; population: primary surgical cases in pancreas (OPS 5–524 ff., 5–525 ff. only with ICD-10 C25) who have undergone lymphadenectomy) No target value in 2015 90.0% Annual Report of Certified Neuro-Oncological Tumor Centers 2016 — Quality Indicators (in German) doi:10.13140/RG.2.1.2788.7609
  1. CT, computed tomography; DCIS, ductal carcinoma in situ; DOI, digital object identifier; FIGO, Fédération Internationale de Gynécologie et d’Obstetrique; ICD, International Statistical Classification of Diseases and Health-Related Problems, 10th Revision; MRI, magnetic resonance imaging; NSCLC, non–small cell lung cancer; PSA, prostate-specific antigen; TME, total mesorectal excision