Regionale Verteilung der Cochlea-Implantat (CI)-versorgenden Einrichtungen in Deutschland

Stöver, Timo; Zeh, Roland; Gängler, B.; Plontke, S; Ohligmacher, S.; Deitmer, Thomas; Hupka, O.; Welkoborsky, Hans-J.; Schulz, Michael; Delank, W.; Strobel, Martin; Guntinas‐Lichius, Orlando; Lang, Stephan; Dietz, Andreas; Dazert, Stefan; Diensthuber, Marc

doi:10.1055/a-1302-0368

Cited by 8 publications

(4 citation statements)

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“…In a survey conducted in 2020 by the DGHNO-KHC in collaboration with the patient self-help group ( Deutsche Cochlea-Implantat Gesellschaft , DCIG), 70 of 170 ENT hospitals existing in Germany stated that they perform CI treatment. It must be noted that the number of hospitals participating in this survey was not complete, so that the authors assume a number of approximately 100 hospitals offering CI care [ 14 ]. Against this background, the number of hospitals (i.e., 75) that agreed to participate in the registry is even more impressive, as it obviously already corresponds to the majority of CI hospitals in Germany.…”

Section: Discussionmentioning

confidence: 99%

“…In parallel to the development of the CI guideline and the CI white paper for structuring the CI care process, an independent certification process for quality assurance of CI care was subsequently introduced in Germany [ 9 ]. As early as in 2016, after intensive discussion, the Executive Committee of the DGHNO-KHC made the decision to participate in the further development of quality control of CI care in a scientifically oriented manner.…”

Section: Methodsmentioning

confidence: 99%

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Struktur und Einrichtung des Deutschen Cochlea-Implantat-Registers (DCIR)

Stöver

Plontke

Guntinas‐Lichius

et al. 2023

HNO

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Hearing rehabilitation of patients with severe hearing loss or deafness using cochlear implants (CI) is a very successful but also complex and lifelong process that requires high quality standards for structure, process, and results. Medical registries represent an ideal tool for conducting quality control relevant to care while at the same time collecting scientific data. Therefore, at the initiative of the Executive Committee of the German Society of Oto-Rhino-Laryngology, Head and Neck Surgery (DGHNO-KHC), a Germany-wide CI registry (the German Cochlear Implant Register, DCIR) was to be established. The following goals were to be achieved: 1) legal and contractual basis for the register; 2) definition of the register contents; 3) development of evaluation standards (hospital-specific and national annual reports); 4) development of a logo; 5) practical operation of the registry. After defining a catalog of services that defines the content, structure, and operation of the DCIR, a registry operator with audiological expertise was sought. After considering various offers, the registry was technically implemented in cooperation with the provider INNOFORCE (Ruggell, Liechtenstein) as registry operator. This also included the realization of an interface for data transfer from previously existing databases and development of a data protection concept for productive operation of the DCIR under the scientific leadership of the DGHNO-KHC Executive Committee. Since January 2022, it has been possible for participating hospitals to enter pseudonymized data into the DCIR. To date, 75 hospitals in Germany have contractually agreed to participate in the registry. During the first 15 months, data from over 2500 implants in over 2000 patients were registered in the DCIR. The work presented here describes the structuring, development, and successful establishment of the DCIR. Introduction of the DCIR represents an important milestone of future scientifically based quality control in CI care. The registry presented here can therefore be considered as an example for other areas of medical care and thus also sets an international standard.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Struktur und Einrichtung des Deutschen Cochlea-Implantat-Registers (DCIR)

Stöver

Plontke

Guntinas‐Lichius

et al. 2023

HNO

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“…Considering already existing surveys on the density of care in Germany, there is an earlier work addressing this issue. In the survey initiated by the DGHNO-KHC in 2020 [ 14 ], all 170 ENT hospitals in Germany existing at that time were asked about the provision of CI care. In this survey, 70 hospitals indicated that they offered CI therapy.…”

Section: Discussionmentioning

confidence: 99%

Conception and implementation of a certification system for quality control of cochlear implant treatment in Germany

Stöver

Plontke

Guntinas‐Lichius

et al. 2023

HNO

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A standardized and structured process is indispensable for optimal hearing rehabilitation with cochlear implants (CI). The Executive Committee of the German Society of Otorhinolaryngology, Head and Neck Surgery (DGHNO-KHC), initiated the conception of a certification program and a Whitepaper based on the Association of the Scientific Medical Societies in Germany (AWMF) clinical practice guideline (CPG) describing the current medical standards of CI care in Germany. The goal was to independently confirm implementation of this CPG and make this information publicly available. With the support of an independent certification organization, successful implementation of the CI-CPG by a hospital would then be verified and confirmed by awarding the “Cochlear implant-provision institution” (Cochlea-Implantat-versorgende Einrichtung, CIVE) quality certificate. A structure for implementation of a certification system was developed based on the CI-CPG. The following steps were required: 1) conception of a quality control system for certification of hospitals working in accordance with the CI-CPG; 2) development of required structures for an independent review of quality-relevant structure, process, and result parameters; 3) development of a standard procedure for independent certification of hospitals; 4) development of a certificate and a logo to demonstrate successful certification; 5) practical implementation of the certification. Following design of the certification program and the required organizational structure, the certification system was successfully launched in 2021. Applications for the quality certificate could be formally submitted from September 2021. A total of 51 off-site evaluations were performed by December 2022. In the first 16 months from introduction, 47 hospitals were successfully certified as CIVE. In this period, 20 experts were trained as auditors, who have since then carried out 18 on-site audits in hospitals. In summary, the conceptual design, structure, and practical implementation of a certification program for quality control in CI care was successfully implemented in Germany.

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“…Germany can be considered as an example in this regard. Although at least 70 hospitals in Germany provide CI care and a CI CPG has already existed since 2001, the national CI registry is currently only in the implementation phase [ 19 , 20 ]. Other countries where there are currently efforts to establish a CI registry are Great Britain and Belgium.…”

Section: Discussionmentioning

confidence: 99%

Quality control in cochlear implant therapy: clinical practice guidelines and registries in European countries

Loth

Vazzana

Leinung

et al. 2022

Eur Arch Otorhinolaryngol

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Purpose The treatment with a cochlear implant (CI) is the gold standard in therapy of patients with profound hearing loss or deafness. Successful hearing rehabilitation with a CI is a complex, multi-stage process. In medicine, “Clinical Practice Guidelines” (CPG) are widely accepted for the standardization of such processes. These are supplemented by medical registries in which data regarding the treatment can be collected and evaluated. The aim of this paper is to identify currently existing CI-related CPGs and registries in Europe. Methods Between 01/2021 and 06/2021, 42 countries on the European continent, including the United Kingdom, Russia and Turkey, were screened using an internet search (search engine: Google) and a key word search in the Pubmed database. Search terms were the respective country name combined with the following terms: “Cochlear Implant”, “CI”, “Cochlear implant clinical practice guideline”, “CI Guideline”, “Cochlear Implant Registry”, “CI Registry”, “Ear nose throat society”. The internet search was conducted in English as well as in the corresponding national language. The objective was to identify a CI-related CPG or registry. Results A CPG was found in 16 of 42 (38%) countries. In terms of population, this accounts for 645 million out of 838 million people (77%). A registry existed in 4 of the 42 (10%) countries assessed. This corresponds to 102 million out of 838 million (12%) people. In total, 4 out of 42 countries (10%) had both a CPG and a registry. Conclusion Our work shows numerous efforts in Europe to standardize CI care at the national level. While most people in Europe already live in countries with a CPG, this is not the case for CI registries. European-wide consensus on CPGs or registries does not yet exist. The present study thus provides a first assessment of the distribution of CI-related CPGs and registries.

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Regionale Verteilung der Cochlea-Implantat (CI)-versorgenden Einrichtungen in Deutschland

Cited by 8 publications

References 1 publication

Struktur und Einrichtung des Deutschen Cochlea-Implantat-Registers (DCIR)

Struktur und Einrichtung des Deutschen Cochlea-Implantat-Registers (DCIR)

Conception and implementation of a certification system for quality control of cochlear implant treatment in Germany

Quality control in cochlear implant therapy: clinical practice guidelines and registries in European countries

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