Zentrenbildung in der Allgemein- und Viszeralchirurgie - Notwendigkeit oder Trend?

Freys, Stephan M.; Strübe, Christina; Friedemann, Adolf; Franke, Axel

doi:10.1055/s-0031-1283830

Cited by 5 publications

(2 citation statements)

References 1 publication

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“…Liver resections for the curative treatment of metastatic colorectal cancer are performed three times as frequently in tertiary hospitals [66]. If one considers qualitatively significant parameters required in the S3 guideline for intestinal cancer surgery, a favorable effect of center formation is shown by comparison of the benchmark data of the gastrointestinal centers certified by the German Cancer Association with those of the General Clinical Cancer Registry (table 3) [67].…”

Section: Specialization and Center Formationmentioning

confidence: 99%

“…In the field of intensive care, the criteria of the society (Swiss Society for Intensive Care Medicine (SGI)) are used to evaluate the structural quality. [67] Overall, the concept of the list of criteria is very similar to the certification process of the German Society of General and Visceral Surgery (DGAV) [74]. In a graded certification scheme, the DGAV has outlined both structural requirements and Mm-R [74].…”

Section: Certification Criteria Of Surgical Societiesmentioning

confidence: 99%

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Minimum Volume Standards in Surgery - Are We There Yet

Bauer¹,

Honselmann

2017

Visc Med

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The quality of surgery is directly dependent on the quantity, more specifically, on the number of operations performed at a given hospital as well as on the designated surgeon. This fact is supported by numerous studies and meta-analyses that will be presented in the following text. Most of the convincing data for complex procedures can be obtained from visceral (upper and lower gastrointestinal) surgery studies. Mortality of large oncological procedures, such as esophageal or pancreatic surgery, can be reduced by 50% if a certain number of interventions are guaranteed per year. Centralizing these operations performed by specialized surgeons is the key to success. This also ensures that the minimum volume amounts within a given hospital are well above the required levels, thus enabling to teach the necessary expertise step by step. The obligatory ‘learning curve' for complex interventions cannot be completed within the framework of reference figures during residency training. Together, surgeons and their respective societies have introduced a proposal for efficient case-oriented centralized surgery. Whether ‘we are there yet' in surgery will depend in the end on how these efforts will be incorporated into administrative requirements and the guidelines that will then be implemented across the board.

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Section: Specialization and Center Formationmentioning

confidence: 99%

Section: Certification Criteria Of Surgical Societiesmentioning

confidence: 99%

Minimum Volume Standards in Surgery - Are We There Yet

Bauer¹,

Honselmann

2017

Visc Med

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Barrieren auf dem Weg zur DGAV-Zertifizierung „Zentrum für Adipositas- und metabolische Chirurgie“

Hasenberg

Weiner

Birk

et al. 2018

Chirurg

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Analysis of surgical quality indicators after certification as a Hernia Center

2023

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Certifications are an increasingly used tool of quality management in the health care system. The primary goal is to improve the quality of treatment due to implemented measures based on a defined catalog of criteria and standardization of the treatment processes. However, the extent to which this affects medical and health-economic indicators is unknown. Therefore, the study aims to examine the possible effects of the certification as a Reference Center for Hernia Surgery on the treatment quality and reimbursement dimensions. The observation and recording periods were defined as 3 years before (2013–2015) and 3 years after certification as a "Reference Center for Hernia Surgery" (2016–2018). Possible changes due to the certification were examined based on multidimensional data collection and analysis. In addition, the aspects of structure, process and result quality, and the reimbursement situation were reported. One thousand three hundred and nineteen cases before and one thousand four hundred and three cases after certification were included. After the certification, the patients were older (58.1 ± 16.1 vs. 64.0 ± 16.1 years, p < 0.01), had a higher CMI (1.01 vs. 1.06), and a higher ASA score (< III 86.9 vs. 85.5%, p < 0.01). The interventions became more complex (e.g., recurrent incisional hernias 0.5% vs. 1.9%, p < 0.01). The mean length of hospital stay was significantly reduced for incisional hernias (8.8 ± 5.8 vs. 6.7 ± 4.1 days, p < 0.001). The reoperation rate for incisional hernias also decreased significantly from 8.24 to 3.66% (p = 0.04). The postoperative complication rate for inguinal hernias was significantly reduced (3.1 vs. 1.1%, p = 0.002). The reimbursement of the hernia center increased by 27.6%. There were positive changes in process and outcome quality and reimbursement after the certification, which supports the effectivity of certifications in hernia surgery.

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Zentrenbildung in der Allgemein- und Viszeralchirurgie - Notwendigkeit oder Trend?

Cited by 5 publications

References 1 publication

Minimum Volume Standards in Surgery - Are We There Yet

Minimum Volume Standards in Surgery - Are We There Yet

Barrieren auf dem Weg zur DGAV-Zertifizierung „Zentrum für Adipositas- und metabolische Chirurgie“

Analysis of surgical quality indicators after certification as a Hernia Center

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