Neoplasms

Urinary Tract, Sexual Organs, and Pregnancy Conditions

All Conditions

Skin and Connective Tissue Diseases

Digestive System Diseases

Gland and Hormone Related Diseases

Nervous System Diseases

Respiratory Tract (Lung and Bronchial) Diseases

Rare Diseases

Prostatic Neoplasms

Breast Neoplasms

Pancreatic Neoplasms

Ovarian Neoplasms

Carcinoma, Ovarian Epithelial

Head and Neck Neoplasms

Central Nervous System Neoplasms

Carcinoma, Bronchogenic

Endometrial Neoplasms

Uterine Cervical Neoplasms

Carcinoma

Urogenital Neoplasms

Genital Diseases

Urogenital Diseases

Genital Diseases, Female

Female Urogenital Diseases

Pregnancy Complications

Female Urogenital Diseases and Pregnancy Complications

Genital Neoplasms, Female

Uterine Neoplasms

Uterine Diseases

Uterine Cervical Diseases

Bronchial Neoplasms

Lung Neoplasms

Respiratory Tract Neoplasms

Thoracic Neoplasms

Lung Diseases

Respiratory Tract Diseases

Pancreatic Cancer

Ovarian Cancer

Ovarian Epithelial Cancer

Cancer patients who have undergone substantial parts of inpatient treatment in a certified cancer centre.

Cancer patients who have not undergone inpatient treatment in a certified cancer centre.

Oncological certification encompasses a variety of criteria such as treatment according to the clinical guidelines, staffing, technical infrastructure, minimum caseloads, and multidisciplinary care.

Oncological certification

Assessment of the effectiveness of care in certified cancer centres for eight cancer entities via a retrospective cohort study based on secondary data from statutory health insurance funds and population-based clinical cancer registries.

Cancer constitutes the second most frequent cause of death in Germany. To maintain a high quality of treatment, the national cancer plan aims at a unified certification of cancer centres.

The project "Wirksamkeit der Versorgung in onkologischen Zentren" (WiZen) investigates effects of treatments in certified cancer centres across large populations and different cancer entities in comparison to hospitals that do not hold a certificate.

WiZen is a retrospective comparative cohort study that analyzes incident cases of eight types of cancer diagnosed within 2009-2017 based on nationwide health insurance data provided by WIdO (the AOK research institute) and data from regional clinical cancer registries (CCR) for the period 2006-2017. These eight types of cancer are colorectal cancer, pancreatic cancer, breast cancer, gynecologic tumors, lung cancer, prostate cancer, head and neck tumors and neuro-oncological tumors.

Effectiveness of Care in Certified Cancer Centres in Germany

Wirksamkeit Der Versorgung in Onkologischen Zentren

Survival after first hospitalization due to cancer

1- and 5-year survival after first hospitalization due to cancer

30-day mortality after first hospitalization due to cancer

2-, 3-, 4-year survival after first hospitalization due to cancer

Recurrence-free survival after cancer diagnosis

Cumulative recurrence rate after cancer diagnosis

1. Fractions of entity-specific surgery techniques
2. For head-neck-tumours: aspiration pneumonia due to swallowing dysfunctions

Fraction of patients in certified centres and in non-certified hospitals over time

Differences across outcomes in different counties or federal states

Differences in demographic characteristics, disease severity and risk factors across certified centres/non-certified hospitals

Patient's treatment pathways among general practitioners, specialists, and hospitals w.r.t. certification

Deduction of cancer severity levels through linkage of health insurance and cancer registry data

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization	Link
Effectiveness of Care in Certified Cancer Centres in Germany	NCT04334239	Colorectal Canc... Breast Cancer Ovarian Cancer Cervix Cancer Endometrial Can... Bronchial Cance... Prostate Cancer Head and Neck T... CNS Tumor Pancreatic Canc...	Oncological cer...	18 Years -	Technische Universität Dresden
Effectiveness of Care in Certified Cancer Centres in Germany	NCT04334239	Colorectal Canc... Breast Cancer Ovarian Cancer Cervix Cancer Endometrial Can... Bronchial Cance... Prostate Cancer Head and Neck T... CNS Tumor Pancreatic Canc...	Oncological cer...	18 Years -	Technische Universität Dresden

Spots Global Cancer Trial Database for cancer centres