Relationship between volume of services and quality of treatment outcome in the surgical treatment of breast cancer - rapid report IQWiG reports - commission no. V18-05
RESEARCH QUESTION: The aim of this investigation is to 1. present and assess any correlation between the volume of services (VoS) and the quality of the treatment outcome in the surgical treatment of primary mammary carcinoma (research question 1) and2. present studies which investigate the effects...
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| Format: | eBook |
| Language: | English |
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Köln Germany
Institute for Quality and Efficiency in Health Care
2020, 2020
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| Edition: | Version 1.0 |
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| Online Access: | |
| Collection: | National Center for Biotechnology Information - Collection details see MPG.ReNa |
| Summary: | RESEARCH QUESTION: The aim of this investigation is to 1. present and assess any correlation between the volume of services (VoS) and the quality of the treatment outcome in the surgical treatment of primary mammary carcinoma (research question 1) and2. present studies which investigate the effects of a minimum number of cases introduced into the healthcare system on the quality of the treatment outcome in the surgical treatment of primary mammary carcinoma (research question 2).If this process reveals data on a correlation between VoS and quality of treatment outcome in palliative surgery, they will be presented as supplementary information. CONCLUSION: For the investigation of any correlation between VoS and treatment quality in the surgical treatment of breast cancer, a total of 10 studies were included. One of the 10 included studies was assessed as having a high informative value of results. No studies of meaningful interpretive value were found which investigated any correlation between VoS and treatment quality reflected by other outcomes, such as adverse effects of therapy, local recurrence, disease-free survival, or health-related quality of life. Further, it was not possible to include studies of meaningful interpretive value investigating any effects of specifically introduced minimum case numbers For the outcome of all-cause mortality, based on a high informative value of results, a correlation between both hospital and doctor VoS and treatment quality was derived. Hence, a higher VoS is associated with lower mortality rates. For other mortality outcomes (breast cancer mortality and other-cause mortality), based on a low informative value of results, a correlation was found either only on the hospital level or only on the doctor level. Again, the results showed lower mortality for these levels. With respect to performing a reoperation, based on a low informative value of results, it was possible to derive a correlation between both doctor and hospital VoS and treatment quality. At the hospital level, a correlation between VoS and treatment quality was apparent even in comparison with the intermediate VoS category. The results show lower reoperation rates in higher VoS categories. |
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| Item Description: | Translation of Chapters 1 to 7 of the rapid report V18-05 Zusammenhang zwischen Leistungsmenge und Qualität des Behandlungsergebnisses bei der chirurgischen Behandlung des Brustkrebses (Version 1.0; Status: 13 January 2020 [German original], 3 March 2020 [English translation]) |
| Physical Description: | 1 PDF file (viii, 62 pages) |