gms | German Medical Science

27th German Cancer Congress Berlin 2006

German Cancer Society (Frankfurt/M.)

22. - 26.03.2006, Berlin

"Qualitätsoffensive Darmkrebs" - quality and transparency in integrated care models in colorectal cancer surgery

Meeting Abstract

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  • corresponding author presenting/speaker Torsten L. Hecke - Techniker Krankenkassse, Hamburg, Deutschland
  • Sabine Voermans - Techniker Krankenkassse, Hamburg
  • Susanne Merkel - Universitätsklinikum, Erlangen

27. Deutscher Krebskongress. Berlin, 22.-26.03.2006. Düsseldorf, Köln: German Medical Science; 2006. DocIS045

The electronic version of this article is the complete one and can be found online at:

Published: March 20, 2006

© 2006 Hecke et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.



Background: Research shows that performance of hospitals and surgeons are basic, important and independent factors influencing prognostic patterns and cost efficiency of the surgical treatment of colorectal cancers. "Qualitätsoffensive Darmkrebs" is an integrated care model to figure out factors influencing the prognosis and quality of life of the patients with colorectal cancer surgery. To achieve this aim, regional networks of hospitals and specialized physicians in their own practices have been settled upon an initiative of Techniker Krankenkasse (TK), a German Statutory Health Insurance, and of the hospital of the university of Erlangen. A defined benchmarking process describes the quality of processes and outcomes.

Methods: Data on treatment processes and outcomes of colorectal cancer surgery are documented in a standardised way (i.e. previous treatments, kind of surgical regime, histopathological findings, adjuvant therapy, follow-up examinations, others). Targets are defined (i.e. percentage of pre-surgery histological confirmed carcinomas, postoperative complications, percentage of R0-resections, others) and measured by an independent data trust centre. Results are offered to the participating hospitals in a complex, multi-step benchmark system. Hospitals receive results in de-anonymous form concerning their own results, in anonymous form for all other participating hospitals. All hospitals discuss the results in structured dialogues. Results of both, the benchmark system and the structured dialogues, are also offered to patients: clear and understandable information is created on the basis of consented discussions among all participating hospitals.

Conclusion and Discussion: With the present model of integrated care 'Qualitätsoffensive Darmkrebs' TK and participating hospitals perform a first step to more transparency and with that to more quality in colorectal cancer surgery. The outcomes and experiences of this project should be used in future to bring into routine similar and adequate structures in the treatment of other diseases.