Burden or relief: do second-opinion centers influence the quality of care delivered to patients with testicular germ cell cancer?

European Urology
M SchraderA Heidenreich

Abstract

To improve the quality of care, the German Testicular Cancer Study Group (GTCSG) has been publishing a series of testicular germ cell cancer guidelines since 1996. These guidelines were updated in the 2008 publication, "European Consensus on Diagnosis and Treatment of Germ Cell Cancer." Several studies have shown that published guidelines have a limited effect on clinical practice. For this reason, the GTCSG made a further effort in 2006 to improve the quality of care by establishing a national second-opinion system for therapy planning for patients who underwent orchiectomy and staging evaluations. The primary aim was to analyze the influence of the second-opinion system on guideline implementation with a view to improving the quality of care. An Internet data exchange was established between the urologist seeking advice and the second-opinion centers. Second-opinion centers were 18 clinics that had contributed toward developing treatment guidelines. Data sets included the primary clinical, radiologic, and pathohistologic data; the planned therapy; the therapy recommended by the second-opinion center; and the follow-up. From February 2006 to September 2008, 642 second opinions were requested. The therapy planned by the urologi...Continue Reading

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Citations

May 3, 2014·Oncology Reports·Friedemann ZengerlingUNKNOWN GTCSG (German Testicular Cancer Study Group)
Oct 13, 2010·Der Internist·F HoneckerC Bokemeyer
Mar 24, 2016·Japanese Journal of Clinical Oncology·Dong Wook ShinJong Hyock Park
Sep 25, 2016·The Journal of Urology·Kevin M WymerScott E Eggener
May 16, 2018·Oncology Research and Treatment·David PfisterFriederike Haidl
Feb 29, 2020·Diseases of the Colon and Rectum·Ana C De RooSamantha Hendren
Jul 22, 2018·European Journal of Cancer Care·Kim-Lin ChiewShalini K Vinod
Nov 13, 2020·Inquiry : a Journal of Medical Care Organization, Provision and Financing·Ayan MaoWuqi Qiu
May 18, 2021·Mayo Clinic Proceedings. Innovations, Quality & Outcomes·Michael Halasy, Jason Shafrin

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