title: [Treatment mapping of prostate cancer in DVPZ prostate centers in Germany].
abstract: BACKGROUND
  In prostate centers of the Governing Body of German Prostate Centers (DVPZ, Dachverband der Prostatazentren Deutschlands e.V.) treatment data from 3 university clinics, 21 treatment clinics, 3 private clinics and 330 general practitioners incorporated under 22 certificates are collated, in order to document the quality and type of cross-sectoral and interdisciplinary treatment, in particular of prostate cancer (PCA) patients.
  
  
  METHODS
  This analysis is based on the DVPZ UroCloud data sets from 20 July 2015. The UroCloud reflects the web-based chronological disease development and quality parameters. For the descriptive analysis of particular key figures, available complete data sets were selected.
  
  
  RESULTS
  Of the centers 22 held a valid certificate and fulfilled all required case numbers and structural prerequisites at the primary certification or recertification. In three cases a reauditing led to requirements before certification. Since 2005 a total of 9650 PCA patients have been pseudonymized and followed up (41,247 follow-up forms, 4.3 forms per patient). In 2014 the median number of newly documented PCA patients was 61 per center (minimum 7 and maximum 295). Radical prostatectomy (RP) dominated with 4491 (56 %) cases followed by primary hormonal therapy (1210 cases, 15 %), irradiation (809, 10 %) and non-interventional therapy, such as active surveillance (AS) or watchful waiting (WW) in 760 cases (10 %). A prostate-specific antigen (PSA) reduction was documented in 50 % of the patients with a preoperative PSA value > 20, in 60 % of pT4 tumors and in 50 % of patients with a tumor Gleason score of 9-10. A positive incision margin (R+) was found in in 15 % of pT2 stages, 41 % of pT3 stages and 85 % of pT4 stages. A secondary intervention was documented in 6.5 % of RP.
  
  
  CONCLUSIONS
  The DVPZ certificate reflects the complete spectrum of treatment of PCA patients. The strength of the certificate lies in the documentation of patient development and a simultaneous collation of quality parameters.
authors.affiliation: PZ Köln (Campus Longerich, Campus Universitätsklinikum), Köln, Deutschland. R.Berges@DVPZ.de.|Dachverband der Prostatazentren Deutschlands e.V., Claire-Waldoff-Straße 3, 10117, Berlin, Deutschland. R.Berges@DVPZ.de.
authors.forename: R
authors.initials: R
authors.lastname: Berges
authors.affiliation: PZ Metropolregion Nürnberg, Nürnberg, Deutschland.|Dachverband der Prostatazentren Deutschlands e.V., Claire-Waldoff-Straße 3, 10117, Berlin, Deutschland.
authors.forename: T
authors.initials: T
authors.lastname: Ebert
authors.affiliation: PZ Hochfranken-Fichtelgebirge, Marktredwitz, Deutschland.
authors.forename: W
authors.initials: W
authors.lastname: Schafhauser
authors.affiliation: PZ Freiburg, Freiburg, Deutschland.
authors.forename: W
authors.initials: W
authors.lastname: Schultze-Seemann
authors.affiliation: PZ Köln (Campus Longerich, Campus Universitätsklinikum), Köln, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Braun
authors.affiliation: PZ Köln (Campus Longerich, Campus Universitätsklinikum), Köln, Deutschland.
authors.forename: J
authors.initials: J
authors.lastname: Herden
authors.affiliation: Kompetenznetz Prostata Siegen, Siegen, Deutschland.
authors.forename: P
authors.initials: P
authors.lastname: Weib
authors.affiliation: PZ Niederrhein, Wesel, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Garcia Schürmann
authors.affiliation: PZ Moers, Moers, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Reimann
authors.affiliation: PZ Nürnberg-Mittelfranken, Nürnberg, Deutschland.
authors.forename: C
authors.initials: C
authors.lastname: Bornhof
authors.affiliation: PZ Bocholt, Bocholt, Deutschland.
authors.forename: F
authors.initials: F
authors.lastname: Oberpenning
authors.affiliation: PZ Nymphenburg, München, Deutschland.
authors.forename: P
authors.initials: P
authors.lastname: Baur
authors.affiliation: PZ Leverkusen, Leverkusen, Deutschland.
authors.forename: J
authors.initials: J
authors.lastname: Zumbé
authors.affiliation: PZ Münsterland, Münster, Deutschland.
authors.forename: E
authors.initials: E
authors.lastname: Gronau
authors.affiliation: Berliner PZ, Berlin, Deutschland.
authors.forename: W
authors.initials: W
authors.lastname: Diederichs
authors.affiliation: PZ Emsland, Lingen, Deutschland.
authors.forename: O A
authors.initials: OA
authors.lastname: Brinkman
authors.affiliation: PZ West, Velbert, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Goepel
authors.affiliation: PZ am Alfried Krupp-Krankenhaus, Essen, Deutschland.
authors.forename: A
authors.initials: A
authors.lastname: Göll
authors.affiliation: PZ Rhein-Ruhr, Oberhausen, Deutschland.
authors.forename: K
authors.initials: K
authors.lastname: Hoefner
authors.affiliation: PZ der UCM, Planegg, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Kriegmair
authors.affiliation: PZ Elbe-Weser, Stade, Deutschland.
authors.forename: S
authors.initials: S
authors.lastname: Laabs
authors.affiliation: PZ Emscher-Lippe, Gladbeck, Deutschland.
authors.forename: B
authors.initials: B
authors.lastname: Planz
authors.affiliation: PZ Mainspitze, Rüsselsheim, Deutschland.
authors.forename: G
authors.initials: G
authors.lastname: Platz
authors.affiliation: Euro-Prostatazentrum Aachen, Aachen, Deutschland.|Dachverband der Prostatazentren Deutschlands e.V., Claire-Waldoff-Straße 3, 10117, Berlin, Deutschland.
authors.forename: A
authors.initials: A
authors.lastname: Heidenreich
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005858:Germany / Q000453:epidemiology; D019983:Guideline Adherence / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008495:Medical Oncology / Q000592:standards; D008875:Middle Aged; D016522:Oncology Service, Hospital / Q000592:standards* / Q000706:statistics & numerical data*; D017410:Practice Guidelines as Topic; D011471:Prostatic Neoplasms / Q000453:epidemiology* / Q000628:therapy*; D011785:Quality Assurance, Health Care / Q000592:standards / Q000706:statistics & numerical data*; D012042:Registries; D016896:Treatment Outcome
keywords: Certification; Disease courses; Healthcare research; Prostatectomy, radical; Quality management