Manfred Johannsen, Rolf Eichenauer, Jörg Klier, Frank König, Robert Schönfelder, Jörg Schröder, Elke Hempel, Christian Doehn
{"title":"[来自 d-uo 的最新消息:医疗保健研究可为肾细胞癌做出哪些贡献?]","authors":"Manfred Johannsen, Rolf Eichenauer, Jörg Klier, Frank König, Robert Schönfelder, Jörg Schröder, Elke Hempel, Christian Doehn","doi":"10.1007/s00120-024-02465-6","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Renal cell carcinoma (RCC) accounts for about 13.5% of all urological tumors. Healthcare research analyzes whether treatment recommendations from controlled studies or guidelines are being implemented in routine care. A prerequisite for the assessment and scientific study of the quality of care in the treatment of urological tumors is standardized documentation.</p><p><strong>Objectives: </strong>This article illustrates healthcare research in RCC by presenting current data from the prospective of the VERSUS study (VERSorgUngsStudie) by d‑uo (Deutsche Uro-Onkologen).</p><p><strong>Materials and methods: </strong>The VERSUS study is a noninterventional, prospective, multicentric study for the documentation and descriptive statistical analysis of the diagnosis, treatment, and aftercare of uro-oncological patients.</p><p><strong>Results: </strong>Of 25,065 patients currently included in the VERSUS study, 1976 have a diagnosis of RCC. Data regarding stage distribution, reason leading to initial diagnosis, distribution of symptomatic vs. asymptomatic patients as well as surgical margins from surgical treatment of RCC are presented.</p><p><strong>Conclusions: </strong>Despite providing interesting results, the VERSUS study remains limited with regard to the depth of the data, since it relies on the same dataset as the German cancer registry. In order to provide more comprehensive healthcare research, organ-related cancer registries like the Urothelial Cancer National Registry (UroNAT) and the Prostate Cancer National Registry (ProNAT) by d‑uo are necessary. These national cancer registries by d‑uo are unique in that they comprise all tumor stages. The Renal Cancer National Registry (ReNAT) by d‑uo is in preparation and will be a valuable contribution to quality assurance of oncological care in Germany.</p>","PeriodicalId":29782,"journal":{"name":"Urologie","volume":" ","pages":""},"PeriodicalIF":0.5000,"publicationDate":"2024-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"[Update from d-uo: what can healthcare research contribute to renal cell carcinoma?]\",\"authors\":\"Manfred Johannsen, Rolf Eichenauer, Jörg Klier, Frank König, Robert Schönfelder, Jörg Schröder, Elke Hempel, Christian Doehn\",\"doi\":\"10.1007/s00120-024-02465-6\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Renal cell carcinoma (RCC) accounts for about 13.5% of all urological tumors. Healthcare research analyzes whether treatment recommendations from controlled studies or guidelines are being implemented in routine care. A prerequisite for the assessment and scientific study of the quality of care in the treatment of urological tumors is standardized documentation.</p><p><strong>Objectives: </strong>This article illustrates healthcare research in RCC by presenting current data from the prospective of the VERSUS study (VERSorgUngsStudie) by d‑uo (Deutsche Uro-Onkologen).</p><p><strong>Materials and methods: </strong>The VERSUS study is a noninterventional, prospective, multicentric study for the documentation and descriptive statistical analysis of the diagnosis, treatment, and aftercare of uro-oncological patients.</p><p><strong>Results: </strong>Of 25,065 patients currently included in the VERSUS study, 1976 have a diagnosis of RCC. Data regarding stage distribution, reason leading to initial diagnosis, distribution of symptomatic vs. asymptomatic patients as well as surgical margins from surgical treatment of RCC are presented.</p><p><strong>Conclusions: </strong>Despite providing interesting results, the VERSUS study remains limited with regard to the depth of the data, since it relies on the same dataset as the German cancer registry. In order to provide more comprehensive healthcare research, organ-related cancer registries like the Urothelial Cancer National Registry (UroNAT) and the Prostate Cancer National Registry (ProNAT) by d‑uo are necessary. These national cancer registries by d‑uo are unique in that they comprise all tumor stages. 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引用次数: 0
摘要
背景:肾细胞癌(RCC)约占所有泌尿系统肿瘤的 13.5%。医疗保健研究分析了对照研究或指南中提出的治疗建议是否在常规护理中得到实施。对泌尿系统肿瘤治疗质量进行评估和科学研究的先决条件是标准化文件:本文通过介绍 d-uo(Deutsche Uro-Onkologen)的 VERSUS 研究(VERSorgUngsStudie)的前瞻性数据来说明 RCC 的医疗保健研究:VERSUS研究是一项非介入性、前瞻性、多中心研究,旨在对泌尿肿瘤患者的诊断、治疗和术后护理进行记录和描述性统计分析:在目前纳入 VERSUS 研究的 25065 名患者中,1976 人被诊断为 RCC。结果:在目前纳入 VERSUS 研究的 25,065 名患者中,1976 人被确诊为 RCC。研究提供了分期分布、导致初步诊断的原因、有症状与无症状患者的分布以及 RCC 手术治疗的手术切缘等方面的数据:尽管 VERSUS 研究提供了令人感兴趣的结果,但由于它依赖于与德国癌症登记处相同的数据集,因此在数据深度方面仍然存在局限性。为了提供更全面的医疗保健研究,有必要通过 d-uo 进行器官相关癌症登记,如全国泌尿系统癌症登记(UroNAT)和全国前列腺癌登记(ProNAT)。这些 d-uo 国家癌症登记处的独特之处在于它们涵盖了所有肿瘤分期。d-uo 的全国肾癌登记处(ReNAT)正在筹备中,它将为德国肿瘤治疗的质量保证做出重要贡献。
[Update from d-uo: what can healthcare research contribute to renal cell carcinoma?]
Background: Renal cell carcinoma (RCC) accounts for about 13.5% of all urological tumors. Healthcare research analyzes whether treatment recommendations from controlled studies or guidelines are being implemented in routine care. A prerequisite for the assessment and scientific study of the quality of care in the treatment of urological tumors is standardized documentation.
Objectives: This article illustrates healthcare research in RCC by presenting current data from the prospective of the VERSUS study (VERSorgUngsStudie) by d‑uo (Deutsche Uro-Onkologen).
Materials and methods: The VERSUS study is a noninterventional, prospective, multicentric study for the documentation and descriptive statistical analysis of the diagnosis, treatment, and aftercare of uro-oncological patients.
Results: Of 25,065 patients currently included in the VERSUS study, 1976 have a diagnosis of RCC. Data regarding stage distribution, reason leading to initial diagnosis, distribution of symptomatic vs. asymptomatic patients as well as surgical margins from surgical treatment of RCC are presented.
Conclusions: Despite providing interesting results, the VERSUS study remains limited with regard to the depth of the data, since it relies on the same dataset as the German cancer registry. In order to provide more comprehensive healthcare research, organ-related cancer registries like the Urothelial Cancer National Registry (UroNAT) and the Prostate Cancer National Registry (ProNAT) by d‑uo are necessary. These national cancer registries by d‑uo are unique in that they comprise all tumor stages. The Renal Cancer National Registry (ReNAT) by d‑uo is in preparation and will be a valuable contribution to quality assurance of oncological care in Germany.