The UCT has established a centralized data collection of all UCT cancer patients (UCT clinical cancer registry) and provides data analysis and regular reporting to clinical departments for certification, quality management and research purposes.
The UCT clinical cancer registry has implemented the IT system Gießener Tumor Documentation System (GTDS) and all data are centrally documented, thereby unifying and standardizing documentation (with the exception of ODSeasy in the Breast Cancer Center). Simultaneously, the clinical information system (ORBIS) has been electronically adapted to export patient data and parts of structured clinical information into GTDS.
At the University Hospital Frankfurt, GTDS was started in 2011 and all patients diagnosed with cancer after Jan 1st, 2012 are fully documented as inpatients and outpatients, with documentation of their complete history, diagnostic workup, (multimodality) treatment and follow-up information. This includes the entire basic data set (“ADT / GEKID Basisdatensatz”). Additionally, extensions have been consented within each clinical department. At the Nordwest Hospital, extensive tumor documentation was started in 2014.
The UCT clinical cancer registry evaluates quality indicators and key data for the “Oncology Center” and “organ centers”, certified by the DKG (Deutsche Krebsgesellschaft). Quarterly metrics are reported to clinical departments. Importantly, the data is used to monitor patient outcome, for research purposes and clinical trial documentation.
Baseline epidemiological data as well as clinical cancer registry data are transferred at regular intervals to the clinico-epidemiological cancer registry of the state of Hesse (Krebsregister Hessen, Landesärztekammer Link), which returns mortality data back to the UCT cancer registry, thereby increasing follow-up data and allowing survival analyses.
The tumor documentation itself is done by trained medical documentation specialists and documentation assistants. The documentation is performed as timely as possible. Follow-up is centrally organized in the UCT to reach a maximum of coverage.