So rarely were follow-up operations necessary because the malignant tumours were incompletely removed in the first operation or only removed without a sufficient safety margin
Although the result is not in the target area, the quality target is still considered to have been achieved. For more information, see "All information (click here)".
The finding that the patients have breast cancer was confirmed by a tissue examination before treatment
Code ID
51846
Result (%)
100,00
Evaluation through structured dialogue
The result is in the target area - the quality target is therefore considered to have been fully achieved. (R10)
Population
18
Events observed
18
Anticipated events
0,00
Result trend compared with the previous reporting year
eingeschränkt/nicht vergleichbar
Comparison with the previous reporting year
eingeschränkt/nicht vergleichbar
National result (%)
98,21
Target range (reference range)
>= 95,00 %
Confidence interval nationwide (%)
98,11 - 98,30
Hospital confidence interval (%)
82,41 - 100,00
Reference infection
No
Type of value
QI
Relation to the procedure
DeQS
Reference to other QA results
Sorting
Risk-adjusted rate
Comments/explanations by the competent authority at national or state level
Comments/explanations by the hospital
Specialist note IQTIG
The reference range indicates the range in which the results of an indicator are assessed as normal. A facility with a result outside the reference range is initially computationally conspicuous, which usually results in an analysis in the structured dialog. It should be noted that an indicator result outside the reference range is not synonymous with a poor quality of the facility in the quality aspect considered here. The deviation can also e.g. be traceable to incorrect documentation or to individual cases. Quality is assessed in the context of the structured dialogue with the institutions. Due to adjustments to the QS filter, the results of this quality indicator can only be compared to the previous year's results to a limited extent. Further information on the adjustments made can be found in the description of the quality indicators at the following link: https://iqtig.org/qs-verfahren/.
Preoperative wire marking of non-palpable findings with microcalcification
Code ID
212000
Result (%)
Data protection
Evaluation through structured dialogue
An evaluation is not possible because there were no patients in the hospital to whom this quality criterion could be applied. (N01)
Population
Data protection
Events observed
Data protection
Anticipated events
Data protection
Result trend compared with the previous reporting year
Comparison with the previous reporting year
eingeschränkt/nicht vergleichbar
National result (%)
95,04
Target range (reference range)
>= 80,95 % (5. Perzentil)
Confidence interval nationwide (%)
94,52 - 95,52
Hospital confidence interval (%)
0,00 - 0,00
Reference infection
No
Type of value
QI
Relation to the procedure
DeQS
Reference to other QA results
Sorting
Risk-adjusted rate
Comments/explanations by the competent authority at national or state level
Comments/explanations by the hospital
Specialist note IQTIG
The reference range indicates the results at which a facility can be assumed to provide good quality of care, although deviations are possible. The reference range thus defines a benchmark for the evaluation of facilities. A result outside the reference range is initially considered conspicuous. This usually results in an analysis by means of a statement procedure. It should be noted that a quality result outside the reference range is not synonymous with a lack of quality of the facility in the quality aspect under consideration here. The deviation may also be due, for example, to incorrect documentation, special medical features of the patient population or individual cases. The assessment of quality is carried out within the framework of the defined procedure in the statement procedure. Further infor
Preoperative wire marking of non-palpable findings without microcalcifications
Code ID
212001
Result (%)
Data protection
Evaluation through structured dialogue
The result is in the target area - the quality target is therefore considered to have been fully achieved. (R10)
Population
Data protection
Events observed
Data protection
Anticipated events
Data protection
Result trend compared with the previous reporting year
eingeschränkt/nicht vergleichbar
Comparison with the previous reporting year
eingeschränkt/nicht vergleichbar
National result (%)
85,86
Target range (reference range)
>= 54,43 % (5. Perzentil)
Confidence interval nationwide (%)
85,40 - 86,30
Hospital confidence interval (%)
0,00 - 0,00
Reference infection
No
Type of value
QI
Relation to the procedure
DeQS
Reference to other QA results
Sorting
Risk-adjusted rate
Comments/explanations by the competent authority at national or state level
Comments/explanations by the hospital
Specialist note IQTIG
The reference range indicates the results at which a facility can be assumed to provide good quality of care, although deviations are possible. The reference range thus defines a benchmark for the evaluation of facilities. A result outside the reference range is initially considered conspicuous. This usually results in an analysis by means of a statement procedure. It should be noted that a quality result outside the reference range is not synonymous with a lack of quality of the facility in the quality aspect under consideration here. The deviation may also be due, for example, to incorrect documentation, special medical features of the patient population or individual cases. The assessment of quality is carried out within the framework of the defined procedure in the statement procedure. Further infor
The removed tissue is checked by means of an X-ray or ultrasound examination during the operation. (This is necessary to ensure that the diseased part has been removed as completely as possible. For this purpose, the diseased part of the breast to be removed was marked by X-ray with a wire before the operation).
Code ID
52330
Result (%)
Data protection
Evaluation through structured dialogue
An evaluation is not possible because there were no patients in the hospital to whom this quality criterion could be applied. (N01)
Population
Data protection
Events observed
Data protection
Anticipated events
Data protection
Result trend compared with the previous reporting year
Comparison with the previous reporting year
eingeschränkt/nicht vergleichbar
National result (%)
99,39
Target range (reference range)
>= 95,00 %
Confidence interval nationwide (%)
99,26 - 99,50
Hospital confidence interval (%)
0,00 - 0,00
Reference infection
No
Type of value
QI
Relation to the procedure
DeQS, QS-Planung
Reference to other QA results
Sorting
Risk-adjusted rate
Comments/explanations by the competent authority at national or state level
Comments/explanations by the hospital
Specialist note IQTIG
This indicator is a planning-relevant quality indicator. Locations where there is a statistical abnormality are requested by IQTIG to submit a statement. The purpose of this opinion process is to clarify whether there are reasons to believe that, despite statistical abnormalities in the quality results, there is no insufficient quality. The quality is assessed as part of the subsequent technical clarification with the support of specialist commissions from the IQTIG. The results of this indicator and the evaluation of the quality are forwarded to the state authorities responsible for hospital planning, to the state associations of health insurance companies and to the replacement funds. Further information on the planning-relevant quality indicators can be found under the following link: https://www.iqtig.org/qs-instrument/planungsrelevante-qualitaetsindikatoren/. The reference range indicates the range in which the results of an indicator are assessed as normal. A facility with a result outside the reference range is initially computationally conspicuous, which usually results in an analysis in the structured dialog. It should be noted that an indicator result outside the reference range is not synonymous with a poor quality of the facility in the quality aspect considered here. The deviation can also e.g. be traceable to incorrect documentation or to individual cases. Quality is assessed in the context of the structured dialogue with the institutions. Due to adjustments to the QS filter, the results of this quality indicator can only be compared to the previous year's results to a limited extent. Further information on the adjustments made can be found in the description of the quality indicators at the following link: https://iqtig.org/qs-verfahren/.
The removed tissue is checked by means of an X-ray or ultrasound examination during the operation. (This is necessary to ensure that the diseased part has been removed as completely as possible. For this purpose, the diseased part of the breast to be removed was marked by ultrasound with a wire before the operation).
Code ID
52279
Result (%)
Data protection
Evaluation through structured dialogue
The result is in the target area - the quality target is therefore considered to have been fully achieved. (R10)
Population
Data protection
Events observed
Data protection
Anticipated events
Data protection
Result trend compared with the previous reporting year
eingeschränkt/nicht vergleichbar
Comparison with the previous reporting year
eingeschränkt/nicht vergleichbar
National result (%)
98,99
Target range (reference range)
>= 95,00 %
Confidence interval nationwide (%)
98,86 - 99,09
Hospital confidence interval (%)
0,00 - 0,00
Reference infection
No
Type of value
QI
Relation to the procedure
DeQS, QS-Planung
Reference to other QA results
Sorting
Risk-adjusted rate
Comments/explanations by the competent authority at national or state level
Comments/explanations by the hospital
Specialist note IQTIG
This indicator is a planning-relevant quality indicator. Locations where there is a statistical abnormality are requested by IQTIG to submit a statement. The purpose of this opinion process is to clarify whether there are reasons to believe that, despite statistical abnormalities in the quality results, there is no insufficient quality. The quality is assessed as part of the subsequent technical clarification with the support of specialist commissions from the IQTIG. The results of this indicator and the evaluation of the quality are forwarded to the state authorities responsible for hospital planning, to the state associations of health insurance companies and to the replacement funds. Further information on the planning-relevant quality indicators can be found under the following link: https://www.iqtig.org/qs-instrument/planungsrelevante-qualitaetsindikatoren/. The reference range indicates the range in which the results of an indicator are assessed as normal. A facility with a result outside the reference range is initially computationally conspicuous, which usually results in an analysis in the structured dialog. It should be noted that an indicator result outside the reference range is not synonymous with a poor quality of the facility in the quality aspect considered here. The deviation can also e.g. be traceable to incorrect documentation or to individual cases. Quality is assessed in the context of the structured dialogue with the institutions. Due to adjustments to the QS filter, the results of this quality indicator can only be compared to the previous year's results to a limited extent. Further information on the adjustments made can be found in the description of the quality indicators at the following link: https://iqtig.org/qs-verfahren/.
The lymph nodes in the armpit were completely removed (related to patients who had early-stage breast cancer)
Code ID
2163
Result (%)
Data protection
Evaluation through structured dialogue
The result is in the target area - the quality target is therefore considered to have been fully achieved. (R10)
Population
Data protection
Events observed
Data protection
Anticipated events
Data protection
Result trend compared with the previous reporting year
eingeschränkt/nicht vergleichbar
Comparison with the previous reporting year
eingeschränkt/nicht vergleichbar
National result (%)
0,04
Target range (reference range)
Sentinel Event
Confidence interval nationwide (%)
0,01 - 0,13
Hospital confidence interval (%)
0,00 - 0,00
Reference infection
No
Type of value
QI
Relation to the procedure
DeQS, QS-Planung
Reference to other QA results
Sorting
Risk-adjusted rate
Comments/explanations by the competent authority at national or state level
Comments/explanations by the hospital
Specialist note IQTIG
This indicator is a quality indicator relevant to planning. Sites with a statistical anomaly are requested by the IQTIG to submit a statement. The aim of this commenting procedure is to clarify whether there are reasons to conclude that the quality results are not inadequate despite statistical anomalies. The assessment of quality in the context of the subsequent technical clarification is carried out by IQTIG with the support of expert commissions. The results for this indicator and the assessment of quality are forwarded to the Land authorities responsible for hospital planning, to the Land associations of health insurance funds and to the substitute health insurance funds. More detailed information on the quality indicators relevant to planning can be found at the following link, https://www.iqtig.org/qs-instrumente/planungsrelevante-qualitaetsindikatoren/. The reference range indicates in which range the results of an indicator are assessed as inconspicuous. A facility with a result outside the reference range is initially mathematically conspicuous: this usually entails an analysis in the Structured Dialogue. It should be noted that an indicator result outside the reference range is not synonymous with a lack of quality of the facility in the quality aspect considered here. The deviation may also be attributable, for example, to faulty documentation or to individual cases. Quality is assessed within the framework of the structured dialogue with the facilities. The results of this quality indicator are only comparable with the previous year's results to a limited extent due to adjustments in the QA filter. More information on the adjustments made can be found in the description of the quality indicators under the following link, https://iqtig.org/qs-verfahren/.
The lymph nodes in the armpit were removed (for patients who have early-stage breast cancer and whose breasts are not removed but are operated on to preserve them)
Code ID
50719
Result (%)
Data protection
Evaluation through structured dialogue
The result is in the target area - the quality target is therefore considered to have been fully achieved. (R10)
Population
Data protection
Events observed
Data protection
Anticipated events
Data protection
Result trend compared with the previous reporting year
eingeschränkt/nicht vergleichbar
Comparison with the previous reporting year
eingeschränkt/nicht vergleichbar
National result (%)
3,35
Target range (reference range)
<= 5,00 %
Confidence interval nationwide (%)
2,90 - 3,87
Hospital confidence interval (%)
0,00 - 0,00
Reference infection
No
Type of value
QI
Relation to the procedure
DeQS
Reference to other QA results
Sorting
Risk-adjusted rate
Comments/explanations by the competent authority at national or state level
Comments/explanations by the hospital
Specialist note IQTIG
The reference range indicates the range in which the results of an indicator are assessed as normal. A facility with a result outside the reference range is initially computationally conspicuous, which usually results in an analysis in the structured dialog. It should be noted that an indicator result outside the reference range is not synonymous with a poor quality of the facility in the quality aspect considered here. The deviation can also e.g. be traceable to incorrect documentation or to individual cases. Quality is assessed in the context of the structured dialogue with the institutions. The results of this quality indicator can only be compared to the previous year's results to a limited extent due to adjustments to the calculation rule of the indicator. Further information on the adjustments made can be found in the description of the quality indicators at the following link: https://iqtig.org/qs-verfahren/.
The removal of the sentinel lymph nodes was appropriate for medical reasons (cancer cells are most likely to settle in the sentinel lymph nodes first)
Code ID
51847
Result (%)
Data protection
Evaluation through structured dialogue
The result is in the target area - the quality target is therefore considered to have been fully achieved. (R10)
Population
Data protection
Events observed
Data protection
Anticipated events
Data protection
Result trend compared with the previous reporting year
eingeschränkt/nicht vergleichbar
Comparison with the previous reporting year
eingeschränkt/nicht vergleichbar
National result (%)
96,99
Target range (reference range)
>= 90,00 %
Confidence interval nationwide (%)
96,79 - 97,18
Hospital confidence interval (%)
0,00 - 0,00
Reference infection
No
Type of value
QI
Relation to the procedure
DeQS
Reference to other QA results
Sorting
Risk-adjusted rate
Comments/explanations by the competent authority at national or state level
Comments/explanations by the hospital
Specialist note IQTIG
The reference range indicates the range in which the results of an indicator are assessed as normal. A facility with a result outside the reference range is initially computationally conspicuous, which usually results in an analysis in the structured dialog. It should be noted that an indicator result outside the reference range is not synonymous with a poor quality of the facility in the quality aspect considered here. The deviation can also e.g. be traceable to incorrect documentation or to individual cases. Quality is assessed in the context of the structured dialogue with the institutions. Due to adjustments to the QS filter, the results of this quality indicator can only be compared to the previous year's results to a limited extent. Further information on the adjustments made can be found in the description of the quality indicators at the following link: https://iqtig.org/qs-verfahren/.
There were less than 7 days between the time when breast cancer was detected and the required operation
Code ID
51370
Result (%)
Data protection
Evaluation through structured dialogue
Although the result is not in the target area, the quality target is still considered to be achieved, since the deviation can be traced back to isolated documentation problems after examination by specialist committees. There are no indications of defects (U63)
Population
Data protection
Events observed
Data protection
Anticipated events
Data protection
Result trend compared with the previous reporting year
eingeschränkt/nicht vergleichbar
Comparison with the previous reporting year
eingeschränkt/nicht vergleichbar
National result (%)
1,92
Target range (reference range)
<= 7,69 % (95. Perzentil)
Confidence interval nationwide (%)
1,80 - 2,04
Hospital confidence interval (%)
0,00 - 0,00
Reference infection
No
Type of value
QI
Relation to the procedure
DeQS
Reference to other QA results
Sorting
Risk-adjusted rate
Comments/explanations by the competent authority at national or state level
Comments/explanations by the hospital
Specialist note IQTIG
If operations are often performed within the first 7 days after diagnosis, this could a. indicate that the possibility of self-information, a second opinion, medical education and the involvement of patients in necessary decisions could not be fully exhausted in time. The reference range indicates the range in which the results of an indicator are assessed as normal. A facility with a result outside the reference range is initially computationally conspicuous, which usually results in an analysis in the structured dialog. It should be noted that an indicator result outside the reference range is not synonymous with a poor quality of the facility in the quality aspect considered here. The deviation can also e.g. be traceable to incorrect documentation or to individual cases. Quality is assessed in the context of the structured dialogue with the institutions. Due to adjustments to the QS filter, the results of this quality indicator can only be compared to the previous year's results to a limited extent. Further information on the adjustments made can be found in the description of the quality indicators at the following link: https://iqtig.org/qs-verfahren/.
Follow-up operations that were necessary because the malignant tumours were incompletely removed in the first operation or only removed without a sufficient safety distance
Code ID
60659
Result (%)
Data protection
Evaluation through structured dialogue
The result is in the target area - the quality target is therefore considered to have been fully achieved. (R10)
Population
Data protection
Events observed
Data protection
Anticipated events
Data protection
Result trend compared with the previous reporting year
eingeschränkt/nicht vergleichbar
Comparison with the previous reporting year
eingeschränkt/nicht vergleichbar
National result (%)
10,66
Target range (reference range)
<= 20,77 % (95. Perzentil)
Confidence interval nationwide (%)
10,41 - 10,91
Hospital confidence interval (%)
0,00 - 0,00
Reference infection
No
Type of value
QI
Relation to the procedure
DeQS
Reference to other QA results
Sorting
Risk-adjusted rate
Comments/explanations by the competent authority at national or state level
Comments/explanations by the hospital
Specialist note IQTIG
The reference range indicates the results at which a facility can be assumed to provide good quality of care, although deviations are possible. The reference range thus sets a benchmark for the assessment of facilities. A result outside the reference range is initially considered conspicuous. This usually entails an analysis by means of a statement procedure. It should be noted that a quality result outside the reference range is not synonymous with a lack of quality of the facility in the quality aspect considered here. The deviation can also be due, for example, to faulty documentation, medical specificity of the patient collective or individual cases. The assessment of quality is carried out within the framework of the defined procedure in the comments procedure. More information on reference areas can be found at the following link: https://iqtig.org/das-iqtig/grundlagen/methodische-grundlagen.
This is how often breast cancer treatment was discussed at interdisciplinary tumour conferences and individually planned further
Code ID
211800
Result (%)
93,33
Evaluation through structured dialogue
Although the result is not in the target area, the quality target is still considered to be achieved, because the deviation can be traced back to one or more well-founded individual cases after examination by specialist committees. (U62)
Population
15
Events observed
14
Anticipated events
0,00
Result trend compared with the previous reporting year
eingeschränkt/nicht vergleichbar
Comparison with the previous reporting year
eingeschränkt/nicht vergleichbar
National result (%)
99,48
Target range (reference range)
>= 97,82 % (5. Perzentil)
Confidence interval nationwide (%)
99,42 - 99,54
Hospital confidence interval (%)
70,18 - 98,81
Reference infection
No
Type of value
QI
Relation to the procedure
DeQS
Reference to other QA results
Sorting
Risk-adjusted rate
Comments/explanations by the competent authority at national or state level
Comments/explanations by the hospital
Specialist note IQTIG
The reference range indicates the results at which a facility can be assumed to provide good quality of care, although deviations are possible. The reference range thus establishes a benchmark for the evaluation of facilities. A result outside the reference range is initially considered conspicuous. This usually entails an analysis by means of a statement procedure. It should be noted that a quality result outside the reference range is not synonymous with a lack of quality of the facility in the quality aspect considered here. The deviation can also be due, for example, to incorrect documentation, medical specificity of the patient collective or individual cases. The evaluation of quality is carried out within the framework of the defined procedure in the comments procedure. More detailed information on reference areas can be found at the following link: https://iqtig.org/das-iqtig/grundlagen/methodische-grundlagen.