The quality requirements of the West German Prostate Center (WPZ), are fully in compliance with the international guidelines of the European and American Cancer organizations. The permanent controlling of the quality is essentially warranted through two cornerstones:
A proven and permanent team of experts and continuous education and training of the treating physicians and medical staff
A team consisting of a group of highly specialized physicians in the fields of urology, radiation therapy, and anesthesia, as well as medical physicists, and an experienced nursing staff.
The indications for an appropriate therapy are determined jointly between urologists and radiotherapists, whereby the interdisciplinary case discussions and the application of international nomograms are in particular of high significance. The quality is controlled additionally in the context of weekly interdisciplinary colloquia.
There is an international consent, that for example, for the gaining and maintaining of a sufficient experience within the scope of the brachytherapy at least 60 to 80 implantations per year should be performed by the same team. The WPZ team performed more than 2500 brachytherapies during the last five years.
The team participates on a regular basis in continuing education and training. It organizes a Prostate-Update-Meeting each year during which national and international speakers report on the current state and latest development as well as other subject related events for colleagues and patients.
Documentation of all patient, treatment, and post treatment assessment data:
At the West German Prostate Center, prospectively and consecutively, data regarding the definite organ-, tumor-, and doses parameters are recorded pre, intra, and post surgical. In addition to the standard documentation, the PSA score and possible imaging examinations, the quarterly assessment of all relevant parameters for the quality of life, micturition situation, and sexual function over a period of at least three years is recorded with international and validated patient questionnaires. The retrieved data is made anonymous and stored in a prostrate carcinoma databank, which was specially developed for the WPZ. This WPZ databank is one of the most extensive databanks of this kind.
The radiotherapist, a radiation protection expert in compliance with the radiation protection legislation (StrSchV) for the medical field, is responsible for the performance and treatment quality of the therapy. In addition, the final responsibility for the lawful clarification is incumbent on the expert radiation therapist in accordance with the radiation protection regulations.
It goes without saying that the West German Prostate Center only works with state-of-the-art technical equipment, which complies fully with the requirements of the MPG (medical product law) and satisfies the specifications of the notice of approval as well as the current regulations of the radiation protection legislation (StrSchV) and the X-ray ordinance (RöV).
The legal framework is supplied by the radiation protection law (StrSchV), the x-ray regulations (RöV) as well as by the handling permission of the respective supervisory authority.