Subscribe to RSS
The Gießen Tumor Documentation System (GTDS) – Review and Perspectives
06 February 2018 (online)
Objectives: GTDS is a documentation system used by more than 40 German hospital cancer registries. This paper discusses the factors that contributed to its success concerning design, development, and routine use.
Methods: Success is measured in terms of the system‘s financial independence of public grants and its successful use by the registries. Success factors are presented in a descriptive way covering the topics of development (tools and development team) as well as system‘s functionality and user support. The description of the system’s use and user satisfaction was collected in a user survey conducted in 1999.
Results: GTDS has become the main tool in hospital cancer registries in Germany and remarkably contributed to their success. A comprehensive data network between hospital cancer registries and population-based cancer registries has especially been established in the new states. After the first years of routine use the registries produce valuable data analyses on the basis of common tools. Under specific conditions physicians use the system directly for treatment management. The system succeeded to be financed by support contracts for continuous development which indicates generally good user acceptance. Close interaction between users and developers is important to meet user requirements during development and maintenance.
Conclusion: Important success factors are the strong ministry‘s support including initial sponsoring and introduction of support contracts, the comprehensive functionality as well as flexibility and broad user support which allow the adaptation to different environments.
- 1 Altmann U, Tafazzoli AG, Katz FR, Dudeck J. XML-Based Application Interface Services – A Method to Enhance Integrability of Disease Specific Systems. Int J Med Inf 2002; 68 (01) (03) 27-37.
- 2 Dudeck J, Wagner G, Grundmann E, Hermanek P. Basisdokumentation für Tumorkranke. 4th ed.. Berlin – Heidelberg – New:: York Springer Verlag; 1994
- 3 Altmann U, Katz FR, Haeberlin V, Willems C, Dudeck J. Concepts of GTDS: An Oncology Workstation. MEDINFO 95 Proceedings, IMIA 1995; 759-62.
- 4 Altmann U, Burger U, Gruber F, Katz F, Marquaß S, Schmieder G, Schubotz B, Tillack A, Wulff V. Datenanalyse auf Knopfdruck – ein zentrumsübergreifendes Auswertungskonzept für klinische Tumorregister. In: Informatik, Biometrie und Epidemiologie in Medizin und Biologie 2-3, 2002. Abstracts der 47. Jahrestagung der GMDS. 54-55.
- 5 Altmann U, Dudeck J, Eisinger B, Kunath H, Schott G, Kurbjuhn H, Wächter W, Tafazzoli AG, Katz FR. Development of an Oncology Data Network in Germany. In: Hasman A. et al. Medical Informatics Europe ’00. Amsterdam:: IOS Press; 2000: 959-63.
- 6 Hripcsak G, Clayton PD, Pryor TA, Haug P, Wigertz OB, Van der Lei J. The Arden Syntax for Medical Logic Modules. SCAMC 1990; 200-4.
- 7 Tafazzoli AG, Altmann U, Burkle T, Holzer S, Dudeck J. Integrated decision support in a hospital cancer registry. Artif Intell Med 2002; 24 (03) 243-55.
- 8 Kurbjuhn H, Marquaß S. Tumorzentrum Land Brandenburg, Sachbericht Onkologie. 2002 www.tumorzentrum-brandenburg.de
- 9 Ellsässer KH, Kohler CO, Wagner G. KRAZTUR – a generator for medical documentation and information systems. Methods Inf Med 1981; 20 (04) 191-5.
- 10 Knaup P, Wiedemann T, Bachert A, Creutzig U, Haux R, Schilling F. Efficiency and safety of chemotherapy plans for children: CATIPO – a nationwide approach. Artif Intell Med 2002; 24 (03) 229-42.
- 11 Enterline JP, Lenhard R, Blum BI. A clinical information system for oncology. New York – Berlin – Heidelberg:: Springer Verlag; 1989
- 12 Kent DL, Shortliffe EH, Carlson RW, Bischoff MB, Jacobs CD. Improvement in Data Collection Through Physician Use of a Computer-Based Chemotherapy Treatment Consultant. Journal of Clinical Oncology 1985; 3: 1409-17.
- 13 Shortliffe EH. An Integrated Oncology Workstation. National Cancer Institute: Bethesda, Maryland; 1990
- 14 McDonald CJ, Hui SL, Smith DM, Tierney WM, Cohen SJ, Weinberger M, McCabe GP. Reminders to Physicians from an Introspective Computer Medical Record. Annals of Internal Medicine 1984; 100: 130-8.