Trial document




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  DRKS00005817

Trial Description

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Title

Feasibility study of the DGPPN quality indicators

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Trial Acronym

[---]*

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URL of the Trial

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Brief Summary in Lay Language

The goal of this study is to evaluate quality indicators for depression, schizophrenia, dementia and alcohol dependency. For the quality assurance of mental health care feasible quality indicators that measure the quality of delivered mental health care services are needed.
Prior to a nationwide implementation, scientifically developed quality indicators have to be evaluated with regard to their practicability. For this purpose ten specialist hospitals for psychiatry and psychotherapy in Germany provide anonymised mental health care data for statistical data analyses.

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Brief Summary in Scientific Language

Quality indicators are clinical measures that can indicate the quality of care structures, processes and outcomes. This study deals with the evaluation of quality indicators that have been developed in a structured evidence- and consensus-based process by the German Association of Psychiatry, Psychotherapy and Psychosomatics (DGPPN).

In total, 44 partly cross-sectoral quality indicators of four diagnosis-specific indicator sets for schizophrenia, dementia, depression and alcohol dependency have to be evaluated. The data basis consists of outpatient, day-care and inpatient patient-related data of the participating clinics. These data are documented in the context of the clinical documentation routine.
This study and the concomitant data analyses are aimed at evaluating the quality indicators in practice in order to
1) Evaluate their practicability and the availability of data
2) Review and if necessary adapt the definitions and operationalisation of the quality indicators and
3) Receive indications for adequate reference ranges

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Organizational Data

  •   DRKS00005817
  •   2014/03/07
  •   [---]*
  •   yes
  •   Approved
  •   4523, Ethik-Kommission an der Medizinischen Fakultät der Heinrich-Heine-Universität Düsseldorf
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Secondary IDs

  • [---]*
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Health Condition or Problem studied

  •   F20 -  Schizophrenia
  •   F32 -  Depressive episode
  •   F33 -  Recurrent depressive disorder
  •   F10.2 -  Mental and behavioural disorders due to use of alcohol; Dependence syndrome
  •   F00 -  Dementia in Alzheimer disease
  •   F01 -  Vascular dementia
  •   F02 -  Dementia in other diseases classified elsewhere
  •   F03 -  Unspecified dementia
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Interventions/Observational Groups

  •   Care data of all patients with a diagnosed mental disorder (F32-33, F20, F10.2, F00-03) in the inpatient, day-care or outpatient treatment setting are used for the evaluation of the quality indicators. The period under review is determined separately for each quality indicator according to the description of the quality indicator.
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Characteristics

  •   Non-interventional
  •   Observational study
  •   Single arm study
  •   Open (masking not used)
  •   [---]*
  •   Uncontrolled/Single arm
  •   Health care system
  •   Single (group)
  •   N/A
  •   N/A
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Primary Outcome

Evaluation of the practicability of quality indicators by means of retrospective statistical analyses of anonymized patient and care data

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Secondary Outcome

Evaluation of the data availability, review of the definitions and operationalisation of quality indicators and identification of reference ranges

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Countries of Recruitment

  •   Germany
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Locations of Recruitment

  • University Medical Center 
  • University Medical Center 
  • Medical Center 
  • Medical Center 
  • Medical Center 
  • University Medical Center 
  • Medical Center 
  • Medical Center 
  • Medical Center 
  • Medical Center 
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Recruitment

  •   [---]*
  •   [---]*
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  •   Multicenter trial
  •   National
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Inclusion Criteria

  •   Both, male and female
  •   18   Years
  •   no maximum age
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Additional Inclusion Criteria

All treatment cases with the diagnosis F32-F33, F20, F10.2 or F00-F03

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Exclusion Criteria

Treatment cases of persons under the age of 18

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Addresses

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    • LVR-Klinikum Düsseldorf - Kliniken der Heinrich-Heine-Universität Düsseldorf
    • Mr.  Univ.-Prof. Dr. med.  Wolfgang  Gaebel 
    • Bergische Landstraße 2
    • 40629  Düsseldorf
    • Germany
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    • Klinik für Psychiatrie und Psychotherapie, Ludwigs-Maximilians-Universität München
    • Mr.  Univ.-Prof. Dr. med.  Peter  Falkai 
    • Nußbaumstraße 7
    • 80336  München
    • Germany
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    • LVR-Klinikum Düsseldorf - Kliniken der Heinrich-Heine-Universität Düsseldorf
    • Mr.  Univ.-Prof. Dr. med.  Wolfgang  Gaebel 
    • Bergische Landstraße 2
    • 40629  Düsseldorf
    • Germany
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    • LVR-Klinikum Düsseldorf - Kliniken der Heinrich-Heine-Universität Düsseldorf
    • Ms.  Isabell  Großimlinghaus 
    • Bergische Landstraße 2
    • 40629  Düsseldorf
    • Germany
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Sources of Monetary or Material Support

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    • LVR-Klinikum Düsseldorf - Kliniken der Heinrich-Heine-Universität Düsseldorf
    • Mr.  Univ.-Prof. Dr. med.   Wolfgang  Gaebel 
    • Bergische Landstraße 2
    • 40629  Düsseldorf
    • Germany
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Status

  •   [---]*
  •   2014/12/31
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Trial Publications, Results and other Documents

  •   Großimlinghaus I, Falkai P, Gaebel W, Janssen B, Reich-Erkelenz D, Wobrock T, Zielasek J (2013) Entwicklungsprozess der DGPPN-Qualitätsindikatoren. Nervenarzt 84:350-365.
  •   Wobrock T, Reich-Erkelenz D, Janssen B et al (2010) Qualitätsindikatoren in der Psychiatrie. Psychiatrie 7:1–11.
  •   Zielasek J, Großimlinghaus I, Janssen B, Wobrock T, Falkai P, Reich-Erkelenz D, Riesbeck M, Gaebel W (2012) Die Rolle von Qualitätsindikatoren in der psychiatrischen Qualitätssicherung und aktueller Stand der Entwicklung von Qualitätsindikatoren. Die Psychiatrie 9:46–52.
  •   Großimlinghaus I, Falkai P, Gaebel W, Hasan A, Jänner M, Janssen B, Reich-Erkelenz D, Grüber L, Böttcher V, Wobrock T, Zielasek J und der LVR-Klinikverbund. Erhebung von Qualitätsindikatoren anhand von Routinedaten. Darstellung eines Machbarkeitstests in 10 Fachkliniken für Psychiatrie und Psychotherapie. Nervenarzt 2015;86:1393-1399
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* This entry means the parameter is not applicable or has not been set.