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. 2014 Aug 18;111(33-34):556–563. doi: 10.3238/arztebl.2014.0556

Table 1. Types of procedure, minimum caseload requirements, and developments 2005–2011.

Type of procedure 2005 2006 2007 2008 2009 2010 2011
Hepatic transplantation (incl. living-donor partial donation)*1 Minimum caseload 10 20 20 20 20 20 20
Number of cases 5799*2 1020 1131 1091 1079 1231 1172
Treating institutions 519 *2 35 31 37 28 33 31*3
Mean caseload 11.2 29.1 36.5 29.5 38.5 37.3 37.8
Percentage of institutions meeting caseload requirement 22% 46% 55% 43% 61% 58% 55%
Renal transplantation Minimum caseload 20 25 25 25 25 25 25
Number of cases 2639 2747 2909 2740 2769 2892 2877
Treating institutions 50 51 47 47 47 42 49
Mean caseload 52.78 53.86 61.89 58.30 58.91 68.86 58.71
Percentage of institutions meeting caseload requirement 78% 75% 81% 74% 74% 88% 73%
Complex esophageal surgery Minimum caseload 5 10 10 10 10 10 10
Number of cases 3186 3248 3358 3524 3588 3618 3673
Treating institutions 445 399 426 426 411 427 411
Mean caseload 7.2 8.1 7.9 8.3 8.7 8.5 8.9
Percentage of institutions meeting caseload requirement 42% 30% 27% 28% 32% 30% 32%
Complex pancreatic surgery*1 Minimum caseload 5 10 10 10 10 10 10
Number of cases 8904 8327 9149 9299 9714 10005 10577
Treating institutions 760 697 673 667 699 680 678
Mean caseload 11.7 11.9 13.6 13.9 13.9 14.7 15.6
Percentage of institutions meeting caseload requirement 55% 35% 44% 45% 46% 47% 51%
Stem cell transplantation Minimum caseload 12±2 25 25 25 25 25 25
Number of cases 5537 6178 5733 5954 6064 6367 6725
Treating institutions 97 96 97 96 97 96 91
Mean caseload 57.1 64.4 59.1 62.0 62.5 66.3 73.9
Percentage of institutions meeting caseload requirement 69% 65% 65% 64% 58% 65% 65%
Total knee replacement Minimum caseload none*4 50 50 50 50 50 50*5
Number of cases 118243 124682 134767 141876 145116 143495 141928
Treating institutions 1041 999 985 996 1004 1015 1024
Mean caseload 113.6 124.8 136.8 142.5 144.5 141.4 138.6
Percentage of institutions meeting caseload requirement 68% 79% 85% 86% 87% 87% 84%
Care of low-birth-weight neonates Minimum caseload none*6 none*6 none*6 none*6 none*6 14 14
Number of cases 6035 5801 5981 5646 5732 6378 5886
Treating institutions 465 433 403 370 369 371 347
Mean caseload 13.0 13.4 14.8 15.3 15.5 17.2 17.0
Percentage of institutions meeting caseload requirement 32% 33% 36% 38% 40% 41% 44%

*1Not including institutions that only performed post-mortem organ removal. Post-mortem organ removals performed in the institutions included here were counted in the tallies.

*2There was a change in included codes (OPS definition) for this procedures between 2005 and 2006 that affected the case numbers.

*3Of the 31 treating institutions, 24 carried out transplants; the remainder only performed living-donor partial resections or resections of liver transplants as independent procedures. These procedures are counted in the minimum caseload requirement.

*4Minimum caseload requirement introduced in 2006; 50 cases used as basis for comparative calculations for the year 2005.

*5Minimum caseload requirement suspended in 2011.

*6Minimum caseload requirement introduced in 2010; 14 cases per year used as basis for comparative calculations for the years 2005–2009