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Die Verwendung von medizinischen Registern stellt ein geeignetes Instrument dar, um versorgungsrelevante Qualit\u00e4tssicherung zu betreiben und gleichzeitig wissenschaftliche Daten zu erheben. Auf Initiative des Pr\u00e4sidiums der Deutschen Gesellschaft f\u00fcr Hals-Nasen-Ohren-Heilkunde, Kopf- und Hals-Chirurgie (DGHNO-KHC) sollte daher ein deutschlandweites CI-Register (Deutsches Cochlea-Implantat-Register, DCIR) eingerichtet werden. Hierzu sollten folgende Ziele erreicht werden: 1.\u00a0rechtliche und vertragliche Grundlagen des Registers; 2.\u00a0Definition der Registerinhalte; 3.\u00a0Erarbeitung von Auswertungsstandards (klinikspezifische und nationale Jahresberichte); 4.\u00a0Entwicklung eines Logos; 5.\u00a0produktiver Betrieb des Registers. Nach der Definition eines Leistungskatalogs, der die Inhalte, die Struktur und den Betrieb des DCIR festlegt, wurde ein Registerbetreiber mit audiologischer Expertise gesucht. Nach Abw\u00e4gung verschiedener Angebote wurde das Register schlie\u00dflich in Kooperation mit dem Anbieter INNOFORCE (Ruggell, Liechtenstein) als Registerbetreiber technisch umgesetzt. Dabei wurde auch eine Schnittstelle zur \u00dcberf\u00fchrung von Daten aus bereits existierenden Datenbanken realisiert sowie ein Datenschutzkonzept f\u00fcr den produktiven Betrieb des DCIR unter wissenschaftlicher Leitung des Pr\u00e4sidiums der DGHNO-KHC erarbeitet. Seit Januar 2022 k\u00f6nnen von den CI-versorgenden Einrichtungen (CIVE) pseudonymisierte Daten in das DCIR eingegeben werden. Bisher haben sich 75\u00a0Kliniken aus Deutschland zur Registerteilnahme vertraglich bereit erkl\u00e4rt. In den ersten 15\u00a0Monaten des Registerbetriebs wurden bereits mehr als 2500 CI von mehr als 2000\u00a0Patienten erfolgreich in das DCIR aufgenommen. Die hier pr\u00e4sentierte Arbeit beschreibt die Strukturierung, den Aufbau und die erfolgreiche Einrichtung des DCIR. Die Einf\u00fchrung des DCIR stellt eine wichtige S\u00e4ule einer zuk\u00fcnftigen wissenschaftlich basierten Qualit\u00e4tssicherung der CI-Versorgung dar. Das hier dargestellte Register kann daher beispielgebend f\u00fcr andere Bereiche der medizinischen Versorgung betrachtet werden und setzt damit auch international Standards.<\/jats:p>","DOI":"10.1007\/s00106-023-01309-7","type":"journal-article","created":{"date-parts":[[2023,5,17]],"date-time":"2023-05-17T14:02:13Z","timestamp":1684332133000},"page":"767-778","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Struktur und Einrichtung des Deutschen Cochlea-Implantat-Registers (DCIR)","Structure and establishment of the German Cochlear Implant Registry"],"prefix":"10.1007","volume":"71","author":[{"given":"T.","family":"St\u00f6ver","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S. 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