Facts count: unique data on the success of our therapies

Facts lend support. Figures and data provide perspective, particularly during the period between diagnosis and therapy, when uncertainty accompanies the decisions that must be made. At this point, we would like to inform you of the meticulous way we document the outcomes of our patients' treatments. 

"Wherever outcomes are measured, the quality of treatment improves dramatically. Unfortunately, consistent evaluation of results is still the exception".

Michael E. Porter, Economist, Harvard University, Cambridge, USA

 

The Martini Clinic is one of these exceptions. All the outcomes of our treatments are meticulously recorded. The data we collect is used in our research, and it also assists our surgeons when they assess their personal operative results with regard to continence and potency. As a rule, surgeons do not learn of the outcomes of their treatments as patient aftercare is usually taken over by local practitioners. We receive information from our former patients, who are questioned once a year on their quality of life. In 2013 alone, four members of the Martini Clinic staff, employed solely for this purpose, assessed the answers from 15,000 questionnaires.  

The results regarding cure rates and the quality of life are continually updated in order to keep our patients informed on the current success rates of the various therapies. As a research clinic, we also gather other data and interesting statistics that we have compiled for you on a separate page.  

As the development of clinical and pathological data is a continuous process, the results are dynamic and future evaluation may produce results that vary from current data. 

Results       
German average     
       Martini Clinic
Fully continent56.7 %    93.5 % 1
Severe incontinence 24.5 %0.4 %
Severe erectile dysfunction (1 year) 375.5 %34.7 %
Ureteral injury0.6 % 0.04 %
Sepsis2.5 % 0.04 %
Pulmonary embolism0.8 %0.1 %
Delayed wound healing1.7 %0.9 %
Rectal injury1.7 %0.2 %
Thrombosis2.5 % 0.4 %

1Definition of fully continent: incontinence pads are unnecessary or are only used for safety
2 More than 5 incontinence pads per day
3 Including patients suffering from erectile dysfunction previous to the operation

Source: BARMER GEK Krankenhaus Bericht 2012, Martini Clinic Database
Published in "Case Study: Martini Klinik: Prostate Cancer Care"  by Michael E. Porter, Jens Deerberg-Wittram, Clifford Marks, Harvard Business School, 

What is the prognosis for prostate cancer?

For you as a patient, the healing process means the complete removal of the prostate cancer, either by surgery or by completely destroying the cancer cells using radiation therapy. Our aim is to avoid any impairment to your quality of life, as far as this is possible.  

A patient is usually considered cured if he has suffered no relapse within five years of the operation. After treatment, the PSA value provides a good method of monitoring the success of therapy. Other diagnostic methods (MRI, CT, bone scintigraphy) may also be used. 

The data presented here are the results of more than two decades of continous clinical quality control. The doctors at the Martini Clinic are therefore interested in the progress of their patients after their discharge. Has the quality of the man's life altered? Have the doctors succeeded in curing the patient? Apart from their personal interest, even years after surgery at the Martini Clinic, this information helps our doctors draw conclusions that help them to evaluate the chances of a cure and the quality of life of future patients.

The following table provides you with facts concerning the results of our patients' treatment after 10 years. A more detailed description can be found on the following pages. 

Table 1: Healing after 10 years

Our patient's healing after 10 years
*1 Disease-specific survival rate/
*2 Freedom from biochemical recurrence
*1*2
pT2organ-confined tumor98%87%
pT3aTumor infiltrated capsule98%53%
pT3bTumor infiltrated seminal vesical87%28%
pT4Tumor infiltrates surroundings 77%6%
Frequently asked questions

How long will it take to recover after the operation?

We predict about 2 to 3 weeks for further recovery after discharge from our clinic. After this time, you are usually recovered to take up your daily procedures.

Once the operation is over, how do I recognize that I have been cured?

Prostate cancer is invisible to the human eye, therefore neither its dispersion nor the cure of it can be assessed during the operation. The first important infromation is gained through the subtile and very complex histological examination of the prostate and the taken lymph nodes. Based on this histology a first statement can be made regarding the therapy's success. In case it has not been completely successful there is always the second possibility of healing through radio therapy.