LNSLNS

Prof. Rásky and Ms. Groth highlight the issue of non-documented cases in their letter. We agree that incomplete documentation of patients in a quality assurance project may limit the strength of the evidence. In Germany, in some of the regional stroke registers, collaborating within the framework of the German Stroke Registers Study Group (ADSR, Arbeitsgemeinschaft Deutscher Schlaganfall-Register), it is required to document quality indicators for >95% of the acute stroke care patients.

Likewise, a documentation rate of >90% is a criterion verified during the certification process. Quality assurance filters are used in the respective hospitals to validate the documentation rates. Overall, our analysis did not reveal a marked difference in the quality of care between the registers with compulsory documentation und those with voluntary documentation. With regard to the sex-specific analysis of treatment data from the clinical routine, we agree with Prof. Rásky and Ms. Groth and like to thank them for their suggestions for future analyses of the data set.

DOI: 10.3238/arztebl.2015.0288b

Dr. rer. nat. Silke Wiedmann

Institut für Klinische Epidemiologie und Biometrie

Universität Würzburg

silke.wiedmann@uni-wuerzburg.de

Prof. Dr. med. Peter U. Heuschmann

Institut für Klinische Epidemiologie und Biometrie

Universität Würzburg

peter.heuschmann@uni-wuerzburg.de

Prof. Dr. med. Peter Hermanek

Bayerische Arbeitsgemeinschaft für Qualitätssicherung

in der stationären Versorgung (BAQ)

hermanek@baq-bayern.de

Conflict of interest statement
The authors of all contributions declare that no conflict of interest exists.

1.
Wiedmann S, Heuschmann PU, Hillmann S, et al.: The quality of acute stroke care—an analysis of evidence-based indicators in 260 000 patients. Dtsch Arztebl Int 2014; 111: 759–65 VOLLTEXT
1.Wiedmann S, Heuschmann PU, Hillmann S, et al.: The quality of acute stroke care—an analysis of evidence-based indicators in 260 000 patients. Dtsch Arztebl Int 2014; 111: 759–65 VOLLTEXT

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