Asklepios Hospital Barmbek
What makes Germany a global leader in cancer treatment?
1️⃣ Advanced healthcare and technology
Germany consistently ranks as a leader in healthcare innovation. In the 2024 World Index of Healthcare Innovation, Germany’s healthcare system ranked 3rd best globally. It secured the 7th spot for Science & Technology, highlighting its investment in research and development. Germany’s focus on research and development translates into superior cancer treatments, from precision diagnostics to innovative treatments like proton therapy.
2️⃣ High survival rates
In the global CONCORD-2 study published by The Lancet, Germany ranked among the leading countries in terms of five-year survival rates for various cancers. Germany's average five-year survival rate is 62%–66% across all cancer types. This means nearly two-thirds of all cancer patients survive at least five years after diagnosis. To compare, the average five-year survival rate in the UK is 55.7%.
Several common cancers, which together account for almost 40% of cases, show exceptional survival rates exceeding 80%:
- Breast cancer: 88%
- Prostate cancer: 91%
- Testicular cancer: 97%
- Skin cancer: 93%–95%
- Thyroid cancer: 88%–94%
- Hodgkin's lymphoma: 82%–84%
- Uterine cancer: 81%
3️⃣ Innovative and affordable treatments
Institutions like the German Cancer Research Center (DKFZ) spearhead groundbreaking research in oncology. Germany ranks 2nd globally in providing affordable and innovative drug treatments. It is also among the world’s top 5 countries running the most clinical trials. As a result, patients benefit from modern drugs and therapies without prohibitive costs.
4️⃣ High-impact government investment
Germany spends almost 13% of its GDP on healthcare, the highest rate in the EU. This ensures:
- continuous advancements in cancer research;
- widespread availability of the latest technologies and treatments.
What types of cancer do German clinics treat?
Cancer clinics specialize in treating both common and rare types of cancers:
- Common cancers. Breast, prostate, lung, colon, rectal, and skin cancers are treated with advanced options like targeted therapy, immunotherapy, and robotic-assisted surgery.
- Rare and complex cancers. Pancreatic and stomach cancer, brain tumors, and Hodgkin’s lymphoma benefit from precision treatments like HIPEC, proton therapy, and Gamma Knife radiosurgery.
- Pediatric cancers. Specialized centers address childhood cancers with age-specific therapies.
- Advanced-stage cancers. Treatments like radioembolization (SIRT) and hyperthermic intraperitoneal chemotherapy (HIPEC) are available for metastatic cases.
What methods of cancer treatment are available in Germany?
German clinics use a wide array of cancer treatment methods, from traditional approaches to innovations:
1️⃣ Cancer surgery
Surgery remains a cornerstone of cancer care, especially for solid tumors. German hospitals use minimally invasive and robotic-assisted surgeries, which reduce recovery time and preserve healthy tissue. Specialized techniques include:
- Da Vinci robotic surgery uses robotic arms and a 3D camera to perform minimally invasive surgeries with high precision.
- Neuronavigation-supported surgery for brain tumors allows surgeons to operate with an accuracy of less than a millimeter.
- Cytoreductive surgery with HIPEC for abdominal cancers combines tumor-removal surgery with heated chemotherapy, which eliminates any remaining malignant cells.
2️⃣ Radiation therapy
Radiation therapy uses high-energy beams to destroy cancer cells or shrink malignant tumors. German clinics use advanced technologies to target malignant cells precisely:
- Proton therapy. Delivers highly focused radiation, ideal for tumors near critical organs.
- CyberKnife and Gamma Knife radiosurgery. Non-invasive techniques for tumors in hard-to-reach places, such as the brain or spine.
- Image-guided radiation therapy (IGRT). Real-time imaging ensures radiation hits the tumor with precision.
3️⃣ Chemotherapy
Traditional chemotherapy uses drugs to kill tumor cells or stop their growth. Unlike surgery or radiation therapy, chemotherapy works systemically, meaning it affects the entire body.
4️⃣ Immunotherapy
Immunotherapy helps the immune system recognize and fight cancer cells. It’s especially effective for cancers that are hard to treat with other methods. Types include:
- Checkpoint inhibitors. Drugs that help the immune system detect and attack cancer cells.
- CAR-T cell therapy. Modifies a patient’s immune cells to target specific cancers like leukemia or lymphoma.
- Cancer vaccines and oncolytic viruses. Train the immune system or destroy cancer cells.
5️⃣ Targeted and hormonal therapies
These treatments focus on specific characteristics of cancer cells:
- Targeted therapies attack genetic mutations or proteins unique to cancer cells, sparing healthy tissue.
- Hormonal therapies slow or stop hormone-sensitive cancers (e.g., breast or prostate cancer) by blocking hormones that fuel tumor growth.
6️⃣ Hyperthermic and localized treatments
These treatments focus on specific tumor sites without affecting the rest of the body:
- Hyperthermic intraperitoneal chemotherapy (HIPEC) delivers heated chemotherapy to the abdominal cavity, targeting cancer cells that remain after surgery.
- Selective internal radiation therapy (SIRT) uses tiny beads loaded with radiation to treat liver tumors.
- High-intensity focused ultrasound (HIFU) uses sound waves to destroy tumors without surgery.
- Cryotherapy and microwave ablation freeze or heat tumors to kill cancer cells.
🔬 Recent Advances in Cancer Treatment
Recent breakthroughs in cancer research are changing how we diagnose and treat tumor diseases. From AI-powered tools to liquid biopsies and precision therapies, these innovations deliver earlier detection and improved survival rates.
1️⃣ Smarter diagnostics 🧪
- PET/CT imaging has transformed cancer detection by making it much easier to find the source of cancer in the head and neck. This technology has reduced cases where doctors couldn’t identify the source of cancer in the head and neck from 9% to just 1–2%, allowing tumors to be caught much earlier.
- AI-powered tools. AI models like TOAD identify tumor origins with 83% accuracy. ‘Sybil’ predicts lung cancer risk up to 6 years in advance from CT scans.
- Liquid biopsies. These non-invasive blood tests detect cancer with 99% accuracy. They help find tumors at their earliest stages, especially for hard-to-diagnose cancers.
2️⃣ Innovative treatments 🎯
- Targeted drugs increase survival in pancreatic cancer from 17% to 24% when combined with chemotherapy.
- Checkpoint inhibitors like nivolumab and pembrolizumab demonstrated overall survival rates of 85% in advanced colorectal cancer.
- CAR-T therapy leads to remission in 90% of patients with blood cancers like lymphoma.
- Robotic-assisted surgery helps navigate hard-to-reach areas of the body with greater precision and safety. It has lower risks of blood loss, infection, and reoperation than traditional surgery.
- Proton beam therapy targets cancer cells while sparing healthy tissue. 88% of patients treated with proton therapy do not experience severe side effects requiring hospitalization. In contrast, patients receiving traditional radiation are more than twice as likely to experience such side effects.
- Cancer vaccines are an innovative cancer treatment that is being studied and tested in the UK and Germany. They train the immune system to target cancer cells and have fewer side effects than chemotherapy.
What diagnostic options are there in Germany?
German clinics offer some of the most advanced tools and techniques for early and accurate diagnosis of cancer:
- Imaging. PET-CT, MRI, and CT scans help locate and stage tumors.
- Biopsies. Tissue samples are analyzed to confirm cancer and identify mutations.
- Cytology. Examines cells from fluids or tissues under a microscope to detect cancer.
- Genetic testing. Next-generation sequencing (NGS) identifies DNA changes to guide targeted treatments.
- Endoscopy. Procedures like gastroscopy, colonoscopy, and bronchoscopy use cameras to detect and biopsy tumors in the digestive tract and lungs.
- Nuclear medicine. Bone scans and SPECT imaging detect cancer spread and activity using small doses of radioactive substances.
- Blood tests. Tumor markers and blood cell counts can provide early warnings or track progress.
How much does cancer treatment in Germany cost?
The cost of therapy in Germany varies widely depending on the type of cancer, stage, treatment methods, and clinic. Chemotherapy starts at approximately $2,500 (€1,800–€2,000), while complex cancer surgeries may cost up to $32,000 (€30,000–€32,000).
Similar treatments can cost 2-3 times more in the USA due to higher medical and administrative expenses.
Below is a comparison of average costs for common cancer treatments in Germany vs. the USA:
|
Treatment |
Germany |
USA |
|
$2,000–$5,000 |
$10,000–$20,000 |
|
|
$8,000–$26,000 |
$10,000–$50,000 |
|
|
Cancer surgery |
$27,500–$35,000 |
$50,000–$100,000 |
What are the best cancer hospitals in Germany?
After analyzing over 50 partner clinics in Germany according to the Ranking Policy, Bookimed has selected the top 3 German oncology clinics that offer the latest treatments, advanced diagnostics, and exceptional patient care:
1️⃣ Asklepios Hospital Barmbek, Hamburg—Most-reviewed
Highlights:
- Ranked No. 1 for foreign patients by the Medical Travel Quality Alliance.
- Treats over 80,000 patients annually from Germany and worldwide.
- Featured in the top 50 German hospitals in Newsweek's World's Best Hospitals 2024.
2️⃣ Nordwest Clinic, Frankfurt am Main—Innovative cancer therapy
Highlights:
- A leading hospital in Germany for innovations like 3D ultrasound and anticancer vaccines for targeted therapy.
- Houses 5 research institutes and 11 specialized centers, including the ESMO-certified Center for Oncology and Hematology.
- Ranked in the top 100 German hospitals in Newsweek's World's Best Hospitals 2024.
3️⃣ Academic Hospital of the University of Cologne, Solingen—Highest-rated
Highlights:
- Certified by the German Cancer Society, German Trauma Center, WHO, and TÜV RHEINLAND for high-quality medical care.
- A top German clinic, according to Focus Magazine, that treats over 60,000 patients annually.
- Specializes in breast cancer treatment, combining chemotherapy, antibody immunotherapy, and immediate breast reconstruction with a 90% success rate.
Who are the best oncologists in Germany?
Bookimed partners with over 100 high-profile German oncologists. The following specialists stand out for their expertise:
➤ Specialty: Urological oncology (prostate, bladder, renal, and testicular cancer).
➤ Key treatments: HIFU, transurethral resection (TUR), laparoscopic partial resections, and ESWL (extracorporeal shock wave lithotripsy). Specialized in minimally invasive and organ-preserving operations.
➤ Role: Chief Physician, Urology Department, Asklepios Hospital Barmbek.
2️⃣ Prof. Ralf Buhl
➤ Specialty: Neuro-oncology (brain and spinal cord tumor diseases).
➤ Role: Head of Neurosurgery, Solingen Clinic.
➤ Experience:
- Over 4,000 successful neurosurgeries and 27 years of experience.
- Trusted by high-profile patients, including Hollywood actor George Clooney.
- Lectures at institutions in China and the USA.
➤ Specialty: Treatment of brain and spinal cord tumors.
➤ Role: Head of Neurosurgery, Meoclinic Berlin.
➤ Experience and credentials:
- Member of the American Association of Neurological Surgeons.
- Over 30 years of experience; trained at the National Hospital for Neurology and Neurosurgery in the UK and Middlesex Hospital in the USA.
What are the benefits of undergoing cancer treatment in Germany for international patients?
- World-class medical facilities. Germany is home to some of the most advanced cancer therapy centers globally. 35 German oncological centers were ranked among the World's Best Specialized Hospitals in 2024.
- Access to innovative therapies. Germany is a leader in adopting new therapies, with patients accessing experimental treatments through clinical trials. German cancer centers offer the latest oncology treatments cutting-edge treatments, including proton therapy and HIPEC for abdominal cancers.
- Treatment costs. Although not the most affordable country for cancer treatment, Germany stands out for its high-quality treatments that are 2-3 times less expensive than in the USA.
- Short waiting times. Patients in Germany can typically start treatment within 2–3 weeks of cancer diagnosis. In comparison, waiting times for oncology therapy in countries like Canada and the UK are up to 3 months.
- Multidisciplinary care. In Germany, a team of specialists—including oncologists, surgeons, and radiologists—collaborates to create personalized treatment plans.
- Comprehensive support for foreign patients. Hospitals have multilingual medical personnel and provide visa assistance and travel coordination. Additionally, clinics often arrange accommodations near treatment centers for cancer patients and their families.
Where can I read reviews from foreign patients who have undergone cancer treatment in Germany?
Here’s a selection of reviews from patients who traveled to Germany for treatment:
📝 Read more reviews on oncology treatment in Germany here.
How fast can international patients start oncology treatment in Germany?
International patients can typically begin cancer therapy in Germany within 2–3 weeks after medical professionals review their documentation.
How to prepare for cancer treatment in Germany? What documents are required?
1️⃣ Required documents
To start the treatment, clinics will need the following:
- Medical history. Cancer diagnosis reports, pathology results, and previous treatment history.
- Imaging scans. Copies of MRI, CT, or PET scans, along with radiology reports.
- Doctor’s referral or summary. A letter from your current doctor summarizing your condition.
- Biopsy reports, if not already included in the doctor’s letter.
If the medical records are in another language, don’t worry—Bookimed can translate them into German or English free of charge.
2️⃣ Additional preparation steps
- Visa application. Check the visa requirements for Germany and apply early if necessary. Clinics can provide support by issuing invitation letters for medical visas.
- Travel arrangements. Plan flights, accommodation, and transportation to the clinic. Bookimed’s medical coordinator can help you with these logistics.
- Health insurance. Check whether your insurance covers treatment abroad or if you’ll need to pay out-of-pocket.
How to choose the right oncology clinic in Germany?
1️⃣ Verify certifications and accreditations
Choose clinics certified by the German Cancer Society (DKG) or European Society for Medical Oncology (ESMO). These certifications indicate high standards of care.
2️⃣ Evaluate the clinic’s specialization
Identify clinics that specialize in treating your specific type of cancer. Some medical centers focus on specific oncological diseases, such as breast or lung cancer. Specialized cancer centers often have more experience and better outcomes.
3️⃣ Research the doctor’s experience and qualifications
Look for German specialists with extensive experience treating your specific type of cancer. They should have advanced training, membership in recognized medical organizations, and a track record of successful treatments. Medical experts involved in research or clinical studies bring the latest advancements to their practice.
4️⃣ Assess available treatment options and technologies
Look for clinics offering advanced treatments, such as proton therapy, CAR-T cell therapy, or robotic-assisted surgeries. Access to such technology can enhance treatment effectiveness.
5️⃣ Consider international patient services
Opt for clinics with dedicated international patient departments, which offer services such as visa assistance, language interpretation, and accommodation arrangements. This support can make your treatment journey smoother.
6️⃣ Review patient feedback and success rates
Read reviews from former patients to gauge satisfaction levels and treatment outcomes. Also, request success rates directly from the clinic.
7️⃣ Compare treatment costs
Request cost estimates from multiple clinics. Some hospitals provide comprehensive packages, including diagnostics, treatment, and follow-up care.
8️⃣ Consider location and accessibility
Pick a clinic in a city with good transportation links, especially if you require follow-up visits or extended stays. Major cities like Hamburg, Frankfurt, and Berlin have top clinics with easy access to airports and accommodations but may incur higher costs.
How to organize cancer treatment in Germany?
Arranging treatment in Germany may seem complex, but Bookimed can simplify this process. With personalized support, you can focus on your health while we handle the details. Here’s how it works:
1️⃣ Submit a request. Provide basic information about your condition by completing a simple form on the Bookimed website.
2️⃣ Talk to a medical coordinator. A Bookimed expert will contact you to discuss your medical situation and guide you through your therapy options.
3️⃣ Choose a clinic. Select the best cancer treatment for your needs with our help.
4️⃣ Send medical records. Share your documents for evaluation.
5️⃣ Receive a treatment plan. Get a detailed plan and cost estimate within 3–5 days.
6️⃣ Confirm and schedule. Approve the plan and set your arrival date.
7️⃣ Travel arrangements. Bookimed helps with visas, transport, and accommodations.
💚 Bookimed provides free assistance at every step. Submit your request today to start treatment without delay!
Resources
- The Foundation for Research on Equal Opportunity. (2024). Germany: #3 in the 2024 World Index of Healthcare Innovation. https://freopp.org/germany-3-in-the-2024-world-index-of-healthcare-innovation/
- Zentrum für Krebsregisterdaten. (2024). Cancer sites. https://www.krebsdaten.de/Krebs/EN/Content/Cancer_sites/All_cancers/all_cancers_node.html
- Eurostat. (2024). Healthcare expenditure statistics - overview. https://ec.europa.eu/eurostat/statistics-explained/index.php?title=Healthcare_expenditure_statistics_-_overview
- Pharma IQ. (2022). Top five countries running the most clinical trials. https://www.pharma-iq.com/pre-clinical-discovery-and-development/articles/top-five-countries-running-the-most-clinical-trials
- Newsweek. World's Best Specialized Hospitals 2024. https://www.newsweek.com/rankings/worlds-best-specialized-hospitals-2024
- American Association for Cancer Research. The Rising Cost of Cancer Care. https://www.aacr.org/patients-caregivers/progress-against-cancer/the-rising-cost-of-cancer-care/
- Biosensors. (2024). Advances in Cancer Research: Current and Future Diagnostic and Therapeutic Strategies. https://pmc.ncbi.nlm.nih.gov/articles/PMC10886776/
- Journal of Clinical Oncology. (2023). Sybil: A Validated Deep Learning Model to Predict Future Lung Cancer Risk From a Single Low-Dose Chest Computed Tomography. https://ascopubs.org/doi/full/10.1200/JCO.22.01345
- SAGE Open Medicine. (2021). New approaches and procedures for cancer treatment: Current perspectives. https://pmc.ncbi.nlm.nih.gov/articles/PMC8366192/
- Annals of Gastroenterological Surgery. (2021). Recent developments in cancer research: Expectations for a new remedy. https://pmc.ncbi.nlm.nih.gov/articles/PMC8316733/
- Mayo Clinic. (2023). Mayo Clinic Q and A: 5 advances in cancer treatment. https://newsnetwork.mayoclinic.org/discussion/mayo-clinic-q-and-a-5-advances-in-cancer-treatment/
- National Cancer Institute. (2020). Is Proton Therapy Safer than Traditional Radiation? https://www.cancer.gov/news-events/cancer-currents-blog/2020/proton-therapy-safety-versus-traditional-radiation