ECCO Essential Requirements for Quality Cancer Care: Soft Tissue Sarcoma in Adults and Bone Sarcoma. A critical review

被引：98

作者：

Andritsch, Elisabeth ^{[1
,2
]}

Beishon, Marc ^{[3
]}

Bielack, Stefan ^{[4
,5
]}

Bonvalot, Sylvie ^{[6
,7
]}

Casali, Paolo ^{[8
,9
]}

Crul, Mirjam ^{[10
,11
]}

Delgado-Bolton, Roberto ^{[12
,13
,14
]}

Donatih, Davide Maria ^{[15
,16
]}

Douis, Hassan ^{[17
,18
]}

Haas, Rick ^{[19
,20
]}

Hogendoorn, Pancras ^{[21
,22
]}

Kozhaeva, Olga ^{[23
,24
]}

Lavender, Verna ^{[25
,26
]}

Lovey, Jozsef ^{[27
,28
]}

Negrouk, Anastassia ^{[29
]}

Pereira, Philippe ^{[30
,31
]}

Roca, Pierre ^{[24
]}

de Lempdes, Godelieve Rochette ^{[32
,33
]}

Saarto, Tiina ^{[34
,35
,36
]}

van Berck, Bert ^{[37
]}

Vassal, Gilles ^{[38
,39
]}

Wartenberg, Markus ^{[37
,40
]}

Yared, Wendy ^{[41
]}

Costa, Alberto ^{[3
]}

Naredi, Peter ^{[42
,43
]}

机构：

[1] Med Univ Graz, Int Psychooncol Soc, Graz, Austria

[2] Med Univ Graz, Univ Med Ctr Internal Med, Dept Clin Oncol, Graz, Austria

[3] European Sch Oncol, Milan, Italy

[4] Clin Stuttgart Olgahosp, European Soc Paediat Oncol SIOPE, Stuttgart, Germany

[5] Clin Stuttgart Olgahosp, Stuttgart Canc Ctr, Ctr Child Youth & Womens Med, Stuttgart, Germany

[6] PSL Res Univ, European Soc Surg Oncol, Paris, France

[7] PSL Res Univ, Dept Surg, Inst Curie, Paris, France

[8] Natl Canc Inst, European Soc Med Oncol, Milan, Italy

[9] Natl Canc Inst, Adult Mesenchymal Tumour Med Oncol Unit, Milan, Italy

[10] European Soc Oncol Pharm, Amsterdam, Netherlands

[11] OLVG, Dept Clin Pharm, Amsterdam, Netherlands

[12] Univ La Rioja, European Assoc Nucl Med, Logrono, La Rioja, Spain

[13] Univ La Rioja, San Pedro Hosp, Dept Diagnost Imaging Radiol & Nucl Med, Logrono, La Rioja, Spain

[14] Univ La Rioja, Ctr Biomed Res La Rioja CIBlR, Logrono, La Rioja, Spain

[15] Univ Bologna, European Musculoskeletal Oncol Soc, Bologna, Italy

[16] Univ Bologna, Rizzoli Orthopaed Inst, Bologna, Italy

[17] Univ Hosp Birmingham, European Soc Radiol, Birmingham, W Midlands, England

[18] Univ Hosp Birmingham, Dept Radiol, Birmingham, W Midlands, England

[19] European Soc Radiotherapy & Oncol ESTRO, Amsterdam, Netherlands

[20] Netherlands Canc Inst, Amsterdam, Netherlands

[21] European Soc Pathol, Leiden, Netherlands

[22] Leiden Univ, Med Ctr, Leiden, Netherlands

[23] European Soc Paediat Oncol SIOPE, Brussels, Belgium

[24] European Canc Org ECCO, Brussels, Belgium

[25] Oxford Brookes Univ, European Oncol Nursing Soc, Oxford, England

[26] Oxford Brookes Univ, Dept Hlth & Life Sci, Oxford, England

[27] Org European Canc Inst, Budapest, Hungary

[28] Natl Inst Oncol, Budapest, Hungary

[29] European Org Res Treatment Canc, Brussels, Belgium

[30] Heidelberg Univ, Cardiovasc & Intervent Radiol Soc Europe, Heilbronn, Germany

[31] Heidelberg Univ, Clin Radiol, Minimally Invas Therapies & Nucl Med, SLK Clin Heilbronn, Heilbronn, Germany

[32] Hop Rene Huguenin, Int Soc Geriatr Oncol SIOG, St Cloud, France

[33] Hop Rene Huguenin, Inst Curie, Unite Fonct Soins Oncol Support, St Cloud, France

[34] European Assoc Palliat Care, Helsinki, Finland

[35] Univ Helsinki, Ctr Comprehens Canc, Dept Palliat Care, Helsinki, Finland

[36] Helsinki Univ Hosp, Helsinki, Finland

[37] ECCO Patient Advisory Comm PAC, London, England

[38] European Soc Paediat Oncol SIOPE, Paris, France

[39] Inst Gustave Roussy, Paris, France

[40] Sarcoma Patients Euro Net SPAEN, Bad Nauheim, Germany

[41] Assoc European Canc Leagues ECL, Brussels, Belgium

[42] Univ Gothenburg, European Canc Org ECCO, Gothenburg, Sweden

[43] Univ Gothenburg, Dept Surg, Inst Clin Sci, Sahlgrenska Acad, Gothenburg, Sweden

来源：

CRITICAL REVIEWS IN ONCOLOGY HEMATOLOGY | 2017年 / 110卷

关键词：

Sarcoma; Soft tissue sarcoma; Bone sarcoma; Paediatric cancer; Rare cancer; Quality; European CanCer Organisation; Cancer centre; Cancer unit; Europe; Care pathways; Multidisciplinary; Cancer units; Cancer centres; Organisation of care; Audit; Quality assurance; Patient-centred; Multidisciplinary team; Multidisciplinary working; PALLIATIVE CARE; MULTIDISCIPLINARY; RADIOTHERAPY; GUIDELINES; EPIDEMIOLOGY; MANAGEMENT; DIAGNOSIS; SURVIVAL; TUMORS;

D O I：

10.1016/j.critrevonc.2016.12.002

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Background: ECCO essential requirements for quality cancer care (ERQCC) are checklists and explanations of organisation and actions that are necessary to give high-quality care to patients who have a specific tumour type. They are written by European experts representing all disciplines involved in cancer care. ERQCC papers give oncology teams, patients, policymakers and managers an overview of the elements needed in any healthcare system to provide high quality of care throughout the patient journey. References are made to clinical guidelines and other resources where appropriate, and the focus is on care in Europe. Sarcoma: essential requirements for quality care Sarcomas - which can be classified into soft tissue and bone sarcomas - are rare, but all rare cancers make up more than 20% of cancers in Europe, and there are substantial inequalities in access to high-quality care. Sarcomas, of which there are many subtypes, comprise a particularly complex and demanding challenge for healthcare systems and providers. This paper presents essential requirements for quality cancer care of soft tissue sarcomas in adults and bone sarcomas. High-quality care must only be carried out in specialised sarcoma centres (including paediatric cancer centres) which have both a core multidisciplinary team and an extended team of allied professionals, and which are subject to quality and audit procedures. Access to such units is far from universal in all European countries. It is essential that, to meet European aspirations for high-quality comprehensive cancer control, healthcare organisations implement the requirements in this paper, paying particular attention to multidisciplinarity and patient-centred pathways from diagnosis and follow-up, to treatment, to improve survival and quality of life for patients. Conclusion: Taken together, the information presented in this paper provides a comprehensive description of the essential requirements for establishing a high-quality service for soft tissue sarcomas in adults and bone sarcomas. The ECCO expert group is aware that it is not possible to propose a 'one size fits all' system for all countries, but urges that access to multidisciplinary teams is guaranteed to all patients with sarcoma. (C) 2016 The Authors. Published by Elsevier Ireland Ltd.

引用

页码：94 / 105

页数：12

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