Policy statement on multidisciplinary cancer care

被引：248

作者：

Borras, Josep M ^{[1
,2
]}

Albreht, Tit ^{[3
,4
]}

Audisio, Riccardo ^{[5
]}

Briers, Erik ^{[6
]}

Casali, Paolo ^{[7
]}

Esperou, Helene ^{[8
,9
]}

Grube, Birgitte ^{[10
]}

Hamoir, Marc ^{[11
]}

Henning, Geoffrey ^{[12
]}

Kelly, Joan ^{[13
,14
]}

Knox, Susan ^{[15
]}

Nabal, Maria ^{[16
]}

Pierotti, Marco ^{[17
]}

Lombardo, Claudio

van Harten, Wim ^{[17
]}

Poston, Graeme ^{[18
]}

Prades, Joan ^{[19
,20
]}

Sant, Milena ^{[21
,22
]}

Travado, Luzia ^{[23
]}

Valentini, Vincenzo ^{[24
]}

van de Velde, Cornelis ^{[25
]}

van den Bogaert, Saskia ^{[26
]}

van den Bulcke, Marc ^{[27
]}

van Hoof, Elke ^{[28
]}

van den Neucker, Ingrid ^{[25
,29
]}

Wilson, Robin ^{[30
]}

机构：

[1] ICO, Barcelona, Spain

[2] Univ Barcelona, Barcelona, Spain

[3] Work Package 10 Canc Plans, EPAAC, Ljubljana, Slovenia

[4] Natl Inst Publ Hlth Slovenia IVZ, Ljubljana, Slovenia

[5] Int Soc Geriatr Oncol SIOG, Liverpool, Merseyside, England

[6] ECPC, Brussels, Belgium

[7] ESMO, Sunrise, FL USA

[8] European Hosp & Healthcare Federat HOPE, Brussels, Belgium

[9] UNICANCER, Paris, France

[10] EONS, Copenhagen, Denmark

[11] Clin Univ St Luc, UCL, B-1200 Brussels, Belgium

[12] EuropaColon, Harpenden, Herts, England

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

[14] Work Package 5 Hlth Promot Prevent, Copenhagen, Denmark

[15] Europa Donna, Milan, Italy

[16] European Assoc Palliat Care, Lleida, Spain

[17] Org European Canc Inst, Genoa, Italy

[18] European Soc Surg Oncol, Liverpool, Merseyside, England

[19] Work Package 7 Healthcare, EPAAC, Barcelona, Spain

[20] Catalonian Canc Plan, Barcelona, Spain

[21] Work Package 9 Informat Syst, EPAAC, Milan, Italy

[22] Fdn IRCCS Ist Nazl Tumori, Milan, Italy

[23] IPOS, Lisbon, Portugal

[24] ESTRO, Lugano, Switzerland

[25] ECCO, Brussels, Belgium

[26] Minist Hlth, Sci Inst Publ Hlth, Brussels, Belgium

[27] Belgium Canc Ctr, Brussels, Belgium

[28] Vrije Univ Brussel, Brussels, Belgium

[29] Work Package 8 Res, EPAAC, Ljubljana, Slovenia

[30] EUSOMA European Soc Breast Canc Specialists, Athens, Greece

来源：

EUROPEAN JOURNAL OF CANCER | 2014年 / 50卷 / 03期

关键词：

Multidisciplinary team; Consensus; Health care organisation; Health policy;

D O I：

10.1016/j.ejca.2013.11.012

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Background: Cancer care is undergoing an important paradigm shift from a disease-focused management to a patient-centred approach, in which increasingly more attention is paid to psychosocial aspects, quality of life, patients' rights and empowerment and survivorship. In this context, multidisciplinary teams emerge as a practical necessity for optimal coordination among health professionals and clear communication with patients. The European Partnership for Action Against Cancer (EPAAC), an initiative launched by the European Commission in 2009, addressed the multidisciplinary care from a policy perspective in order to define the core elements that all tumour-based multidisciplinary teams(MDTs) should include. To that effect, a working group conference was held in January 2013 within the EPAAC Work Package 7 (on Healthcare) framework. Methods: The consensus group consisted of high-level representatives from the following European scientific societies, patient associations and stakeholders: European CanCer Organisation (ECCO), European SocieTy for Radiology & Oncology (ESTRO), European Society for Medical Oncology (ESMO), European Society of Surgical Oncology (ESSO), International Society of Geriatric Oncology (SIOG), European Association for Palliative Care (EAPC), European Oncology Nursing Society (EONS), International Psycho-Oncology Society (IPOS), European Cancer Patient Coalition (ECPC), EuropaColon, Europa Donna - The European Breast Cancer Coalition, Association of European Cancer Leagues (ECL), Organisation of European Cancer Institutes (OECI), EUSOMA - European Society of Breast Cancer Specialists, European Hospital and Healthcare Federation (HOPE) and EPAAC Work Packages 5 (Health promotion and prevention), 7, 8 (Research), 9 (Information systems) and 10 (Cancer plans). A background document with a list of 26 core issues drawn from a systematic review of the literature was used to guide the discussion. Five areas related to MDTs were covered: care objectives, organisation, clinical assessment, patients' rights and empowerment and policy support. Preliminary drafts of the document were widely circulated for consultation and amendments by the working group before final approval. Results: The working group unanimously formulated a Policy Statement on Multidisciplinary Cancer Care to define the core elements that should be implemented by all tumour-based MDTs. This document identifies MDTs as the core component in cancer care organisation and sets down the key elements to guide changes across all European health systems. Conclusion: MDTs are an essential instrument of effective cancer care policy, and their continued development crucial to providing patients the care they need and deserve. While implementation must remain in local hands, European health systems can still benefit from having a basis for an effective multidisciplinary model of cooperation. This policy statement is intended to serve as a reference for policymakers and healthcare providers who wish to improve the services currently provided to the cancer patients whose lives and well-being depend on their action. (C) 2013 Elsevier Ltd. All rights reserved.

引用

页码：475 / 480

页数：6

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