The European Prostate Cancer Centres of Excellence: A Novel Proposal from the European Association of Urology Prostate Cancer Centre Consensus Meeting.
Eur Urol
; 76(2): 179-186, 2019 08.
Article
em En
| MEDLINE
| ID: mdl-30799188
ABSTRACT
BACKGROUND:
High-quality management of prostate cancer is needed in the fields of clinics, research, and education.OBJECTIVE:
The objective of this project was to develop the concept of "European Prostate Cancer Centres of Excellence" (EPCCE), with the specific aim of identifying European centres characterised by high-quality cancer care, research, and education. DESIGN, SETTING, ANDPARTICIPANTS:
A task force of experts aimed at identifying the general criteria to define the EPCCE. Discussion took place in conference calls and by e-mail from March 2017 to November 2017, and the final consensus meeting named "European Association of Urology (EAU) Prostate Cancer Centre Consensus Meeting" was held in Barcelona on November 16, 2017. OUTCOME MEASUREMENTS AND STATISTICALANALYSIS:
The required criteria were grouped into three mainsteps:
(1) clinics, (2) research, and (3) education. A quality control approach for the three steps was defined. RESULTS ANDLIMITATIONS:
The definition of EPCCE consisted of the followingsteps:
(1) clinical step-five items were identified and classified as core team, associated services, multidisciplinary approach, diagnostic pathway, and therapeutic pathway; (2) research step-internal monitoring of outcomes was required; clinical data had to be collected through a prespecified database, clinical outcomes had to be periodically assessed, and prospective trials had to be conducted; (3) educational step-it consists of structured fellowship programmes of 1yr, including 6mo of research and 6mo of clinics; and (4) quality assurance and quality control procedures, related to the quality assessment of the previous three steps. A limitation of this project was that the definition of standards and items was mainly based on a consensus among experts rather than being an evidence-based process.CONCLUSIONS:
The EAU Prostate Cancer Centre Consensus Meeting defined the criteria for the identification of the EPCCE in the fields of clinics, research, and education. The inclusion of a quality control approach represents the novelty that supports the excellence of these centres. PATIENTSUMMARY:
A task force of experts defined the criteria for the identification of European Prostate Cancer Centres of Excellence, in order to certify the high-quality centres for prostate cancer management.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Neoplasias da Próstata
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Garantia da Qualidade dos Cuidados de Saúde
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Institutos de Câncer
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Pesquisa Biomédica
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article