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The European Prostate Cancer Centres of Excellence: A Novel Proposal from the European Association of Urology Prostate Cancer Centre Consensus Meeting

Wirth, Manfred, Fossati, Nicola, Albers, Peter, Bangma, Chris, Brausi, Maurizio, Comperat, Eva, Faithfull, Sara, Gillessen, Silke, Jereczek-Fossa, Barbara Alicja, Mastris, Ken , Mottet, Nicolas, Müller, Stefan C, Pieters, Bradley, Ribal, Maria J, Sangar, Vijay, Schoots, Ivo G, Smelov, Vitaly, Travado, Luzia, Valdagni, Riccardo, Wesselmann, Simone, Wiegel, Thomas and van Poppel, Hendrik (2019) The European Prostate Cancer Centres of Excellence: A Novel Proposal from the European Association of Urology Prostate Cancer Centre Consensus Meeting European Urology, 76 (2). pp. 179-186.

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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, and participants

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 statistical analysis

The required criteria were grouped into three main steps: (1) clinics, (2) research, and (3) education. A quality control approach for the three steps was defined.

Results and limitations

The definition of EPCCE consisted of the following steps: (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 1 yr, including 6 mo of research and 6 mo 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.

Patient summary

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.

Item Type: Article
Divisions : Faculty of Health and Medical Sciences > School of Health Sciences
Authors :
NameEmailORCID
Wirth, Manfred
Fossati, Nicola
Albers, Peter
Bangma, Chris
Brausi, Maurizio
Comperat, Eva
Faithfull, SaraS.Faithfull@surrey.ac.uk
Gillessen, Silke
Jereczek-Fossa, Barbara Alicja
Mastris, Ken
Mottet, Nicolas
Müller, Stefan C
Pieters, Bradley
Ribal, Maria J
Sangar, Vijay
Schoots, Ivo G
Smelov, Vitaly
Travado, Luzia
Valdagni, Riccardo
Wesselmann, Simone
Wiegel, Thomas
van Poppel, Hendrik
Date : August 2019
DOI : 10.1016/j.eururo.2019.01.033
Uncontrolled Keywords : Prostate cancer; European Prostate Cancer Centre of Excellence; Multidisciplinary approach; Criteria
Depositing User : Clive Harris
Date Deposited : 19 Aug 2019 15:19
Last Modified : 19 Aug 2019 15:19
URI: http://epubs.surrey.ac.uk/id/eprint/852439

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