Transcript Diapositiva 1

EUROCHIP: EUROpean Cancer Health Indicator Project
EUROCHIP-1
EUROCHIP-2
EUROCHIP-3
www.tumori.net/eurochip
Dr Andrea Micheli
Descriptive Epidemiology and Health Planning Unit
Fondazione IRCCS “Istituto Nazionale dei Tumori”
Milan
Public Health Programme
EUROPEAN COMMISSION: HEALTH & CONSUMER PROTECTION DIRECTORATE-GENERAL
EUROCHIP-1 2002-04
EUROCHIP-2 2005-07
EUROCHIP-3 2008-11
-1 a list of Cancer Health Indicators
-2 CANCER CONTROL actions in 24 European
countries; the “pillars”: care & treatment
indicators, cervical screening, cancer registration
-3 further action on the pillars of EUROCHIP-2;
discussion on cancer rehabilitation and costs
EUROCHIP works in Consensus Conferences involving cancer
experts of EU institutes, organisations and networks
EUROCHIP-1..3
Cancer is an important element
of our societies
Why? To fight inequalities
What? Translational research project
How? Economy of scale: EU
network of willing people
permanent consensus conference
actions
INDICATOR
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INDICATOR
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ANALYSIS
EUROCHIP-2 ACTION PLAN
COUNTRY 1
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2
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3
COUNTRY 2
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3
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4
COUNTRY 3
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COUNTRY 30
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5 EDUCATIONAL
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ACTIVITY
SOLIDARIETY-BASED EUROPEAN PUBLIC HEALTH ACTIONS
Care & treatment
Early diagnosis
Epidemiology
EUROCHIP
Pilot studies
Against
avoidable deaths
Lack of cancer
information
COMMON ACTIONS
Country’s
specific
actions
A project based on solidarity against inequalities: the EUROCHIP-2 MAP
EUROCHIP-2 PILLARS
1. EUROCHIP-2 Pilot Studies: feasibility studies in cancer
registries to study the possibility to collect three indicators
at population level: “Stage at diagnosis”, “Delay of cancer
treatment” and “Compliance with guidelines” for breast and
colorectal cancers
2. Early diagnosis of cervical cancer in 5 Eastern European
countries (Presentations during this meeting)
3. Lack of cancer information:
•
Activities in two countries without cancer registration
•
Recommendations to the EC Network of Competent
Authorities in support of cancer registration in Europe
AIM: TO IMPROVE
THE CANCER INFORMATION SYSTEM
•
Three indicators: “Stage at diagnosis”, “Delay of cancer
treatment” and “Compliance with guidelines”
•
EUROCHIP-2 Pilot Studies are feasibility studies in cancer
registries of 10 countries
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They are performed to address the following questions:
•
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is it possible to collect these indicators at population
level?
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is the information already available?
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from which sources can (or could) the data be obtained?
EUROCHIP pilot studies refer to breast and colorectal cancer
STAGE AT DIAGNOSIS: TYPE OF COLLECTION
EASIER
COLLECTION
BREAST CANCER
MORE ROUTINE COLLECTION
UTERUS CANCER MORTALITY TRENDS
Source: WHO
Death rate per 100,000
WOMEN AGED 20 – 44 (MOSTLY CANCER OF THE CERVIX)
Standardized death rates (European standard)
AIM: TO AVOID AVOIDABLE DEATHS
•
BULGARIA: assessment surveys on
•
information level
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standard of cytological labs
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ROMANIA:
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assessment study shows high difficulties to implement screening in the near
future
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In 2007 legislative changes were initiated on cervical screening
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LATVIA
• Workgroup of Latvian oncologists, gynaecologists, GP,
stakeholders and health planners
• 2 informative documents were submitted to the MoH
• Screening expected to start in 2009
•
ESTONIA: cervical screening limits are low adherence, no screening registry, lack
of reference laboratory
•
LITHUANIA: a study was organized to evaluate results of the
centralized invitation system in one municipality in Lithuania. It
provides evidence and benefits of this system
AIM: TO IMPROVE
THE CANCER REGISTRATION
 Activities in two countries without
registration: Greece and Luxembourg
cancer
 Recommendations to the Network of Competent
Authorities in support of cancer registration in
Europe
 Educational activity: EUROCHIP-2 sponsored in 2006
the participation of 9 researchers from Eastern
European countries to the course “Cancer survival:
principles, methods and applications” (London, 3-7 April 2006)
EUROCHIP-2 PUBLICATIONS
• Chapter on “Cancer Information” for Slovenian Presidency
cancer book
• Chapter on cancer for the European Commission Report
on Major and Chronic Diseases
• Chapter on cancer for the European Global Report on
Health (EUGLOREH)
• Article on macro-socioeconomic variables relation with
cancer survival (EJPH)
• Article on life tables for world-wide comparison of relative
survival for cancer (Tumori)
• Other articles across the EU during the project period for
country’s specific actions
EUROCHIP ROLE AFTER THE SECOND ROUND
• One of the main references for the European Commission
on cancer
• Established contacts in the majority of MSs. Performed 27
actions in 24 countries
• Contacts with MoHs or bodies strictly connected with
health ministries
• Connections with main international networks on cancer
control
• Link with MEP’s (June 07 Meeting at European Parliament)
• Link with Portoguese and Slovenian Presidency
• Steering Committee Member of the 2nd and 3rd
International Cancer Control Congress