Transcript Diapositiva 1

THE EUROCHIP PROJECTS
Health Indicators for
Monitoring Cancer in Europe
http://www.tumori.net/eurochip/
EUROCHIP-1 2002-04
EUROCHIP-2 2005-07
EUROCHIP-3 2008-11
1. development of a list of cancer health indicators
2. using indicators to promote actions for cancer control
3. promoting common view of cancer plan: collaborative
actions
4. to help the development of the European Health
Information System
By consensus conferences involving cancer experts of EU
institutes, organisations and cancer networks
EUROCHIP: THE ORGANISATION
Steering Committee
Steering Commitee from:
Panel of Experts with
representatives of all
EU Member States
Spain
United Kingdom
Switzerland
Bulgaria
Italy
Working Team
Operational work
GS
Panel of Experts
GS care and
treatment
GS Screening
GS
GS
GS
GS: Groups of specialists
GS
Methodological
Group
INDICATOR
A
INDICATOR
B
INDICATOR
C
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.
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INDICATOR
Z
ANALYSIS
EUROCHIP-1 (2001-2004)
The EUROCHIP Network draws the
list of Cancer Health Indicators
recommended for collection in the
participating EU 15 MS
EUROCHIP INDICATORS
1.
Outcome
Stage at diagnosis Incidence Survival
Prevalence
Mortality & PYLL
2. Health determinants
Prevention
Socio-economic indicators
Tobacco
Alcohol
Fruit and vegetables
Sun radiation
Occupational carcinogens
BMI & Physical activity
GDP
Total Health expenditure
Public health expenditure
Anti-tobacco regulations
Screening
3. Health system indicators
Care & Treatment
Organised screening coverage
% with mammography
% with cervical cytology exam
% with colorectal cancer screening test
Radiation equipments
CTS
Palliative radiotherapy
Delay of cancer treatment
Compliance with guidelines
EUROCHIP-2 (2005-2007)
The EUROCHIP 2 The ACTION
project implements actions to fill the
gaps emerged in the EU Information
System
THE EUROCHIP-2 THE ACTION
PROJECT
• It is a translational research project
(from epidemiology to public health)
• It is a project against disparities
• It is EC project
• It aims to research ways to promote health
• Its goal are to promote public health actions
against cancer in each EU country
• It works to build an European platform for
cancer control
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
•
They are performed to address the following questions:
•
•
is it possible to collect these indicators at population
level?
•
is the information already available?
•
from which sources can (or could) the data be obtained?
EUROCHIP pilot studies refer to breast and colorectal cancer
AIM: TO AVOID AVOIDABLE DEATHS
•
BULGARIA: assessment surveys on
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information level
•
standard of cytological labs
•
ROMANIA:
•
assessment study shows high difficulties to implement screening in the near
future
•
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-3 (2008-2011)
EUROCHIP-3 Common Action
funded by the EC's Directorate for "Health
and Consumer Protection" (DG SANCO)
in the strand Health Information of the Work
Plan 2008-2013 of the Community Action in
the Field of Health
EUROCHIP-3
MANDATE: Actions for the reduction of the inequalities in
Cancer Health information systems in the EU
Member States as shown by previous EUROCHIP
projects
MISSION : solidariety in EU cancer control
METHOD : Multidisciplinary Consensus Conference of
cancer control stakeholders coordinated at the
National Institute for Cancer INT, Milan with the
support of the European School of Oncology for
the dissemination of results
EUROCHIP is a 10 year network of over 100 representatives
from International Organizations, Patient Associations and
Member States delegates from the 27 EU member States
EUROCHIP-3
SCIENTIFIC FOCUSES:
4 INTERNATIONAL WORK PACKAGES covering key cancer
control areas:
1. EPIDEMIOLOGY
2. SCREENING
3. REHABILITATION
4. MACROECONOMICS
4 INSTITUTES IN:
1. THE NETHERLANDS
2. FINLAND
3. ESTONIA
4. ITALY
EUROCHIP-3 WPS
1. WP EPIDEMIOLOGY:
Promotion of the collection of Cancer Indicators on diagnostic and
treatment delay, implementation of EUROCHIP indicators in the EU,
implementation of registries in Greece and Luxembourg (conducted at
the IKNO, the Netherlands)
2. WP SCREENING:
Communication to stakeholders on effective cervical cancer screening
programmes and analysis, validation, and optimisation of invitation for
cervical cancer screening in 5 Eastern European Countries (conducted at
the Mass Screening Registry, Finland)
3. WP REHABILITATION:
Identification of Cancer Health Indicators on psicho-social rehabilitation
(conducted at the NIHD, Estonia)
4. WP MACROECONOMICS:
Study on cancer costs and outcome (conducted by INT and AIFA?)
THE EUROCHIP NETWORK:
TO IMPROVE CANCER CONTROL ACROSS EUROPE

MEPs Against Cancer (MAC) Meeting
“Making Cancer Control a Priority” (Bruxelles, 27 June 2007)

EUROCHIP provided info, and helped the diffusion of the
recommendations of the Portuguese EU Presidency “Health
Strategies in Europe” conference (Lisbon, 12-13 July 2007)

EUROCHIP in the steering committee of the 2nd International
Cancer Control Congress (Rio De Janeiro, 26-28 Nov 2007)

Cancer Control Chapters in:


“Cancer information” (Slovenian EU Presidency book)

“Cancer” (EUGLOREH Project)

“Cancer in Europe. The EUROCHIP projects” (DG SANCO’s
Report on Major and Chronic Diseases)
EUROCHIP organized the 3rd International Cancer Control
Congress (Cernobbio, Nov 2009)