Download - Status of Art of Cancer Center in Europe
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Status of Art of Cancer Center in Europe
A. ParadisoScientific DirectorNCC Bari, Italy
National Cancer CenterNational Cancer CenterBari, ItalyBari, Italy
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Recent 5 years cancer survival(%) data in selected European CountriesEUROCARE-4 data. (Lancet Oncology,2007).
Eurocare-4 mean
Survival (%)
Overall
Men
Women
52.1
47.3
55.8
Breast cancer 79.0
Colorectal cancer 56.2
Lung cancer 10.9
NCCNCCBari, ItalyBari, Italy
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Investments for Research in EU15 (Year 2003)
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THE TRIANGLE OF TRANSLATIONAL RESEARCH
epidemiological research
(registry-based, reality-based)
basic research(laboratory-based) clinical research(clinical trials, evidence-based)
NCCNCCBari, ItalyBari, Italy
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Patient Management
SCREENING
Radiodiagnostics
Prevention Program
Genetic Counselling
DIAGNOSIS
Radiodiagnostics
Microhistology
Citology
New Biomarkers
Bioimaging
SURGERY
Phisics
Surgery hall
IORT
Nuclear Imaging
Pathology Service
Genetic Counselling
RADIATION ONCOLOGY
MEDICAL TREATMENT
FOLLOW UP
New biomarkers
Psycological distress
Clinics
Clinical Trials
Immunohistochemicals
Predictive biomarkers/patients
Linac
Phisics
Predictive Bt
Diagnostics
NCCNCCBari, ItalyBari, Italy
PALLIATION
PainSupportive
REAHBILITATION
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Categorization of cancer structures:the European philosophy
Cancer Unit:clinical facility with at least RT+Med Onc+Surg
Clinical Cancer Center:covering a sufficient degree of RT, MedOnc, Surg, RToccasionally clinical trial activities
Cancer Research Center:capacity in cancer research focusing in one or moreareas of fundamental or translational oncology
Comprehensive Cancer Center:covering several aspects of oncology treatment andresearch; high level of integration, infrastructure,expertise and innovation
NCCNCCBari, ItalyBari, Italy
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OECI Survey on Organization characteristics of CCC in Europe:
Infrastructures focused on cancer research
Epidemiology 95%
Genetics 95%
Molecular Biology 90% Immunology 90%
Stem cell 79%
Animal facility 75%
Biobank 90%
QL assessment 63%
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Preventive service 48%
Screening high risk patients 91%
Operating Rooms >5
Radiotherapy >2 Lineac
Nuclear medicine 82%
Pathology 100%
Hematology 85%
Pharmacy-Chem 100%
PschosocialUnit 100% Palliative Care 100%
Supportive Care 60%
OECI Survey on Organization characteristics of CCC in Europe:
Clinical Facilities
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OECI SURVEY ON Organization characteristics of CCC in Europe:Clinical Trials Ongoing
Phase I Trial mean 10 Phase II Trial mean 29
Phase III Trial mean 41
Phase IV Trials mean 9
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Education in oncology: the experience in the EuropeanCancer Centers. A survey.
12. Do you organize educational activities addressed
to patients?
0,0%20,0%
40,0%
60,0%
80,0%
Yes No
5. Is the structured scientific programme
differentiated for:
13,1%
9 , 8%
23 , 0%24 , 6%
29,5%
0,0%
5,0%
10,0%
15,0%
20,0%
25,0%
30,0%
35,0%
Phy si ci ans Res earchers N ur ses Psy co lo gi sts Other
disciplines
NCCNCCBari, ItalyBari, Italy
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National Cancer Center of BARINational Cancer Center of BARIBeds 120Day Hospital 32
Surgery hall 5LIneac 2
TAC 3RMN 2Pet 1
OperatorsMD 98Nurses 350Overall 610
NCINCIBari, ItalyBari, Italy
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e
National Cancer Center Bari, I taly
ORGANIZATION STRUCTURE
Scientific Direction-Management Direction
Department of Experimental Laboratory Oncology
Department of Pathology and Diagnostic Facilities
Womens Department
Gastrointestinal Department
Upper Aerodigestive Department
Department of Experimental Medical Oncology
Department of Critical-Palliative Care
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tNational Cancer Center- Bari I taly
Research Areas 2009-2011
Area 1EPIDEMIOLOGY, GENETIC RISK FACTORS, LIFEHABITS AND PREVENTION STRATEGIES
Area 2 INNOVATIVE TECHNICAL AND LABORATORYAPPROACHES
Area 3 NEW MULTIDISCIPLINARY/MININVASIVE
THERAPEUTIC APPROACHES
Area 4 SUPPORTIVE CARE
Area 5 NEW MANAGEMENT AND ORGANIZATIONMODELS
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Genetic Risk factorsNCCNCCBari, ItalyBari, Italy
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HEREDITARY BREAST CANCER:A CHARACTERISTIC GENEAOGICTREE
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Institutional Biobank-NCC Bari
Duval n. 10 Freezer -80C n.12 Samples Stored > 20.000
NCCNCCBari, ItalyBari, ItalyLaboratory Innovation
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YEARLY MANAGEMENT COSTS FOR AN INSTITUTIONAL BIOBANK:
A survey on 15 Italian Biobanks coordinated by NCC-Bari
costi/spese (analisi delle mediane)
personalestrumentazione locali materiali
corsi formazionealtro
0
100000
200000
300000
400000
500000
600000
700000
800000
0 1 2 3 4 5 6 7
costo(
)
Mean costs
Mean costs: 115.000 Euros (range 24.000-230.000)
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Circulating tumor cells:
human breast tumors initiatingcells CD44+/CD24-
A
B
Normal Tumour Metas tas is
NCCNCCBari, ItalyBari, Italy
Colospheres from different sites
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Activated Multidisciplinary Teams in NCC Bari, Italy
Gastrointestinal Cancer
Women Cancer Head and Neck Cancer Skin Cancer
Teams meet every week with:
Biologist, Pathologist,Radiologist, Surgeon,Radiotherapist Medical Oncologist,Nurse, Psychologist,General Practitioner Volunteers
NCCNCCBari, ItalyBari, Italy
Sidhom, Lancet Oncol, 2006
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Single- Step transarterial chemoembolization and
radiofrequency ablation for Liver and Lung Cancer
NCCNCCBari, ItalyBari, Italy
Gadaleta, In Vivo, 2009
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NCCNCCBari, ItalyBari, Italy
Continuous Education in Oncology:Activities in Progress in NCC-Bari, Italy
E-learning sessions (in collaboration with ESO)
Cancer Research Nurse Courses-Cohoperation to Clinical Trials
-Palliative Care Nursing
-Treatment Toxicity Management
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Characteristics of the NCC of Bari, Italy
Management and Medical Summary 45 clinical trials ongoing n.45
Annual IF for scientific publications(2007) n.280
Annual budget $ 61.5 M Annual budget for research activities $ 7.3 M
Funding Agencies
Regional Health System (pay/perform) 75%National HS (Quality of Care/Research) 10%
Private/others (Special Projects) 15%
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Eckhouse, Mol Onc,2008
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National Cancer Center
Conclusion (1)
Complexity >> full range of facilities
Integration >> multidisciplinary approach Innovation >> funds for new technologies
Education >> funds for personnel
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Regional CancerNetwork-Puglia
NCC-BARI within the Regional Cancer Network-PugliaProduction of Guide Lines
Production of Health Technology AssessmentsCancer Education ProviderCoordinator
Regional BiobanksClinical researchTranslational Research
Take in charge of the patient along all thediagnostic-therapeutic-palliative pathway
to guarantie updated and optimal care
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The National NetworkALLEANZA CONTRO IL CANCRO
Istituto Nazionale per lo Studio e laCura dei Tumori, Milano;
Centro di Riferimento Oncologico,
Aviano
Istituto Europeo di Oncologia, Milano;
Istituto Nazionale per la Ricerca sulCancro, Genova;
Istituto Nazionale per lo Studio e laCura dei Tumori - Fondazione Giovanni
Pascale, Napoli;
Istituto Regina Elena per lo Studio ela Cura dei Tumori, Roma;
Istituto Oncologico, Bari;
Board Members
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National Cancer Center
Conclusion (2)
Complexity >> full range of facilities
Integration >> multidisciplinary approach Innovation >> funds for new technologies
Education >> funds for people
Referent for a Territory
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Cancer Registries
Biobanks& Biomolecular Resources
National Network for Clinical
Studies and GMP facilities
National Network
Guidelines Production-START
European Infrastructures
and Networks
Eranet European Cancer Reg.
BBMRI -Networking majorbiobanking across Europe
ECRIN-Infrastructure for
Clinical Trials and Biotherapy
CoCanCPG: Production of
European Cancer Guidelines
The Italian Networks of ACC
Pre-clinical models
and animal facil it ies
Hereditary Tumors
Telepathology TESEO
Bioinformatics INSTRUCT (Int. Structural
Biology Infrastructure)
EATRIS Translational
Research Infrastructure
T
R
A
I
N
I
N
G
P
E
O
P
L
EAccreditation
PREPAR ING THE MODEL FOR A NATIONAL TRASLATIONAL RESEARCH INFRASTRUCTURE
Italian National Network NCC EUROPEALLEANZA CONTRO IL CANCRO European Community
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Organisation of European Cancer Institutes
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Project of Accreditation of Cancer Centers
(M.Sagatchian, IGR, Paris) Project of Education/Training
(A.Paradiso, NCC, Bari)
Project of Guidelines Production
(B Fervers, L Berard, Lyon) Project of Pathobiology
(P Riegman, Erasmus-Rotterdam,NL)
European Organization of Cancer InstitutesActivities
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National Cancer Center
Conclusion (3)
Complexity >> full range of facilities
Integration >> multidisciplinary approach
Innovation >> funds for new technologies
Education >> funds for people
Referent for a Territory
Living within International Scientific World
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The Triangle of Comprehensive Cancer Center Life
Comprehensive Cancer CenterInnovation
TerritoryEpidemiology International Scientific WorldResearch
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CancerCare/researchProfessionals
and Organisations
(Research)Funders(Industry)
The Cancer World
Patients HealthAuthoritiesThe Cancer
Centre/institute
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Thank you